| 1. |
- Bylow, Helene, et al.
(författare)
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Effectiveness of web-based education in addition to basic life support learning activities : A cluster randomised controlled trial.
- 2019
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Ingår i: PLOS ONE. - : Public Library of Science (PLoS). - 1932-6203. ; 14:7
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Tidskriftsartikel (refereegranskat)abstract
- BACKGROUND: Effective education in basic life support (BLS) may improve the early initiation of high-quality cardiopulmonary resuscitation and automated external defibrillation (CPR-AED).AIM: To compare the learning outcome in terms of practical skills and knowledge of BLS after participating in learning activities related to BLS, with and without web-based education in cardiovascular diseases (CVD).METHODS: Laymen (n = 2,623) were cluster randomised to either BLS education or to web-based education in CVD before BLS training. The participants were assessed by a questionnaire for theoretical knowledge and then by a simulated scenario for practical skills. The total score for practical skills in BLS six months after training was the primary outcome. The total score for practical skills directly after training, separate variables and self-assessed knowledge, confidence and willingness, directly and six months after training, were the secondary outcomes.RESULTS: BLS with web-based education was more effective than BLS without web-based education and obtained a statistically significant higher total score for practical skills at six months (mean 58.8, SD 5.0 vs mean 58.0, SD 5.0; p = 0.03) and directly after training (mean 59.6, SD 4.8 vs mean 58.7, SD 4.9; p = 0.004).CONCLUSION: A web-based education in CVD in addition to BLS training enhanced the learning outcome with a statistically significant higher total score for performed practical skills in BLS as compared to BLS training alone. However, in terms of the outcomes, the differences were minor, and the clinical relevance of our findings has a limited practical impact.
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| 2. |
- Bylow, Helene
(författare)
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Learning aspects of out-of-hospital cardiac arrest and learning activities in basic life support - a study among laypersons at workplaces in Sweden
- 2021
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Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
- Abstract Background: Out-of-hospital cardiac arrest (OHCA) is one of the leading causes of death worldwide. Despite healthcare improvements, prevention for cardiovascular health, training in adult basic life support (BLS) with cardiopulmonary resuscitation (CPR) and automated external defibrillation (AED), together with increased public awareness of cardiovascular disease, survival from OHCA still remains poor. Aim: To 1) explore the effectiveness and the intended learning outcome after training in BLS calculated as a total score of practical skills, theoretical knowledge, confidence and willingness to act by comparing different learning activities among laypersons at workplaces and 2) describe characteristics and 30-day survival of OHCAs occurring at workplaces in comparison to OHCAs at other places and factors associated with survival after OHCA at workplaces in Sweden. Methods: Studies I-III were conducted as cluster randomised, controlled trials with parallel analyses. The outcome was the total score on the Cardiff Test for the intended learning outcome of theoretical knowledge and practical skills in BLS, primarily six months after training and secondarily directly after training. Study IV was performed as a register-based, observational study and the outcome was survival to 30 days for cases of OHCA reported by the emergency medical service and factors associated with the outcome after OHCA at workplaces. Results: Study I was unable statistically to demonstrate a difference in learning outcome in BLS between self-learning and instructor-led learning. Studies II and III showed that a preparatory, web-based, interactive education on stroke, acute myocardial infarction, OHCA, CPR, AED and healthy lifestyle factors, in addition to instructor-led and film-based (Study III) practical training in BLS, improved the learning outcome for practical skills in CPR and AED. Study IV showed that the incidence of OHCAs at workplaces in Sweden was low and survival was relatively high when compared with other places outside hospital. Being found in a shockable cardiac rhythm was a strong independent predictor of survival after OHCAs at workplaces. OHCAs at workplaces were defibrillated more frequently and with a shorter delay to shock when compared with other places outside hospital. Conclusion: Instructor-led and film-based training in BLS, with the addition of a preparatory, web-based, interactive education, benefits the learning outcome for practical skills in BLS for laypersons at workplaces. Although the incidence of OHCAs at workplaces is low, the survival rate is relatively high and the probability of survival was lower at all other places outside hospital, apart from crowded public places, than at workplaces. Through existing legislation, workplaces have the opportunity regularly to offer training in BLS to employees and the clinical implications could be that more trained laypersons are able to start effective resuscitation both inside and outside the workplace environment, thereby increasing OHCA survival even more.
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| 3. |
- Bylow, Helene, et al.
(författare)
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Self-learning training versus instructor-led training for basic life support : A cluster randomised trial.
- 2019
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Ingår i: Resuscitation. - : Elsevier BV. - 0300-9572 .- 1873-1570. ; 139, s. 122-132
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Tidskriftsartikel (refereegranskat)abstract
- AIM: To compare the effectiveness of two basic life support (BLS) training interventions.METHODS: This experimental trial enrolled 1301 lay people in BLS training. The participants were cluster randomised to either self-learning training or to traditional instructor-led training. Both groups used the Mini-Anne Kit (Laerdal Medical, Stavanger, Norway) and standardised film instructions. After training, the participants practical skills were measured on a Resusci Anne manikin and an AED trainer with the PC SkillReporting system (Laerdal Medical, Stavanger, Norway). The primary outcome was the total score from the modified Cardiff Test of basic life support with automated external defibrillation (19-70 points), six months after training. The secondary outcomes were total score directly after training and quality of individual variables, self-assessed knowledge, confidence and willingness to act, directly and six months after training.RESULTS: For primary outcome six months after training there was no statistically significant difference (p = 0.44) between the total score for the self-learning group (n = 670; median 59, IQR 55-62) compared with the instructor-led group (n = 561; median 59, IQR 55-63). The instructor-led training resulted in a statistically significant higher total score (median 61 versus 59, p < 0.0001), self-assessed knowledge and willingness to act, directly after training (secondary outcomes) compared with the self-learning training.CONCLUSIONS: There was no statistically significant difference in practical skills or willingness to act when comparing self-learning training with instructor-led training six months after training in BLS. However, directly after the intervention, practical skills were better when the training was led by an instructor.
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| 4. |
- Bylow, Helene, et al.
(författare)
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Supplementary dataset to self-learning training compared with instructor-led training in basic life support.
- 2019
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Ingår i: Data in Brief. - : Elsevier BV. - 2352-3409. ; 25
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Tidskriftsartikel (refereegranskat)abstract
- In this article, we present supplementary data to the article entitled "Self-learning training versus instructor-led training in basic life support: a cluster randomised trial" [1]. In three supplementary files, we present the informed consent of the included participants, the modified instrument to calculate the total score for practical skills called "the Cardiff Test of basic life support and automated external defibrillation" and the questionnaire to obtain background factors, theoretical knowledge, self-assessed knowledge and confidence and willingness to act, distributed directly after training and six months after training. The results of comparisons between "directly after intervention" and "six months after intervention", for each training group separately, are presented in three tables. We also present two tables showing the reasons why the participants were not prepared to perform compressions and/or ventilations in the event of a sudden out-of-hospital cardiac arrest.
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