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Learning cardiopulmonary resuscitation theory with face-to-face versus audiovisual instruction for secondary school students: a randomized controlled trial

Cerezo Espinosa C, Nieto Caballero S, Juguera Rodríguez L, Castejón-Mochón JF, Segura Melgarejo F, Sánchez Martínez CM, López López A, Pardo Ríos M

Programa de Doctorado en Ciencias de la Salud, Universidad Cat√≥lica de Murcia (UCAM), Spain. Hospital Universitario Virgen de la Arrixaca de Murcia, Spain. Gerencia de Urgencias y Emergencias 061 de la Regi√≥n de Murcia, Spain. Universidad Cat√≥lica de Murcia (UCAM), Spain. Universidad Miguel Hern√°ndez, √Ārea de Electr√≥nica, Departamento Ingenier√≠a de Comunicaciones, Spain.

Objective. To compare secondary students’ learning of basic life support (BLS) theory and the use of an automatic external defibrillator (AED) through face-to-face classroom instruction versus educational video instruction.
Methods. A total of 2225 secondary students from 15 schools were randomly assigned to one of the following 5 instructional groups: 1) face-to-face instruction with no audiovisual support, 2) face-to-face instruction with audiovisual support, 3) audiovisual instruction without face-to-face instruction, 4) audiovisual instruction with face-to-face instruction,
and 5) a control group that received no instruction. The students took a test of BLS and AED theory before instruction, immediately after instruction, and 2 months later.
Results. The median (interquartile range) scores overall were 2.33 (2.17) at baseline, 5.33 (4.66) immediately after instruction (P<.001) and 6.00 (3.33) (P<.001). All groups except the control group improved their scores. Scores immediately after instruction and 2 months later were statistically similar after all types of instruction.
Conclusion. No significant differences between face-to-face instruction and audiovisual instruction for learning BLS and AED theory were found in secondary school students either immediately after instruction or 2 months later.

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