Optimal training frequency for acquisition and retention of high-quality CPR skills: A randomized trial

Spaced training programs employ short, frequent CPR training sessions to improve provider skills. The optimum training frequency for CPR skill acquisition and retention has not been determined. We aimed to determine the training interval associated with the highest quality CPR performance at one yea...

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Published in:	Resuscitation Vol. 135; pp. 153 - 161
Main Authors:	Anderson, Robert, Sebaldt, Alexandre, Lin, Yiqun, Cheng, Adam
Format:	Journal Article
Language:	English
Published:	Ireland Elsevier B.V 01.02.2019
Subjects:	Adult Basic life support Cardiopulmonary resuscitation Cardiopulmonary Resuscitation - education Cardiopulmonary Resuscitation - standards Chest compressions Clinical Competence - standards Education Education - methods Education - organization & administration Female Heart Arrest - therapy Humans Male Manikins Models, Educational Retention Simulation Teaching - standards Time Factors Chest compressions Basic life support CPR HCP JIT Simulation Education Cardiopulmonary resuscitation BLS RQI Retention IHCA
ISSN:	0300-9572, 1873-1570, 1873-1570
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Abstract	Spaced training programs employ short, frequent CPR training sessions to improve provider skills. The optimum training frequency for CPR skill acquisition and retention has not been determined. We aimed to determine the training interval associated with the highest quality CPR performance at one year. Participants were randomized to 1-month, 3-month, 6-month, and 12-month CPR training intervals over the course of a 12-month study period. Practice sessions included repeated two-minute CPR practice sessions with visual feedback and verbal coaching until Excellent CPR was achieved, to a maximum of three attempts. Excellent CPR was defined as a two-minute CPR session with ≥90% of compressions with a depth of 50–60 millimeters, a rate of 100–120 per minute, and with complete chest recoil. CPR performance was assessed in all groups at 12 months. The primary outcome was the proportion of participants able to perform Excellent CPR in each group. A total of 167 participants were included in the analysis. Baseline assessment showed no difference in CPR performance (p = 0.38). Participants who were trained monthly had a significantly higher proportion of Excellent CPR performance (58%) than those in all other groups (26% in the 3-month group, p = 0.008; 21% in the 6-month group, p = 0.002; and 15% in the 12-month group, p < 0.001). Short-duration, distributed CPR training on a manikin with real-time visual feedback is effective in improving CPR performance, with monthly training more effective than training every 3, 6, or 12 months.
AbstractList	Spaced training programs employ short, frequent CPR training sessions to improve provider skills. The optimum training frequency for CPR skill acquisition and retention has not been determined. We aimed to determine the training interval associated with the highest quality CPR performance at one year. Participants were randomized to 1-month, 3-month, 6-month, and 12-month CPR training intervals over the course of a 12-month study period. Practice sessions included repeated two-minute CPR practice sessions with visual feedback and verbal coaching until Excellent CPR was achieved, to a maximum of three attempts. Excellent CPR was defined as a two-minute CPR session with ≥90% of compressions with a depth of 50–60 millimeters, a rate of 100–120 per minute, and with complete chest recoil. CPR performance was assessed in all groups at 12 months. The primary outcome was the proportion of participants able to perform Excellent CPR in each group. A total of 167 participants were included in the analysis. Baseline assessment showed no difference in CPR performance (p = 0.38). Participants who were trained monthly had a significantly higher proportion of Excellent CPR performance (58%) than those in all other groups (26% in the 3-month group, p = 0.008; 21% in the 6-month group, p = 0.002; and 15% in the 12-month group, p < 0.001). Short-duration, distributed CPR training on a manikin with real-time visual feedback is effective in improving CPR performance, with monthly training more effective than training every 3, 6, or 12 months. Spaced training programs employ short, frequent CPR training sessions to improve provider skills. The optimum training frequency for CPR skill acquisition and retention has not been determined. We aimed to determine the training interval associated with the highest quality CPR performance at one year.AIMSpaced training programs employ short, frequent CPR training sessions to improve provider skills. The optimum training frequency for CPR skill acquisition and retention has not been determined. We aimed to determine the training interval associated with the highest quality CPR performance at one year.Participants were randomized to 1-month, 3-month, 6-month, and 12-month CPR training intervals over the course of a 12-month study period. Practice sessions included repeated two-minute CPR practice sessions with visual feedback and verbal coaching until Excellent CPR was achieved, to a maximum of three attempts. Excellent CPR was defined as a two-minute CPR session with ≥90% of compressions with a depth of 50-60 millimeters, a rate of 100-120 per minute, and with complete chest recoil. CPR performance was assessed in all groups at 12 months. The primary outcome was the proportion of participants able to perform Excellent CPR in each group.METHODSParticipants were randomized to 1-month, 3-month, 6-month, and 12-month CPR training intervals over the course of a 12-month study period. Practice sessions included repeated two-minute CPR practice sessions with visual feedback and verbal coaching until Excellent CPR was achieved, to a maximum of three attempts. Excellent CPR was defined as a two-minute CPR session with ≥90% of compressions with a depth of 50-60 millimeters, a rate of 100-120 per minute, and with complete chest recoil. CPR performance was assessed in all groups at 12 months. The primary outcome was the proportion of participants able to perform Excellent CPR in each group.A total of 167 participants were included in the analysis. Baseline assessment showed no difference in CPR performance (p = 0.38). Participants who were trained monthly had a significantly higher proportion of Excellent CPR performance (58%) than those in all other groups (26% in the 3-month group, p = 0.008; 21% in the 6-month group, p = 0.002; and 15% in the 12-month group, p < 0.001).RESULTSA total of 167 participants were included in the analysis. Baseline assessment showed no difference in CPR performance (p = 0.38). Participants who were trained monthly had a significantly higher proportion of Excellent CPR performance (58%) than those in all other groups (26% in the 3-month group, p = 0.008; 21% in the 6-month group, p = 0.002; and 15% in the 12-month group, p < 0.001).Short-duration, distributed CPR training on a manikin with real-time visual feedback is effective in improving CPR performance, with monthly training more effective than training every 3, 6, or 12 months.CONCLUSIONShort-duration, distributed CPR training on a manikin with real-time visual feedback is effective in improving CPR performance, with monthly training more effective than training every 3, 6, or 12 months.
Author	Lin, Yiqun Anderson, Robert Cheng, Adam Sebaldt, Alexandre
Author_xml	– sequence: 1 givenname: Robert surname: Anderson fullname: Anderson, Robert email: randerson@nosm.ca organization: Northern Ontario School of Medicine, Sudbury Outpatient Centre, 865 Regent Street S, Sudbury, P3E 3Y9, Ontario, Canada – sequence: 2 givenname: Alexandre surname: Sebaldt fullname: Sebaldt, Alexandre email: asebaldt@nosm.ca organization: Northern Ontario School of Medicine, Department of Anesthesiology, Health Sciences North, 41 Ramsey Lake Road, Sudbury, P3E 5J1, Ontario, Canada – sequence: 3 givenname: Yiqun orcidid: 0000-0002-4726-5992 surname: Lin fullname: Lin, Yiqun email: jeffylin@hotmail.com organization: Department of Community Health Sciences, University of Calgary, 2888 Shaganappi Trail NW, Calgary, T3B 6A8, Alberta, Canada – sequence: 4 givenname: Adam surname: Cheng fullname: Cheng, Adam email: chenger@me.com organization: Departments of Pediatrics and Emergency Medicine, University of Calgary, 2888 Shaganappi Trail NW, Calgary, T3B 6A8, Alberta, Canada
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Snippet	Spaced training programs employ short, frequent CPR training sessions to improve provider skills. The optimum training frequency for CPR skill acquisition and...
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SubjectTerms	Adult Basic life support Cardiopulmonary resuscitation Cardiopulmonary Resuscitation - education Cardiopulmonary Resuscitation - standards Chest compressions Clinical Competence - standards Education Education - methods Education - organization & administration Female Heart Arrest - therapy Humans Male Manikins Models, Educational Retention Simulation Teaching - standards Time Factors
Title	Optimal training frequency for acquisition and retention of high-quality CPR skills: A randomized trial
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