Hostname: page-component-78c5997874-t5tsf Total loading time: 0 Render date: 2024-11-11T09:24:46.820Z Has data issue: false hasContentIssue false
  • English
  • Français

Peer Education Model for Basic Life Support Training among High School Children: A Randomized Trial

Published online by Cambridge University Press:  13 July 2021

Selman Kesici Open the ORCID record for Selman Kesici [Opens in a new window] ,
Zeynep Bayrakci ,
Ahmet Ziya Birbilen ,
Damla Hanalioglu ,
Zeynelabidin Öztürk ,
Özlem Teksam ,
İlkay Hüyüklü ,
Ersin Durgu  and
Benan Bayrakci
Selman Kesici*
Affiliation:
Instructor of Pediatric Intensive Care Unit, Hacettepe University İhsan Doğramacı Children’s Hospital, Ankara, Turkey
Zeynep Bayrakci
Affiliation:
Student, Bahcesehir High School Ankara Campus, AnkaraTurkey
Ahmet Ziya Birbilen
Affiliation:
Fellow of Pediatric Emergency Medicine Unit, Hacettepe University İhsan Doğramacı Children’s Hospital, Ankara, Turkey
Damla Hanalioglu
Affiliation:
Fellow of Pediatric Emergency Medicine Unit, Hacettepe University İhsan Doğramacı Children’s Hospital, Ankara, Turkey
Zeynelabidin Öztürk
Affiliation:
Fellow of Pediatric Intensive Care Unit, Hacettepe University İhsan Doğramacı Children’s Hospital, Ankara, Turkey
Özlem Teksam
Affiliation:
Professor, Director of Pediatric Emergency Medicine Unit, Hacettepe University İhsan Doğramacı Children’s Hospital, Ankara, Turkey
İlkay Hüyüklü
Affiliation:
Teacher, Bahcesehir High School Ankara Campus, AnkaraTurkey
Ersin Durgu
Affiliation:
Teacher, Bahcesehir High School Ankara Campus, AnkaraTurkey
Benan Bayrakci
Affiliation:
Professor, Director of Pediatric Intensive Care Unit, Hacettepe University İhsan Doğramacı Children’s Hospital, Ankara, Turkey
*
Correspondence: Selman Kesici, MD Pediatric Intensive Care Unit Hacettepe University İhsan Doğramacı Children’s Hospital 0600, Altındağ/Ankara, Turkey E-mail: drselmankesici@gmail.com
Get access Rights & Permissions [Opens in a new window]

Abstract

Background and Objectives:

The aim of the study was to test the effectiveness of the peer education method on the learning and application of Basic Life Support (BLS) in high school students and to test the effectiveness of the peer education model on the BLS instructor training.

Methods:

High school grade one students were included in the study. Students were divided in two groups (Group A and Group B). Peer instructors who were trained by health professionals trained students in Group A. Peer instructors who were trained by their peers trained students in Group B. Pre- and post-training awareness and knowledge tests were applied to measure the awareness and knowledge of all students. Students’ success in applying BLS steps was evaluated by a practical exam that was coordinated by physicians using a checklist.

Results:

Result of the pre-post training awareness questionnaire, pre-post training knowledge tests, and practical exam indicated that instructors trained by their peers were as effective as the instructors trained by medical physicians in terms of giving BLS training to high school students. In the 16-step BLS application competence evaluation, the students in Group A applied BLS with a success rate of 90.2% and in Group B with a success rate of 93.4%.

Conclusion:

In the current study, it was shown that the peer education model is effective in BLS training and BLS instructor training in high school students. This novel method of peer education gives an opportunity to overcome the stated shortage in the budget and in trained instructors.

Keywords

Basic Life Support instructor trainingBasic Life Support traininghigh school studentspeer education model
Type
Original Research
Information
Prehospital and Disaster Medicine , Volume 36 , Issue 5 , October 2021 , pp. 553 - 560
Check for updates
Copyright
© The Author(s), 2021. Published by Cambridge University Press on behalf of the World Association for Disaster and Emergency Medicine

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Berdowski, J, Berg, RA, Tijssen, JG, Koster, RW. Global incidences of out-of-hospital cardiac arrest and survival rates: systematic review of 67 prospective studies. Resuscitation. 2010;81(11):1479–1487.CrossRefGoogle ScholarPubMed
Rea, TD, Eisenberg, MS, Sinibaldi, G, White, RD. Incidence of EMS-treated out-of-hospital cardiac arrest in the United States. Resuscitation. 2004;63(1):17–24.CrossRefGoogle ScholarPubMed
Vaillancourt, C, Stiell, IG; Canadian Cardiovascular Outcomes Research. Cardiac arrest care and emergency medical services in Canada. Can J Cardiol. 2004;20(11):1081–1090.Google ScholarPubMed
Hasselqvist-Ax, I, Riva, G, Herlitz, J, et al. Early cardiopulmonary resuscitation in out-of-hospital cardiac arrest. N Eng J Med. 2015;372(24):2307–2315.CrossRefGoogle ScholarPubMed
Holmberg, M, Holmberg, S, Herlitz, J. Effect of bystander cardiopulmonary resuscitation in out-of-hospital cardiac arrest patients in Sweden. Resuscitation. 2000;47(1):59–70.CrossRefGoogle ScholarPubMed
Breckwoldt, J, Schloesser, S, Arntz, HR. Perceptions of collapse and assessment of cardiac arrest by bystanders of out-of-hospital cardiac arrest (OOHCA). Resuscitation. 2009;80(10):1108–1113.CrossRefGoogle Scholar
Nishiuchi, T, Hiraide, A, Hayashi, Y, et al. Incidence and survival rate of bystander-witnessed out-of-hospital cardiac arrest with cardiac etiology in Osaka, Japan: a population-based study according to the Utstein style. Resuscitation. 2003;59(3):329–335.CrossRefGoogle ScholarPubMed
Hamasu, S, Morimoto, T, Kuramoto, N, et al. Effects of BLS training on factors associated with attitude toward CPR in college students. Resuscitation. 2009;80(3):359–364.CrossRefGoogle ScholarPubMed
Cave, DM, Aufderheide, TP, Beeson, J, et al; American Heart Association Emergency Cardiovascular Care Committee; Council on Cardiopulmonary, Critical Care, Perioperative, and Resuscitation; Council on Cardiovascular Diseases in the Young; Council on Cardiovascular Nursing; Council on Clinical Cardiology; Advocacy Coordinating Committee. Importance and implementation of training in cardiopulmonary resuscitation and automated external defibrillation in schools: a science advisory from the American Heart Association. Circulation. 2011;123(6):691–706.CrossRefGoogle Scholar
Wissenberg, M, Lippert, FK, Folke, F, et al. Association of national initiatives to improve cardiac arrest management with rates of bystander intervention and patient survival after out-of-hospital cardiac arrest. JAMA. 2013;310(13):1377–1384.CrossRefGoogle ScholarPubMed
Bottiger, BW, Van Aken, H. Kids save lives--training school children in cardiopulmonary resuscitation worldwide is now endorsed by the World Health Organization (WHO). Resuscitation. 2015;94:A5–A7.Google Scholar
Lubrano, R, Romero, S, Scoppi, P, et al. How to become an under-11 rescuer: a practical method to teach first aid to primary schoolchildren. Resuscitation. 2005;64(3):303–307.CrossRefGoogle ScholarPubMed
Naqvi, S, Siddiqi, R, Hussain, SA, Batool, H, Arshad, H. School children training for basic life support. J Coll Physicians Surg Pak. 2011;21(10):611–615.Google ScholarPubMed
Bottiger, BW, Bossaert, LL, Castren, M, et al; Board of European Resuscitation Council. Kids Save Lives - ERC position statement on school children education in CPR: “Hands that help - training children is training for life.” Resuscitation. 2016;105:A1–A3.CrossRefGoogle Scholar
Lukas, RP, Van Aken, H, Molhoff, T, et al. Kids save lives: a six-year longitudinal study of schoolchildren learning cardiopulmonary resuscitation: who should do the teaching and will the effects last? Resuscitation. 2016;101:35–40.CrossRefGoogle ScholarPubMed
Perkins, GD, Handley, AJ, Koster, RW, et al; Adult Basic Life Support; Automated External Defibrillation Section Committee. European Resuscitation Council Guidelines for Resuscitation 2015: Section 2. Adult Basic Life Support and automated external defibrillation. Resuscitation. 2015;95:81-99.CrossRefGoogle Scholar
Beck, S, Issleib, M, Daubmann, A, Zollner, C. Peer education for BLS-training in schools? Results of a randomized-controlled, noninferiority trial. Resuscitation. 2015;94:85–90.CrossRefGoogle ScholarPubMed
Charlier, N, Van Der Stock, L, Iserbyt, P. Peer-assisted learning in cardiopulmonary resuscitation: the jigsaw model. J Emerg Med. 2016;50(1):67–73.CrossRefGoogle ScholarPubMed
Iserbyt, P, Theys, L, Ward, P, Charlier, N. The effect of a specialized content knowledge workshop on teaching and learning Basic Life Support in elementary school: a cluster randomized controlled trial. Resuscitation. 2017;112:17–21.CrossRefGoogle ScholarPubMed
Isbye, DL, Meyhoff, CS, Lippert, FK, Rasmussen, LS. Skill retention in adults and in children 3 months after basic life support training using a simple personal resuscitation manikin. Resuscitation. 2007;74(2):296–302.CrossRefGoogle ScholarPubMed
Iserbyt, P, Charlier, N, Mols, L. Learning basic life support (BLS) with tablet PCs in reciprocal learning at school: are videos superior to pictures? A randomized controlled trial. Resuscitation. 2014;85(6):809–813.CrossRefGoogle ScholarPubMed
Semeraro, F, Taggi, F, Tammaro, G, Imbriaco, G, Marchetti, L, Cerchiari, EL. iCPR: a new application of high-quality cardiopulmonary resuscitation training. Resuscitation. 2011;82(4):436–441.CrossRefGoogle ScholarPubMed
Iserbyt, P, Byra, M. The design of instructional tools affects secondary school students’ learning of cardiopulmonary resuscitation (CPR) in reciprocal peer learning: a randomized controlled trial. Resuscitation. 2013;84(11):1591–1595.CrossRefGoogle ScholarPubMed
Iserbyt, P, Elen, J, Behets, D. Peer evaluation in reciprocal learning with task cards for acquiring Basic Life Support (BLS). Resuscitation. 2009;80(12):1394–1398.CrossRefGoogle Scholar