Peer-assisted learning to train high-school students to perform basic life-support

doi:10.5847/wjem.j.1920-8642.2015.03.004

Abstract

Abstract:

BACKGROUND: The inclusion of cardiopulmonary resuscitation (CPR) in formal education has been a useful approach to providing basic life support (BLS) services. However, because not all students have been able to learn directly from certified instructors, we studied the educational efficacy of the use of peer-assisted learning (PAL) to train high-school students to perform BLS services.
METHODS: This study consisted of 187 high-school students: 68 participants served as a control group and received a 1-hour BLS training from a school nurse, and 119 were included in a PAL group and received a 1-hour CPR training from a PAL leader. Participants' BLS training was preceded by the completion of questionnaires regarding their background. Three months after the training, the participants were asked to respond to questionnaires about their willingness to perform CPR on bystander CPR and their retention of knowledge of BLS.
RESULTS: We found no statistically significant difference between the control and PAL groups in their willingness to perform CPR on bystanders (control: 55.2%, PAL: 64.7%, P=0.202). The PAL group was not significantly different from the control group (control: 60.78±39.77, PAL: 61.76±17.80, P=0.848) in retention of knowledge about BLS services.
CONCLUSION: In educating high school students about BLS, there was no significant difference between PAL and traditional education in increasing the willingness to provide CPR to bystanders or the ability to retain knowledge about BLS.

Key words: Peer-assisted learning, Basic life support, Education

Hyung Soo Choi, Dong Hoon Lee, Chan Woong Kim, Sung Eun Kim, Je Hyeok Oh. Peer-assisted learning to train high-school students to perform basic life-support[J]. World Journal of Emergency Medicine, 2015, 6(3): 186-190.

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References 21

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Variables	Control group	PAL group
Grade level in high school	1^st	1^st and 2^nd
Instructor	School nurse	Student
Instructor:trainee ratio	1:34	1:6
Duration of education	1 hour	1 hour
Number of trainee	68	119
Mannequin:trainee ratio	1:5	1:5

Variables	Control group	PAL group	Pvalue
Do you know what CPR is?
Yes	67 (98.5)	117 (98.4)	0.965
No	1 (1.5)	2 (1.6)	0.965
Via which route did you get to know about CPR?
Television	22 (32.4)	35 (29.4)	0.585
Internet	1 (1.5)	2 (1.7)
School education	42 (61.8)	70 (58.8)
Campaign	2 (2.9)	10 (8.4)
No experience	1 (1.5)	2 (1.7)
Do you think it is necessary to educate CPR to high school students?
Yes	66 (98.5)	119 (100)	0.181
No	1 (1.5)	0 (0)	0.181
Do you know how to perform CPR?
Yes	15 (22.4)	30 (25.2)	0.666
No	53 (77.6)	89 (74.8)	0.666
Do you know about AED?
Yes	20 (29.4)	35 (29.4)	1.000
Do you know how to use an AED?
Yes	7 (10.3)	16 (13.4)
No	13 (19.1)	19 (16.0)
No	48 (70.6)	84 (70.6)
If there is an opportunity, are you willing to learn CPR?
Yes	59 (86.8)	116 (97.5)	0.004
No	9 (13.2)	3 (2.5)	0.004

Variables	Control group	PAL group	P value
Willingness to perform CPR
Yes	37 (55.2)	77 (64.7)	0.202
No	30 (44.8)	42 (35.3)	0.202
Knowledge of CPR (the rate of correct answer)
What is the first thing you have to do when performing CPR?	46 (67.6)	100 (84.0)	0.009
What is the most important thing to do during CPR?	29 (42.6)	30 (25.2)	0.014
What is the correct rate of chest compressions?	40 (58.8)	63 (52.9)	0.437
What is the proper hand position for chest compressions?	35 (51.5)	82 (68.9)	0.018
What is the proper depth for chest compressions?	47 (69.1)	90 (75.6)	0.333
What is the correct ratio of chest compressions to rescue breathing?	51 (75.0)	76 (63.9)	0.117

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