Universität zu Köln

Wingen, Sabine ORCID: 0000-0002-7444-956X, Schroeder, Daniel C., Ecker, Hannes, Steinhauser, Susanne, Altin, Sibel, Stock, Stephanie ORCID: 0000-0002-1726-9300, Lechleuthner, Alex, Hohn, Andreas and Böttiger, Bernd W. ORCID: 0000-0001-8000-8931 (2018). Self-confidence and level of knowledge after cardiopulmonary resuscitation training in 14 to 18-year-old schoolchildren A randomised-interventional controlled study in secondary schools in Germany. Eur. J. Anaesth., 35 (7). S. 519 - 527. PHILADELPHIA: LIPPINCOTT WILLIAMS & WILKINS. ISSN 1365-2346

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Abstract

BACKGROUND Education of schoolchildren in cardiopulmonary resuscitation (CPR) is a strategic goal for improvement of bystander CPR in society. OBJECTIVE(S) The primary objective was to analyse the impact of CPR training on the resuscitation knowledge and self-confidence of secondary schoolchildren. In addition, independent predictors of improved CPR knowledge and self-confidence were investigated. DESIGN Randomised-interventional controlled study. SETTING Four secondary schools in Germany. PARTICIPANTS Four hundred and twenty-four schoolchildren aged from 14 to 18 years were included into the study. Fifty-one percent were female, and 33% had an immigrant background. INTERVENTION The intervention group received a 90-min CPR training session, whereas controls had no intervention. Levels of knowledge and self-confidence in initiating CPR were analysed by a study questionnaire before (t(0)), 90 min after (t(1)) and 6 months after training (t(2)). MAIN OUTCOME MEASURES Based on the evaluation of study questionnaires, the primary endpoint was to determine the development of resuscitation knowledge and self- confidence in initiating cardiopulmonary resuscitation at survey time-points t(0), t(1) and t(2). RESULTS Schoolchildren in the intervention group (n=207) showed a significantly higher level of knowledge (P < 0.001) and self-confidence (P< 0.001) at t(1) and t(2) compared with controls (n=217). Age was a predictor for long-term self-confidence [odds ratio (OR), 1.20; 95% confidence interval (95% CI), 1.02 to 1.41; P=0.032]. The long-term benefit in the level of knowledge and self-confidence were significantly higher in native compared with immigrant schoolchildren: (OR, 1.79; 95% CI, 1.14 to 2.82; P= 0.011) and (OR, 1.67; 95% CI, 1.07 to 2.60; P= 0.024), respectively. CONCLUSION Guideline compliant (90 min) theoretical and practical CPR training improves the level of knowledge and self-confidence in 14 to 18-year-old schoolchildren. Older schoolchildren are more likely to have increased self-confidence with respect to initiating CPR. Schoolchildren with an immigrant background showed a significantly lower increase in their level of knowledge and self-confidence compared with native children. Adaptation and simplification of teaching materials and further research on educational methods for CPR are urgently needed to enable a sustainable approach to teaching CPR, which also produces a long-lasting effect in the entire population.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Wingen, Sabine UNSPECIFIED orcid.org/0000-0002-7444-956X UNSPECIFIED Schroeder, Daniel C. UNSPECIFIED UNSPECIFIED UNSPECIFIED Ecker, Hannes UNSPECIFIED UNSPECIFIED UNSPECIFIED Steinhauser, Susanne UNSPECIFIED UNSPECIFIED UNSPECIFIED Altin, Sibel UNSPECIFIED UNSPECIFIED UNSPECIFIED Stock, Stephanie UNSPECIFIED orcid.org/0000-0002-1726-9300 UNSPECIFIED Lechleuthner, Alex UNSPECIFIED UNSPECIFIED UNSPECIFIED Hohn, Andreas UNSPECIFIED UNSPECIFIED UNSPECIFIED Böttiger, Bernd W. UNSPECIFIED orcid.org/0000-0001-8000-8931 UNSPECIFIED
URN:	urn:nbn:de:hbz:38-180801
DOI:	10.1097/EJA.0000000000000766
Journal or Publication Title:	Eur. J. Anaesth.
Volume:	35
Number:	7
Page Range:	S. 519 - 527
Date:	2018
Publisher:	LIPPINCOTT WILLIAMS & WILKINS
Place of Publication:	PHILADELPHIA
ISSN:	1365-2346
Language:	English
Faculty:	Faculty of Medicine
Divisions:	Faculty of Medicine > Sonstiges > Zentrum für Versorgungsforschung Köln
Subjects:	Medical sciences Medicine
Uncontrolled Keywords:	Keywords Language HOSPITAL CARDIAC-ARREST; BASIC LIFE-SUPPORT; KIDS SAVE LIVES; BYSTANDER CPR; STUDENTS WILLINGNESS; EDUCATION; PERFORMANCE; CHILDREN; SURVIVAL; ASSOCIATION Multiple languages Anesthesiology Multiple languages
Refereed:	Yes
URI:	http://kups.ub.uni-koeln.de/id/eprint/18080