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Self-motivated learning with gamification improves infant CPR performance, a randomised controlled trial.

R J MacKinnon1,2, R Stoeter1, C Doherty1

  • 1Department of Paediatric Anaesthesia, Royal Manchester Children's Hospital, Central Manchester University Hospitals NHS Foundation Trust, Manchester, UK.

BMJ Simulation & Technology Enhanced Learning
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Summary
This summary is machine-generated.

Gamified cardiopulmonary resuscitation (CPR) training using a feedback device and leaderboard significantly improved infant CPR skills over six months. This method motivates persistent practice, enhancing healthcare professionals' ability to perform life-saving procedures.

Keywords:
cardiopulmonary resuscitationgame-ificationself-motivationtraining

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Area of Science:

  • Medical Education
  • Pediatric Resuscitation
  • Health Professions Training

Background:

  • Effective pediatric basic life support is crucial for improving survival rates in children.
  • Current cardiopulmonary resuscitation (CPR) training has limitations, with skills degrading within 3-6 months.
  • A need exists for methods to encourage frequent and sustained CPR practice among healthcare professionals.

Purpose of the Study:

  • To evaluate if self-motivated CPR training, incorporating a CPR feedback device, enhances infant CPR quality over time.
  • To compare the effectiveness of this intervention against standard no-refresher CPR training protocols.

Main Methods:

  • A randomized controlled trial (RCT) was conducted over 26 weeks at a UK tertiary children's hospital.
  • 171 healthcare professionals were assigned to either self-motivated CPR training with a feedback device and leaderboard (n=90) or a control group with no refresher training (n=81).
  • The intervention group had 24/7 access to a CPR training feedback device that scored compression and ventilation quality.

Main Results:

  • The intervention group showed a slight median increase in CPR performance scores (0.50) from baseline to 6 months.
  • The control group exhibited minimal change in scores (median 0) over the same period.
  • A statistically significant difference (p<0.001) was observed in score changes between the two groups.

Conclusions:

  • Self-motivated refresher CPR training, enhanced by a competitive leaderboard and a CPR training feedback device, significantly improves CPR performance.
  • This gamified approach offers a viable strategy for maintaining and enhancing critical resuscitation skills in healthcare professionals.