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Published on: January 30, 2020
Using the Evidence-Development-Validation-Consensus (EDVC) Approach to Develop and Validate maxSIMdrone: A Training
Bruno Gino1,2, Andy Benson3, Adam Dubrowski2
1Emergency Medicine, Memorial University of Newfoundland, St. John's, CAN.
This study developed a drone-based training program for automated external defibrillators (AED) in remote areas, addressing challenges in delivering cardiac arrest (CA) courses. The hybrid approach, using online learning management systems (LMS), proved effective for healthcare professionals and laypeople.
Area of Science:
- Medical Education
- Emergency Medicine
- Technology in Healthcare
Background:
- Cardiac arrest (CA) training delivery in rural and remote (R&R) locations faces persistent challenges, exacerbated by the COVID-19 pandemic's restrictions on in-person courses.
- The pandemic disrupted essential basic life support and defibrillation (BLSD) courses, potentially impacting pre-hospital care for CA, particularly in resource-limited R&R settings.
- CA is a leading cause of death in regions like the Brazilian Amazon, underscoring the critical need for accessible BLSD training for emergency medical service (EMS) personnel.
Purpose of the Study:
- To develop and validate an innovative, hybrid online training program for automated external defibrillator (AED) use in rural and remote (R&R) locations.
- To leverage drone technology for delivering AEDs and simulation scenarios, enhancing training for healthcare professionals (HCPs) and laypeople (LP).
- To address the limitations of traditional training methods in R&R areas by utilizing a learning management system (LMS) model.
Main Methods:
- A literature review was conducted to assess various training methodologies and their outcomes.
- An evidence-development-validation-consensus (EDVC) hybrid approach was employed to create and validate the online training program.
- Drone technology was integrated to deliver AEDs and create simulation scenarios for practical training in R&R settings.
Main Results:
- Remote online learning management systems (LMS) offer a viable solution for delivering educational courses in R&R locations with limited resources and internet access.
- Mixed training approaches (face-to-face, online, hybrid) demonstrated comparable outcomes in learning assessment, confidence, performance, skills, and knowledge acquisition.
- The developed drone-assisted training program, utilizing an LMS model and EDVC approach, proved effective for both HCPs and LP in R&R areas.
Conclusions:
- The study successfully developed and validated LMS-based teaching methods for a drone-delivered AED training program tailored for R&R locations.
- The hybrid training approach, incorporating design-based research and consensus development, ensures a valid and evidence-based program for out-of-hospital CA care.
- This program has the potential to significantly improve patient outcomes in resource-limited R&R settings by enhancing AED utilization and CA response capabilities.
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