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Implementation of school-based CPR training - A systematic review and mixed-methods meta-analysis
Mahan Sadjadi1, Rebecca Brülle1, Umut Onbasilar2
1Department of Anesthesiology, Intensive Care and Pain Medicine, University Hospital Münster, Albert-Schweitzer-Campus 1, Münster, Germany.
Resuscitation Plus
|April 28, 2025
Summary
Successful school-based CPR training requires attention to both program design and environmental support. Addressing these factors is key to improving bystander CPR rates and public health initiatives.
Area of Science:
- Public Health
- Medical Education
- Emergency Medicine
Background:
- Bystander cardiopulmonary resuscitation (CPR) rates remain low despite public health initiatives.
- School-based CPR training programs face challenges in effective implementation.
Purpose of the Study:
- To identify enablers and barriers to implementing school-based CPR training.
- To inform strategies for improving CPR education in schools.
Main Methods:
- A systematic review and mixed-methods meta-analysis of qualitative and quantitative studies.
- Thematic synthesis for qualitative data and meta-integration for quantitative data.
Main Results:
- Key enablers include high-quality, low-cost, adaptable programs with standardized training.
- Environmental factors like stakeholder support, mandatory legislation, and government endorsement are crucial.
- Successful implementation depends on the interplay of program characteristics and environmental factors.
Conclusions:
- Effective program planning for school-based CPR training must address both program design and environmental context.
- Future research should explore broader health outcomes and integration with other school health initiatives.
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