Manikin-based practice combined with scenario-based simulation for cardiopulmonary resuscitation training among...

Out-of-hospital cardiac arrest is highly fatal, and the timely delivery of high-quality cardiopulmonary resuscitation (CPR) is critical for improving survival outcomes. However, current CPR training for middle school students is still mainly based on traditional teaching methods, with limited real-life scenario simulation, making it difficult to effectively enhance skill application and emergency response capacity. Manikin-based training and scenario-based drama review, as important forms of experiential learning, may offer a promising approach to optimizing CPR training models. However, high-quality evidence regarding their effectiveness in middle school populations remains limited.

A single-blind cluster randomized controlled trial with a 2 × 2 factorial design will be conducted in a middle school in Hohhot, Inner Mongolia Autonomous Region. A total of 160 eligible middle school students will be recruited and randomly assigned in a 1:1:1:1 ratio to four groups: conventional CPR training group, manikin-based training group, scenario-based drama review group, and combined manikin-based training plus scenario-based drama review group. Each training session will last 90 min. The primary outcomes are CPR-related knowledge score and skill performance score. Secondary outcomes include self-efficacy (behavioral performance and evaluation), behavioral intention, course satisfaction, and skill retention rate. Data will be collected at Baseline assessment (T0), immediate post-first training assessment (T1), 3-month post-first training assessment (T2), immediate post-second training assessment (T3), 3-month post-second training follow-up (T4).

This study applies a CPR training model integrating manikin-based practice and scenario-based drama review, and systematically evaluates the independent effects and interaction effects of different intervention components using a factorial design. The expected findings will provide more practical and effective intervention strategies for CPR training among middle school students, and offer empirical evidence for optimizing school-based first aid education systems and informing relevant policy development.

https://www.chictr.org.cn, Identifier, ChiCTR2600124162.