Evidence map›Paper›PMID 31061026›Full record

ArticleBMJ open2019

Effects of native language on CPR skills and willingness to intervene in out-of-hospital cardiac arrest after film-based basic life support training: a subgroup analysis of a randomised trial.

Jacob Hollenberg, Andreas Claesson, Mattias Ringh, Per Nordberg, Ingela Hasselqvist-Ax, Anette Nord

Registry-linked trialAbstract read
In one paragraph

Article in BMJ open, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03233490 (CPR Training in Students to Increase Bystander Intervention in Out-of-hospital Cardiac Arrest.), which is not on this map. Cited by 5 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03233490 nacompletednot on this map

CPR Training in Students to Increase Bystander Intervention in Out-of-hospital Cardiac Arrest.

TypeinterventionalSponsorKarolinska InstitutetRan2013 to 2014Enrolled1,547ConditionsCoping SkillsArmsweb course, CPR training
3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Article
  5. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Jacob HollenbergDepartment of Medicine, Center for Resuscitation Science, Karolinska Institutet, Solna, Sweden.
Andreas ClaessonDepartment of Medicine, Center for Resuscitation Science, Karolinska Institutet, Solna, Sweden.
Mattias RinghDepartment of Medicine, Center for Resuscitation Science, Karolinska Institutet, Solna, Sweden.
Per NordbergDepartment of Medicine, Center for Resuscitation Science, Karolinska Institutet, Solna, Sweden.
Ingela Hasselqvist-Ax
Anette Nord

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThe aim was to investigate whether the students' native language, Swedish as native language (SNL) versus other native language (ONL), affects cardiopulmonary resuscitation (CPR) skills or willingness to act after film-based training in Swedish.

setting13-year-old students in two municipalities.

designA subgroup from a previous randomised study was analysed. During 2013 to 2014, a film-based CPR method was evaluated. Practical skills and willingness to act were assessed directly after training and after 6 months. CPR skills were evaluated using a modified Cardiff test.

participantsA total of 641 students were included in the analysis (SNL, n=499; ONL, n=142). PRIMARY AND SECONDARY OUTCOME MEASURES: Primary endpoint was the total score of the modified Cardiff test at 6 months. The secondary endpoints were total score directly after training, individual variables for the test and self-reported willingness to act.

resultsAt the practical test, SNL students scored better than ONL students; directly after training, 67% vs 61% of maximum score, respectively (p<0.001); at 6 months, 61% vs 56% of maximum score (p<0.001). Most students were willing to perform compressions and ventilation on a friend (SNL 85% vs ONL 84%). However, if the victim was a stranger, ONL students were more willing to perform both compressions and ventilation than SNL students (52% vs 38% after training, p<0.001; 42% vs 31% at 6 months, p=0.032). SNL students preferred to initiate chest compressions only.

conclusionsSNL students scored slightly higher in the practical CPR skill test than ONL students. Willingness to act was generally high, however ONL students reported higher willingness to perform both compressions and ventilation if the victim was a stranger. Further research is needed to investigate how CPR educational material should be designed and simplified for optimal learning by students. Different language versions or including feedback in CPR training can be a way to increase learning. ETHICS APPROVAL: The study was approved by the Regional Ethical Review Board of Linköping, Sweden (2013/358-31). TRIAL REGISTRATION NUMBER: NCT03233490; Pre-results.

Indexed as

Computer-Assisted InstructionLanguageVideo RecordingAdolescentAdolescent BehaviorCardiopulmonary ResuscitationEducational MeasurementFemaleHealth Care SurveysHealth Knowledge, Attitudes, PracticeHelping BehaviorHumansMaleOut-of-Hospital Cardiac ArrestRandomized Controlled Trials as TopicRetention, Psychologybasic life support trainingcardiopulmonary resuscitationelementary schoolsfilmnative languagewillingness

Identifiers

PMID31061026
PMCPMC6502066

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.