Evidence map›Paper›PMID 31801502›Full record

ArticleBMC medical education2019

The timing of testing influences skill retention after basic life support training: a prospective quasi-experimental study.

Enikő Kovács, Zsigmond Máté Jenei, Katalin Csordás, Gábor Fritúz, Balázs Hauser, V Anna Gyarmathy, Endre Zima, János Gál

Open access · goldAbstract read
In one paragraph

Article in BMC medical education, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
1.8field-weighted citation impact, top 14% of its field
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 1 synthesis or guideline pooled it, 25 citations in OpenAlex.

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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

8 authors at 2 institutions in 2 countries.

Enikő KovácsDepartment of Anaesthesiology and Intensive Therapy, Semmelweis University, P.O.B. 2, Budapest, H-1428, Hungary. kovacs.eniko2@med.semmelweis-univ.hu.ORCID http://orcid.org/0000-0003-2012-1136
Zsigmond Máté Jenei3rd Department of Internal Medicine, Semmelweis University, P.O.B. 2, Budapest, H-1428, Hungary.
Katalin CsordásNational Institute of Hematology and Infectious Diseases, Central Hospital of Southern Pest, Albert Flórián út 5-7, Budapest, H-1097, Hungary.
Gábor FritúzDepartment of Anaesthesiology and Intensive Therapy, Semmelweis University, P.O.B. 2, Budapest, H-1428, Hungary.
Balázs HauserDepartment of Anaesthesiology and Intensive Therapy, Semmelweis University, P.O.B. 2, Budapest, H-1428, Hungary.
V Anna GyarmathyJohns Hopkins University, Baltimore, MD, USA.
Endre ZimaHeart and Vascular Center, Semmelweis University, P.O.B. 2, Budapest, H-1428, Hungary.
János GálDepartment of Anaesthesiology and Intensive Therapy, Semmelweis University, P.O.B. 2, Budapest, H-1428, Hungary.
Semmelweis University · HUJohns Hopkins University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundProper basic life support (BLS) is key in improving the survival of out-of-hospital cardiac arrest. BLS skills deteriorate in three to 6 months after training. One method to improve skill retention may be using the "testing effect" to test skills at the end of a BLS course. The aim of our study was to investigate whether either testing or the timing of such testing after BLS training have any influence on skill retention.

methodsThis was a post-test only, partial coverage, prospective quasi-experimental study designed to evaluate a BLS training course among 464 fifth year medical students at Semmelweis University in the first semester of 2013/2014. Groups were systematically but non-randomly assigned to either a control group that took no exam or one of two experimental groups that took an exam (N = 179, NoExam group; N = 165, EndExam group - exam at the end of the BLS training; N = 120, 3mExam group - exam 3 months after the BLS training). The ability to perform ten prescribed essential BLS steps was evaluated during a skill retention assessment 2 months after the course in the NoExam, 2 months after the course (and the exam) in the EndExam and 5 months after the course (2 months after the exam) in the 3mExam group to measure skill retention and the effect of our intervention. Scores were calculated for each BLS step, and also summed up as a total score. We used Kruskal-Wallis test to assess differences in skill retention.

resultsOverall, NoExam and EndExam groups showed similar skill retention. The mean total score (and many of the sub-scores) of students was significantly higher in the 3mExam group compared to both the NoExam and the EndExam groups, and there was no difference in the total score (and many of the sub-scores) of the latter two groups. The 3mExam group had less variability in total scores (and many of the sub-scores) than the other two groups.

conclusionOur study provides evidence that testing these skills 3 months after BLS training may be more effective than either testing immediately at the end of the course or no testing at all.

Indexed as

Educational MeasurementLife Support CareRetention, PsychologyStudents, MedicalCardiopulmonary ResuscitationClinical CompetenceFemaleHumansHungaryMaleProspective StudiesBasic life supportCardiopulmonary resuscitationExamOut-of-hospital cardiac arrestSkill retentionTesting effect

Identifiers

PMID31801502
PMCPMC6894266
OpenAlexW2994498034

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.