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Influence of pre-course assessment using an emotionally activating stimulus with feedback: a pilot study in teaching Basic Life Support.
MedLine Citation:
PMID:  21924220     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
BACKGROUND: Cardiopulmonary resuscitation (CPR) mastery continues to challenge medical professionals. The purpose of this study was to determine if an emotional stimulus in combination with peer or expert feedback during pre-course assessment effects future performance in a single rescuer simulated cardiac arrest. METHODS: First-year medical students (n=218) without previous medical knowledge were randomly assigned to one of the study groups and asked to take part in a pre-course assessment: Group 1: after applying an emotionally activating stimulus an expert (instructor) gave feedback on CPR performance (Ex). Group 2: after applying the same stimulus feedback was provided by a peer from the same group (Pe); Group 3: standard without feedback (S). Following pre-course assessment, all subjects received a standardized BLS-course, were tested after one week and six months later using single-rescuer-scenario, and were surveyed using standardized questionnaires (6-point-likert-scales: 1=completely agree, 6= completely disagree). RESULTS: Participants exposed to stimulus demonstrated superior performance concerning compression depth after six months independent of feedback-method (Ex: 65.85% [p=0.0003] Pe: 57.50% [p=0.0076] vs. 21.43%). The expert- more than the peer-group was emotionally more activated in initial testing, Ex: 3.26±1.35 [p≤0.0001]; Pe: 3.73±1.53 [p=0.0319]; S: 4.25±1.37) and more inspired to think about CPR (Ex: 2.03±1.37 [p=0.0119]; Pe: 2.07±1.14 [p=0.0204]; S: 2.60±1.55). After six months this activation effect was still detectable in the expert-group (p=0.0114). CONCLUSIONS: The emotional stimulus approach to BLS-training seems to impact the ability to provide adequate compression depth up to six months after training. Furthermore, pre-course assessment helped to keep the participants involved beyond initial training.
Authors:
Stefan K Beckers; Henning Biermann; Sasa Sopka; Max Skorning; Jörg C Brokmann; Nicole Heussen; Rolf Rossaint; Jackie Younker
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2011-9-13
Journal Detail:
Title:  Resuscitation     Volume:  -     ISSN:  1873-1570     ISO Abbreviation:  -     Publication Date:  2011 Sep 
Date Detail:
Created Date:  2011-9-19     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0332173     Medline TA:  Resuscitation     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
Copyright © 2011. Published by Elsevier Ireland Ltd.
Affiliation:
Department of Anaesthesiology, University Hospital Aachen, RWTH Aachen University, Germany; Department of Intensive Care Medicine, University Hospital Aachen, RWTH Aachen University, Germany.
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