Trial Outcomes & Findings for Serious Game Versus Online Course to Pre-train Medical Students on the Management of an Adult Cardiac Arrest. (NCT NCT02758119)

Last Updated: 2019-07-05

Results Overview

Following the 2015 European Resuscitation Council guidelines, a checklist was developed for this study. This checklist allows the assessors to evaluate the participant's compliance with guidelines, and to determine if he/she needs to practice again on the scenario or if he/she reached the minimum passing score and can stop the training. The quality of the chest compressions provided is recorded automatically through the ResusciAnne Skill Reporter Software (Laerdal, Norways), and is integrated in the checklist.

Recruitment status

COMPLETED

Study phase

Target enrollment

82 participants

Primary outcome timeframe

The hands-on session takes place 8 days after the first pre-training when the serious game or the online course are played/watched twice, and one day after the second pre-training when they are played/watched once more

Results posted on

2019-07-05

Participant Flow

Participant milestones

Participant milestones
Measure	Online Course Participants in the lecture group will watch individually a 4-min video of a PowerPoint presentation with voiceover narration, given in the medical school of Paris Descartes University. The video is edited to contain the same informations on out-of-hospital cardiac management than the serious game, with the same duration. Online course	Serious Game Participants in the "serious game" group will be pre-trained before the hands-on sessions with the serious game "Staying Alive", available at http://www.stayingalive.fr/index\_us.html This game aims at teaching the management of an out-of-hospital cardiac arrest to the general public and health professionals. In this game, the player faces a man who has experienced sudden cardiac arrest and learns the appropriate behavior, movements and techniques that can contribute to saving his life. The first level of the game lasts 4-5 minutes, depending on the skills of the player. It is a point and click game, displayed on a PC computer. Serious Game
Overall Study STARTED	41	41
Overall Study COMPLETED	39	40
Overall Study NOT COMPLETED	2	1

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Race and Ethnicity were not collected from any participant.

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure	Serious Game n=41 Participants Participants in the "serious game" group will be pre-trained before the hands-on sessions with the serious game "Staying Alive", available at http://www.stayingalive.fr/index\_us.html This game aims at teaching the management of an out-of-hospital cardiac arrest to the general public and health professionals. In this game, the player faces a man who has experienced sudden cardiac arrest and learns the appropriate behavior, movements and techniques that can contribute to saving his life. The first level of the game lasts 4-5 minutes, depending on the skills of the player. It is a point and click game, displayed on a PC computer. Serious Game	Online Course n=41 Participants Participants in the lecture group will watch individually a 4-min video of a PowerPoint presentation with voiceover narration, given in the medical school of Paris Descartes University. The video is edited to contain the same informations on out-of-hospital cardiac management than the serious game, with the same duration. Online course	Total n=82 Participants Total of all reporting groups
Age, Continuous	21 years n=41 Participants	21 years n=41 Participants	21 years n=82 Participants
Sex: Female, Male Female	27 Participants n=41 Participants	29 Participants n=41 Participants	56 Participants n=82 Participants
Sex: Female, Male Male	14 Participants n=41 Participants	12 Participants n=41 Participants	26 Participants n=82 Participants
Race and Ethnicity Not Collected	—	—	0 Participants Race and Ethnicity were not collected from any participant.
Last basic life support course taken, Never	12 Participants n=41 Participants	20 Participants n=41 Participants	32 Participants n=82 Participants
Last basic life support course taken, < 12 months	4 Participants n=41 Participants	5 Participants n=41 Participants	9 Participants n=82 Participants
Last basic life support course taken, > 12 months	25 Participants n=41 Participants	16 Participants n=41 Participants	41 Participants n=82 Participants
Familiar with low-fidelity simulation	11 Participants n=41 Participants	12 Participants n=41 Participants	23 Participants n=82 Participants
Familiar with high-fidelity simulation	1 Participants n=41 Participants	0 Participants n=41 Participants	1 Participants n=82 Participants
Previous participation in CPA management	2 Participants n=41 Participants	0 Participants n=41 Participants	2 Participants n=82 Participants

PRIMARY outcome

Timeframe: The hands-on session takes place 8 days after the first pre-training when the serious game or the online course are played/watched twice, and one day after the second pre-training when they are played/watched once more

Outcome measures

Outcome measures
Measure	Online Course n=39 Participants Participants in the lecture group will watch individually a 4-min video of a PowerPoint presentation with voiceover narration, given in the medical school of Paris Descartes University. The video is edited to contain the same informations on out-of-hospital cardiac management than the serious game, with the same duration. Online course	Serious Game n=40 Participants Participants in the "serious game" group will be pre-trained before the hands-on sessions with the serious game "Staying Alive", available at http://www.stayingalive.fr/index\_us.html This game aims at teaching the management of an out-of-hospital cardiac arrest to the general public and health professionals. In this game, the player faces a man who has experienced sudden cardiac arrest and learns the appropriate behavior, movements and techniques that can contribute to saving his life. The first level of the game lasts 4-5 minutes, depending on the skills of the player. It is a point and click game, displayed on a PC computer. Serious Game
Median Training Time Needed to Reach the Minimal Passing Score for a Simulated Out-of-hospital Cardiac Arrest Scenario Using a High-fidelity Simulator at Day 8.	23 minutes Interval 15.0 to 32.0	20.5 minutes Interval 15.8 to 30.3

SECONDARY outcome

Timeframe: 4 months after the hands-on session.

Evaluation of skill retention.

Outcome measures

Outcome measures
Measure	Online Course n=38 Participants Participants in the lecture group will watch individually a 4-min video of a PowerPoint presentation with voiceover narration, given in the medical school of Paris Descartes University. The video is edited to contain the same informations on out-of-hospital cardiac management than the serious game, with the same duration. Online course	Serious Game n=37 Participants Participants in the "serious game" group will be pre-trained before the hands-on sessions with the serious game "Staying Alive", available at http://www.stayingalive.fr/index\_us.html This game aims at teaching the management of an out-of-hospital cardiac arrest to the general public and health professionals. In this game, the player faces a man who has experienced sudden cardiac arrest and learns the appropriate behavior, movements and techniques that can contribute to saving his life. The first level of the game lasts 4-5 minutes, depending on the skills of the player. It is a point and click game, displayed on a PC computer. Serious Game
Median Training Time Needed to Reach the Minimal Passing Score for a Simulated Out-of-hospital Cardiac Arrest Scenario Using a High-fidelity Simulator	11.7 Minutes Interval 10.7 to 17.0	12.1 Minutes Interval 10.2 to 21.5

SECONDARY outcome

Name: Checklist for performance score of SCA management This checklist was adapted from the 2015 resuscitation guidelines. Points were given for the actions performed correctly in sequence and in time(sequence score, 0 to 4),and for the quality of the chest compressions (compression score,0 to 8). The minimum passing score on this checklist was 11 out of 12 (min 0-max 12), with the absolute requirement to score the maximum 4 points on the sequence score. Higher scores mean a better outcome.

Outcome measures

Outcome measures
Measure	Online Course n=40 Participants Participants in the lecture group will watch individually a 4-min video of a PowerPoint presentation with voiceover narration, given in the medical school of Paris Descartes University. The video is edited to contain the same informations on out-of-hospital cardiac management than the serious game, with the same duration. Online course	Serious Game n=39 Participants Participants in the "serious game" group will be pre-trained before the hands-on sessions with the serious game "Staying Alive", available at http://www.stayingalive.fr/index\_us.html This game aims at teaching the management of an out-of-hospital cardiac arrest to the general public and health professionals. In this game, the player faces a man who has experienced sudden cardiac arrest and learns the appropriate behavior, movements and techniques that can contribute to saving his life. The first level of the game lasts 4-5 minutes, depending on the skills of the player. It is a point and click game, displayed on a PC computer. Serious Game
Score (on the Checklist) on the First Attempt During the hands-on Session	6 units on a scale Interval 4.0 to 8.0	6 units on a scale Interval 5.0 to 7.0

SECONDARY outcome

Timeframe: 4 months after the hands-on session.

Outcome measures

Outcome measures
Measure	Online Course n=38 Participants Participants in the lecture group will watch individually a 4-min video of a PowerPoint presentation with voiceover narration, given in the medical school of Paris Descartes University. The video is edited to contain the same informations on out-of-hospital cardiac management than the serious game, with the same duration. Online course	Serious Game n=37 Participants Participants in the "serious game" group will be pre-trained before the hands-on sessions with the serious game "Staying Alive", available at http://www.stayingalive.fr/index\_us.html This game aims at teaching the management of an out-of-hospital cardiac arrest to the general public and health professionals. In this game, the player faces a man who has experienced sudden cardiac arrest and learns the appropriate behavior, movements and techniques that can contribute to saving his life. The first level of the game lasts 4-5 minutes, depending on the skills of the player. It is a point and click game, displayed on a PC computer. Serious Game
Score (on the Checklist) on the First Attempt During the hands-on Session	9 units on a scale Interval 8.0 to 10.0	9 units on a scale Interval 8.0 to 10.0

Adverse Events

Online Course

Serious events: 0 serious events

Other events: 0 other events

Deaths: 0 deaths

Serious Game

Serious events: 0 serious events

Other events: 0 other events

Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

David Drummond

iLumens

Phone: 0033144494848

Email: [email protected]

Results disclosure agreements

Principal investigator is a sponsor employee
Publication restrictions are in place