Comparison of the Effectiveness of High Fidelity Simulation and Low Fidelity Simulation in Active External Bleeding Control Management of Caregivers of Elderly Individuals

NCT ID: NCT06820437

Last Updated: 2025-02-11

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

NOT_YET_RECRUITING

Total Enrollment

30 participants

Study Classification

OBSERVATIONAL

Study Start Date

2025-02-20

Study Completion Date

2025-08-20

Brief Summary

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The elderly population is increasing worldwide. Due to the increase in the elderly population, emergencies related to ageing are also encountered more frequently. One of these emergencies is trauma in the elderly. Traumas are frequently seen in elderly individuals due to physiological deficiencies related to aging as well as environmental factors. External bleeding caused by trauma is also encountered. If first aid to stop active external bleeding is not administered in a timely and correct manner, death due to bleeding can occur. Nowadays, elderly individuals live either with their families, alone, or in institutions. In the event of external bleeding, either the individual themselves, caregiving family members, or staff at the institution should be able to perform first aid to stop the bleeding.

Elderly individuals may not be able to perform first aid due to cognitive and neurological deficiencies. The ability of caregivers to provide first aid can be life-saving. If caregivers of elderly individuals are trained in first aid for external bleeding, they can quickly and correctly administer first aid to stop the bleeding. First aid training often consists of didactic education and demonstrations. A training strategy that ensures knowledge retention and skill acquisition is simulation training. This study aims to evaluate and compare the effectiveness of high-fidelity simulation and low-fidelity (Visually Enhanced Mental Simulation - VEMS) simulation in the skills of caregivers for elderly individuals in managing active external bleeding control.

The population of the study will consist of non-health professional caregivers of elderly individuals living in Antakya district of Hatay province. The sample size, calculated using the G Power program, has been determined to include 30 caregivers of elderly individuals. The study consists of four main work packages. In the first stage, the simulation environment will be prepared, and in the second stage, a preliminary application of the project will be conducted. In the third stage, the implementation of the research and the completion of checklists will be ensured. For this, volunteer caregivers of elderly individuals will be identified. After theoretical training is given to the participants, they will be assigned to intervention group 1 (VEMS) and intervention group 2 (high-fidelity simulation) using simple randomization. Following a pre-assessment with low-fidelity simulation, participants will undergo simulation training according to their intervention groups. Subsequently, a final assessment will be conducted using the same lowfidelity simulation. In the final stage, data analysis and interpretation of the findings will be carried out. The collected data will be analyzed statistically, and the significance level will be accepted as p\<0.05. With this study, insight will be provided into the effectiveness of VEMS and high-fidelity simulation in first aid training for active external bleeding for caregivers of elderly individuals. On the other hand, it is planned that the project results will be published in at least one article in journals indexed in the SSCI Expanded.

Detailed Description

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Conditions

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Simulation Training High Fidelity Simulation Training First Aid Informal Caregivers Elderly Bleeding

Study Design

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Observational Model Type

CASE_ONLY

Study Time Perspective

PROSPECTIVE

Study Groups

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Intervention group 1:

VEMS (low-fidelity simulation)

Low-fidelity (Visually Enhanced Mental Simulation-VEMS) simulation training

Intervention Type OTHER

Intervention group 1: Low-fidelity (Visually Enhanced Mental Simulation-VEMS) simulation training will be conducted on active external bleeding control management skills of caregivers of elderly individuals. In this intervention poster and cards will be used.

Intervention group 2

High-fidelity (simulated patient/standard patient) simulation

High-fidelity (simulated patient/standard patient) simulation training

Intervention Type OTHER

Intervention group 2: High-fidelity (simulated patient/standard patient) simulation training will be conducted for caregivers of elderly individuals in active external bleeding control management skills. Standardized patient who will act as elderly will be used in this intervention.

Interventions

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Low-fidelity (Visually Enhanced Mental Simulation-VEMS) simulation training

Intervention group 1: Low-fidelity (Visually Enhanced Mental Simulation-VEMS) simulation training will be conducted on active external bleeding control management skills of caregivers of elderly individuals. In this intervention poster and cards will be used.

Intervention Type OTHER

High-fidelity (simulated patient/standard patient) simulation training

Intervention group 2: High-fidelity (simulated patient/standard patient) simulation training will be conducted for caregivers of elderly individuals in active external bleeding control management skills. Standardized patient who will act as elderly will be used in this intervention.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Not having received the theoretical first assessment and first aid training in external bleeding
* No cognitive and communication problems that can actively participate in the study
* Not being a health professional
* Not being a paid caregiver

Exclusion Criteria

* The participant declares that he/she wants to leave at any stage of the study
* Not participating in any of the simulation phases
* Not participating in the implementation of the data collection tools to be applied
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Mustafa Kemal University

OTHER

Sponsor Role lead

Responsible Party

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Songül Demir

Doctorate Student- Lecturer

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Hatay Mustafa Kemal University

Hatay, Antakya, Turkey (Türkiye)

Site Status

Hatay Mustafa Kemal University

Antakya, Hatay, Turkey (Türkiye)

Site Status

Countries

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Turkey (Türkiye)

Central Contacts

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Songül Demir

Role: CONTACT

+90 0 505 571 86 71

Zahide Tunçbilek

Role: CONTACT

+90 0312 305 15 80 ext. 185

Facility Contacts

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Songul Demir, PhD Student

Role: primary

+90 0850 377 80 00

Zahide Tuncbilek, Associate professor

Role: backup

+90 0312 305 15 80 / 185

Tayfur Sökmen Kampüsü

Role: primary

+90 0850 377 80 00

References

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Abou-Raya S, ElMeguid LA. Road traffic accidents and the elderly. Geriatr Gerontol Int. 2009 Sep;9(3):290-7. doi: 10.1111/j.1447-0594.2009.00535.x.

Reference Type BACKGROUND
PMID: 19702940 (View on PubMed)

Abatzis VT, Littlewood KE. Debriefing in Simulation and Beyond. Int Anesthesiol Clin. 2015 Fall;53(4):151-62. doi: 10.1097/AIA.0000000000000070.

Reference Type BACKGROUND
PMID: 26397791 (View on PubMed)

Other Identifiers

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2023/16

Identifier Type: -

Identifier Source: org_study_id

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