Video-assisted First Aid by Young Children

NCT ID: NCT07106697

Last Updated: 2025-08-06

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

COMPLETED

Clinical Phase

NA

Total Enrollment

110 participants

Study Classification

INTERVENTIONAL

Study Start Date

2025-03-01

Study Completion Date

2025-04-30

Brief Summary

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Sudden cardiac arrest is a major public health issue, and EMS dispatchers play a key role in improving outcomes through telephone-assisted CPR (T-CPR). With current technology, video-assisted CPR (V-CPR) via smartphones allows for visual feedback and more precise guidance. While V-CPR has shown promise, studies have mostly focused on adult CPR performance in controlled settings. Research involving children and non-CPR first aid scenarios is scarce. Our study addresses this gap by evaluating video-assisted guidance during a simulated unconsciousness situation performed by children, exploring its feasibility and broader applicability.

Detailed Description

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Sudden cardiac arrest is a major public health concern and remains one of the leading causes of death in industrialized countries. Emergency Medical Services (EMS) dispatchers play a crucial role in recognizing cardiac arrest and guiding lay responders through telephone-assisted CPR (T-CPR), which has been shown to improve survival outcomes. With current technologies, real-time video communication via a bystander's smartphone has become feasible, enabling video-assisted CPR (V-CPR), which allows dispatchers to provide visual feedback and more tailored guidance.

Although several studies have investigated the effectiveness of V-CPR-mainly in terms of chest compression quality and time to first compression-these have primarily focused on adult participants and controlled settings. Research involving children as lay responders is limited, and video-assisted first aid has been scarcely evaluated in pediatric populations. Moreover, existing studies concentrate predominantly on CPR, while other essential first aid scenarios, such as the management of unconscious victims, remain underexplored.

To address these gaps, our study examined the effectiveness of video-assisted guidance during a simulated unconsciousness scenario performed by children, aiming to assess both the feasibility and potential benefits of extending video-assisted firs aid approaches beyond cardiac arrest.

Conditions

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Unconsciousness

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

PARALLEL

Children were allocated in pairs to one of three parallel intervention arms:

Training combined with video-guided assistance,

Video-guided assistance only, or

No intervention (control). Each pair participated in only one intervention condition without crossover. Parallel assignment allowed for comparison of outcomes between intervention strategies and the control group. Video guidance was provided live by a trained dispatcher during simulation scenarios.
Primary Study Purpose

OTHER

Blinding Strategy

TRIPLE

Participants Investigators Outcome Assessors
The dispatcher, assessors, actor, and children were informed about their specific tasks according to their group allocation but were blinded to the study design and intended outcomes.

Study Groups

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Training and video-assistance

Received a 45-minute theoretical and practical training session on assessing unconsciousness and managing an unresponsive victim, based on ILCOR first aid guidelines, followed by a 15-minute technical session on how to initiate and operate video assistance via a smartphone. Both sessions were conducted by a paramedic experienced in pediatric first aid education and emergency dispatching.

Group Type EXPERIMENTAL

First Aid Training Combined With Video-Assisted Guidance

Intervention Type BEHAVIORAL

Participants received a 45-minute structured first aid training session on unconscious victim management, followed by a 15-minute video-guidance instruction. During simulation, children received real-time video guidance from a dispatcher via smartphone.

Video-assistance only

Received a 15-minute technical session exclusively focused on operating the video assistance technology (without first aid instruction). This session was conducted by the same paramedic as in Group 1.

Group Type EXPERIMENTAL

Video-Assisted Guidance Without Prior Training

Intervention Type BEHAVIORAL

Participants received a 15-minute instruction on video-assisted guidance use, without prior first aid training. During simulation, real-time video guidance was provided by a dispatcher via smartphone to assist with first aid tasks.

No assistance

Received no preparatory training (control group).

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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First Aid Training Combined With Video-Assisted Guidance

Participants received a 45-minute structured first aid training session on unconscious victim management, followed by a 15-minute video-guidance instruction. During simulation, children received real-time video guidance from a dispatcher via smartphone.

Intervention Type BEHAVIORAL

Video-Assisted Guidance Without Prior Training

Participants received a 15-minute instruction on video-assisted guidance use, without prior first aid training. During simulation, real-time video guidance was provided by a dispatcher via smartphone to assist with first aid tasks.

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* healthy children aged 6 to 8 years (first grade of primary school)

Exclusion Criteria

* children with known physical, cognitive, or communication impairments that could interfere with participation in simulated first aid tasks
* technical issue during data collection
Minimum Eligible Age

6 Years

Maximum Eligible Age

8 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University of Pecs

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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University of Pécs Faculty of Health Sciences

Pécs, , Hungary

Site Status

Countries

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Hungary

Other Identifiers

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Video-assisted first aid

Identifier Type: -

Identifier Source: org_study_id

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