Abstract 231: Blended Advanced Life Support Training: A Randomized Controlled Noninferiority Trial
Introduction: Competency in advanced life support (ALS) is a core component of health care curricula. We explored a blended solution which combines e-learning and face to face instructor training. ISRCTN86380392
Hypothesis: In participants seeking ALS training is a blended solution to training which uses e-learning and face to face training non-inferior to traditional (face to face) ALS training?
Methods: We conducted an open-label, non-inferiority, randomised controlled trial. Participants seeking ALS training at 30 centres in England, Wales, Scotland and Australia were randomised to the 2 day standard ALS course or a hybrid e-learning course with 1 day face to face training (e-ALS). The primary outcome was success rate in the end of course cardiac arrest simulation test. Secondary outcomes were overall course pass rate and performance in knowledge / skill based tests. The primary analysis was intention to treat.
Results: 1033 (74%) of participants passed the cardiac arrest simulation assessment in the e-learning arm compared to 1146 (80%) in the traditional arm (adjusted odds ratio is 0.698 (95% CI is (0.559, 0.872). Within the performance criteria scores for the peri-arrest management domain the e-ALS group score was higher than c-ALS group (P < 0.0001). By contrast the management of non-shockable rhythms was less than the score of the c-ALS group (P = 0.0495). There was no significant difference in the cardiac arrest management score for shockable rhythms (P= 0.13). Performance in the pre-course MCQ (taken immediately prior to the face to face course) was marginally better in the e-ALS group (mean (SE) % score 92.44 (6.58) vs 88.27 (6.76), P<001). There was no significant difference in the end of course multiple choice knowledge or skill tests. After remedial teaching the final overall course pass rate was 94% in the e-ALS arm had passed and 96% in the conventional arm (P=0.0018). Participants' preferences marginally favoured traditional training.
Conclusion: A blended approach to ALS training which includes e-learning reduced the duration of face to face training by half at the costs of one additional participant failing to successfully complete the course per 50 course participants.
- © 2011 by American Heart Association, Inc.