The implementation of cardiopulmonary resuscitation training using mobile uploads, gamification and direct feedback manikins a study in sixth form student

Aims: The purpose of this study was to establish an effective way of implementing CPR training in schools using mobile uploads, direct feedback manikins, and the concept of gamification. Background: Survival from out-of-hospital cardiac arrest (OHCA) in England is low. Increasing rates of bystander cardiopulmonary resuscitation (CPR) can improve OHCA survival. Panicking and a lack of confidence are reasons for low bystander CPR rates; these may be improved with effective training. The use of direct feedback in CPR training has been found to improve performance however the longevity of this effect is uncertain. Gamification has been used as a method of sustaining enthusiasm for other educational activities and could be applied to CPR training for a longer term training program. Methods: 203 sixth form (16–18 years old) students at five high schools received a teaching session on CPR and Automated External Defibrillator (AED) use followed by CPR training with direct feedback manikins. Questionnaires filled out before and after the session were used to assess change in students' attitudes towards CPR and AED use. Feedback was also gathered regarding the use of gamification for CPR training. Results: An independent samples t-test revealed a significant improvement in students' attitudes towards CPR and AED use following the session. The qualitative data regarding gamification was 72.58% positive in nature. Conclusion: CPR training using direct feedback manikins can have a significant positive effect on students' attitudes towards performing CPR. Students are enthusiastic about the prospect of CPR training using mobile uploads and gamification, and anticipate it will improve motivation and enjoyment.