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Research ArticleOriginal Article
Open Access

Fit-cardiopulmonary resuscitation approach in public mass cardiopulmonary resuscitation teaching

A randomized control trial

Amirudin Sanip, Mohd H. Isa, Azlan H. Abd Samat, Mohd J. Jaafar, Mohd R. Abdul Manaf, Meilya Silvalila and Ismail M. Saiboon
Saudi Medical Journal May 2023, 44 (5) 463-470; DOI: https://doi.org/10.15537/smj.2023.44.5.20220941
Amirudin Sanip
From the Department of Emergency Medicine (Sanip, Isa, Abd Samat, Jaafar, Saiboon), Faculty of Medicine, Department of Public Health (Manaf), Faculty of Medicine, Universiti Kebangsaan Malaysia, Cheras, Kuala Lumpur, and from the Department of Emergency Medicine (Silvalila), Faculty of Medicine, Unversitas Syiah Kuala, Banda Aceh, Indonesia.
MB BcH BAO, DrEmMed
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Mohd H. Isa
From the Department of Emergency Medicine (Sanip, Isa, Abd Samat, Jaafar, Saiboon), Faculty of Medicine, Department of Public Health (Manaf), Faculty of Medicine, Universiti Kebangsaan Malaysia, Cheras, Kuala Lumpur, and from the Department of Emergency Medicine (Silvalila), Faculty of Medicine, Unversitas Syiah Kuala, Banda Aceh, Indonesia.
MD, DrEmMed
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Azlan H. Abd Samat
From the Department of Emergency Medicine (Sanip, Isa, Abd Samat, Jaafar, Saiboon), Faculty of Medicine, Department of Public Health (Manaf), Faculty of Medicine, Universiti Kebangsaan Malaysia, Cheras, Kuala Lumpur, and from the Department of Emergency Medicine (Silvalila), Faculty of Medicine, Unversitas Syiah Kuala, Banda Aceh, Indonesia.
MD, DrEmMed
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Mohd J. Jaafar
From the Department of Emergency Medicine (Sanip, Isa, Abd Samat, Jaafar, Saiboon), Faculty of Medicine, Department of Public Health (Manaf), Faculty of Medicine, Universiti Kebangsaan Malaysia, Cheras, Kuala Lumpur, and from the Department of Emergency Medicine (Silvalila), Faculty of Medicine, Unversitas Syiah Kuala, Banda Aceh, Indonesia.
MD, MSurg (Orth&Trauma)
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Mohd R. Abdul Manaf
From the Department of Emergency Medicine (Sanip, Isa, Abd Samat, Jaafar, Saiboon), Faculty of Medicine, Department of Public Health (Manaf), Faculty of Medicine, Universiti Kebangsaan Malaysia, Cheras, Kuala Lumpur, and from the Department of Emergency Medicine (Silvalila), Faculty of Medicine, Unversitas Syiah Kuala, Banda Aceh, Indonesia.
MPH, PhD
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Meilya Silvalila
From the Department of Emergency Medicine (Sanip, Isa, Abd Samat, Jaafar, Saiboon), Faculty of Medicine, Department of Public Health (Manaf), Faculty of Medicine, Universiti Kebangsaan Malaysia, Cheras, Kuala Lumpur, and from the Department of Emergency Medicine (Silvalila), Faculty of Medicine, Unversitas Syiah Kuala, Banda Aceh, Indonesia.
MD
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Ismail M. Saiboon
From the Department of Emergency Medicine (Sanip, Isa, Abd Samat, Jaafar, Saiboon), Faculty of Medicine, Department of Public Health (Manaf), Faculty of Medicine, Universiti Kebangsaan Malaysia, Cheras, Kuala Lumpur, and from the Department of Emergency Medicine (Silvalila), Faculty of Medicine, Unversitas Syiah Kuala, Banda Aceh, Indonesia.
MBBS MSurg (Orth&Trauma)
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  • For correspondence: [email protected]
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Figures

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  • Figure 1
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    Figure 1

    - Flow diagram of the intervention group versus the control group. CPR: cardiopulmonary resuscitation, min: minutes

  • Figure 2
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    Figure 2

    - Consort flow diagram of the study. CCM: conventional classroom method, CPR: cardiopulmonary resuscitation

  • Figure 3
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    Figure 3

    - Graph comparison of mean scores for cardiopulmonary resuscitation (CPR) performance, high-quality CPR and knowledge, between the Fit-CPR program (solid lines) and CCM (dashed lines). CCM: conventional classroom method

Tables

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    Table 1

    - Demographic data of both fit-CPR and CCM programs.

    GroupFit-CPR (n = 61)CCM (n = 68)p-value
    Age
    17 years old61 (100)68 (100)p>0.05
    Gender
    Male19 (31.1)22 (35.3)p=0.709
    Female42 (68.9)44 (64.7)
    Level of physical activity
    <1×/week25 (41.0)33 (48.5)p=0.120
    1×/week24 (39.3)23 (33.8)
    2–3×/week11 (18.0)6 (8.8)
    >3×/week1 (1.6)6 (8.8)
    Number of CPR courses attended in 5 years
    059 (96.7)66 (97.1)p=0.259
    12 (3.3)0 (0.0)
    20 (0.0)1 (1.5)
    >20 (0.0)1 (1.5)
    Background medical illness
    Yes0 (0)0 (0)p>0.05
    No61 (100)68 (100)
    Actively perform CPR within 2 years
    Yes0 (0)0 (0)p>0.05
    No61 (100)68 (100)

    Values are presented as numbers and percentages (%). CCM: conventional classroom method, CPR: cardiopulmonary resuscitation

      • View popup
      Table 2

      - Comparison of mean scores for knowledge, performance, and high-quality cardiopulmonary resuscitation (CPR).

      Items evaluatedFit-CPR n=61CCM n=68GLM within-subject effect (p-value) aGLM between subject effect (p-value) a
      Mean (SD)
      Knowledge
      Pre-test4.34 (1.40)4.03 (1.40)<0.05*0.002*
      Post-test7.79 (1.31)8.51 (1.03)
      Retention7.16 (1.33)7.15 (1.65)
      Performance
      Pre-test1.80 (1.41)2.41 (1.72)<0.05*0.261
      Post-test9.02 (0.98)9.18 (1.17)
      Retention8.49 (1.21)8.54 (1.73)
      High-quality CPR
      Pre-test0.72 (1.10)1.41 (1.34)<0.05*0.014*
      Post-test3.57 (0.67)3.54 (0.78)
      Retention3.16 (0.90)3.21 (0.86)
      • ↵a Comparison of trends between the 2 groups was analyzed using the general linear model (time and group interaction effect).

      • ↵* Statistically significant results are p<0.05. CCM: conventional classroom method, GLM: general linear model

      • View popup
      Table 3

      - Knowledge scores for the intervention and control groups.

      GroupFit-CPR (n=61)CCM (n=68)P-value
      Correct answer n (%) Mean±SD
      Indication (Q1)
      Pre-test7 (11.5)11 (16.2)0.442
      Post-test39 (63.9)24 (35.3)0.001
      Retention22 (36.1)14 (20.6)0.050
      CPR Steps (Q2, Q3, Q5, Q6)
      Pre-test2.03±0.931.99±0.990.779
      Post-test3.80±0.44)3.85±0.360.481
      Retention3.61±0.533.51±0.680.396
      Emergency number (Q4)
      Pre-test54 (88.5)56 (82.4)0.323
      Post-test61 (100.0)68 (100.0)1.000
      Retention59 (96.7)64 (94.1)0.483
      Hand placement (Q7)
      Pre-test44 (72.1)51 (75.0)0.712
      Post-test56 (91.8)62 (91.2)0.899
      Retention49 (80.3)59 (86.8)0.323
      Rate & depth (Q8, Q9)
      Pre-test0.57±0.760.28±0.540.012
      Post-test1.03±0.971.75±0.610.000
      Retention1.16±0.861.29±0.870.394
      CPR termination (Q10)
      Pre-test1 (1.6)2 (2.9)0.624
      Post-test24 (39.3)44 (64.7)0.004
      Retention16 (26.2)22 (32.4)0.446

      CCM: conventional classroom method, CPR: cardiopulmonary resuscitation

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      1 May 2023
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      Fit-cardiopulmonary resuscitation approach in public mass cardiopulmonary resuscitation teaching
      Amirudin Sanip, Mohd H. Isa, Azlan H. Abd Samat, Mohd J. Jaafar, Mohd R. Abdul Manaf, Meilya Silvalila, Ismail M. Saiboon
      Saudi Medical Journal May 2023, 44 (5) 463-470; DOI: 10.15537/smj.2023.44.5.20220941

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      Fit-cardiopulmonary resuscitation approach in public mass cardiopulmonary resuscitation teaching
      Amirudin Sanip, Mohd H. Isa, Azlan H. Abd Samat, Mohd J. Jaafar, Mohd R. Abdul Manaf, Meilya Silvalila, Ismail M. Saiboon
      Saudi Medical Journal May 2023, 44 (5) 463-470; DOI: 10.15537/smj.2023.44.5.20220941
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