Comparing Learning Outcomes in Cardiopulmonary Resuscitation (CPR) Basic Life Support Training for Self-Training Video with Learning Feedback and Traditional Onsite Training in Running Race Population

Introduction: Sudden cardiac arrest (SCA) can occur during running events, and immediate and effective CPR significantly improves survival. Training race participants in basic life support (BLS) could potentially increase survival chances during these events. Online learning may improve access to BLS training by reducing instructor, travel, and organizational costs. While online video training alone may not fully replicate in-person learning, this study explores a refined online training model with online platform feedback. This study aimed to compare CPR performance, knowledge, and confidence scores in traditional onsite training vs. self-training video with learning feedback as an alternative method for teaching BLS. Methods: Runners were invited into the study and selected between two BLS training methods:traditional face-to-face training (F2F) or self-training videos and online learning feedback (VDO). CPR training dummies were sent to parks and running groups for the VDO group to use. Both groups were evaluated for CPR performance by certified BLS instructors. Knowledge and confidence scores in BLS were collected by questionnaire and compared before and after training. Results: 161 participants were in the VDO group and 577 in the F2F group. 88.2% and 93.2% of VDO and F2F groups achieved BLS competency (p value=0.25). Knowledge and confidence scores increased significantly in both groups. Although increased, the increase in scores for knowledge in the VDO group had an odds ratio of 0.5 (95% CI: 0.34, 0.74, p-value of 0.001), and in having confidence for assisting unconscious patients an odds ratio of 0.33 (95% CI: 0.22, 0.5, p-value of <0.001), compared to the F2F group. Conclusion: Self-training videos with learning feedback achieved competent BLS skills in 88% of runners and improved knowledge and confidence in performing basic life support, but to a lesser extent than onsite training. Such a method could potentially be used to increase BLS training in runners.