Viewing a brief chest-compression-only CPR video improves bystander CPR performance and responsiveness in high school students: A cluster randomized trial

High school students experience a variety of stressors. Mental health issues are critical to their health. The “Adolescent Stress Treatment (AST) Study: A Cluster Randomized Trial” compared the efficacy of two stress reduction devices, the EnergyPod™ and the SleepWing™. The EnergyPod™ is a device that provides a semiprivate acoustical and visual environment for rest, stress reduction, and sleep. The SleepWing™ is a smaller device offering similar benefits. High school students were offered the opportunity to participate in the AST study when they exhibited signs of agitation. The students completed the Profile of Mood States–Short Form (POMS-SF) pre- and postintervention. Total Mood Disturbance (TMD) was measured from the POMS-SF and significant improvement postintervention ( p < .001), regardless of intervention used. POMS-SF subscales were all significantly improved no matter which device was used. All participants in the study dramatically improved their mood after being in either therapeutic device.

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Reducing Physical Aggression in High School Students in KwaZulu-Natal: A Cluster Randomized Trial

Violence and Victims ◽

10.1891/vv-d-18-00060 ◽

2020 ◽

Vol 35 (6) ◽

pp. 861-884

Author(s):

Myra Taylor ◽

Benn Sartorius ◽

Saloshni Naidoo ◽

Hein de Vries

Keyword(s):

High School Students ◽

Randomized Trial ◽

Youth Violence ◽

Intervention Program ◽

Physical Violence ◽

Cluster Randomized Trial ◽

School Students ◽

Analytical Technique ◽

Cluster Randomized ◽

The Impact

Youth violence is of public health and social concern. A South African cluster randomized trial (434 grade 10 students, 16 schools), used the Integrated Model for Behavior Change conceptual framework to implement a 20 module classroom-based intervention program. The study contributes to the literature and used a strong analytical technique since mixed effects linear regression assessed the impact of the intervention on physical violence endpoints and other socioeconomic confounders/factors. The intervention reduced students' experiencing physical violence compared to controls and social pressure for this, yet no differences were found for hitting others. Our results support findings that school programs against violence can reduce students' experience of physical violence, but translation of these findings to reduce the actual hitting of others may need further approaches and/or more time.

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Abstract 260: Impact of Viewing an Ultrabrief Chest Compression--Only Video or Teaching a Chest Compression--Only Class on Lay Bystander CPR Performance in a High School

Circulation ◽

10.1161/circ.130.suppl_2.260 ◽

2014 ◽

Vol 130 (suppl_2) ◽

Author(s):

Daniel Beskind ◽

Rebecca Thiede ◽

Riley Hoyer ◽

Melissa Ludgate ◽

Devin McMorrow ◽

...

Keyword(s):

High School ◽

High School Students ◽

Chest Compression ◽

The United States ◽

Performance Measure ◽

Compression Rate ◽

School Students ◽

Compression Depth ◽

Study Results ◽

Bystander Cpr

Introduction: Cardiac arrest is responsible for 300,000 deaths in the United States. Bystander CPR has been shown to improve survival, but is only performed 30-50% of the time. Objectives: To determine if a chest compression-only (CCO) ultra-brief video (UBV) and a CCO-CPR class are effective at teaching CCO-CPR to high school students. Methods: This was a prospective cluster-randomized controlled trial with three arms: 1) CCO- UBV, 2) CCO-Class, 3) a control group (college recruiting video). High school students enrolled in a health course were randomized by class into of the 3 study arms. CPR performance was assessed with Laerdal Skillreporter mannequins after presentation of a scenario (sudden witnessed collapse) before (Pre), after (Post), and at 2 months following each intervention. CPR performance measures included the following: calling 911/starting compressions within 2 minutes, mean rate and depth of compressions. Results: 168/206 students 14-18 years of age, representing 5 classes, participated in this study. Results are shown in the Table. The proportion of participants that called 911 and/or started compressions within 2 minutes, as well as chest compression rate, significantly improved following the UBV and CCO-Class Post and at 2 months. Chest compression depth significantly improved following the CCO-Class both Post and at 2 months. No performance measure improved Pre to Post for the control arm. Limitations: More than one model of mannequin was used, observers and participants were not blinded to the intervention, and the study population represented a single public high school. Conclusions: A CCO-UBV and a brief CCO-CPR Class were effective at increasing the likelihood of calling 911, initiating CCO-CPR within 2 minutes and improving chest compression rate up to 2 months after the video or class in a population of high school students. The CCO-CPR class also significantly improved chest compression depth up to 2 months after the class.

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Reducing mental-illness stigma via high school clubs: A matched-pair, cluster-randomized trial.

Stigma and Health ◽

10.1037/sah0000193 ◽

2020 ◽

Vol 5 (2) ◽

pp. 230-239

Author(s):

Shaikh I. Ahmad ◽

Bennett L. Leventhal ◽

Brittany N. Nielsen ◽

Stephen P. Hinshaw

Keyword(s):

High School ◽

Mental Illness ◽

Randomized Trial ◽

Cluster Randomized Trial ◽

Mental Illness Stigma ◽

Matched Pair ◽

Cluster Randomized

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Effects of a group activity-based motivational enhancement therapy program on social media addictive behaviors among junior high school students in Thailand: a cluster randomized trial

Psychology Research and Behavior Management ◽

10.2147/prbm.s168869 ◽

2018 ◽

Vol Volume 11 ◽

pp. 329-339 ◽

Cited By ~ 3

Author(s):

Mereerat Manwong ◽

Vitool Lohsoonthorn ◽

Thanvaruj Booranasuksakul ◽

Anun Chaikoolvatana

Keyword(s):

High School Students ◽

Junior High School ◽

Cluster Randomized Trial ◽

Junior High School Students ◽

Motivational Enhancement Therapy ◽

Addictive Behaviors ◽

School Students ◽

Motivational Enhancement ◽

Therapy Program ◽

Cluster Randomized

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Training in cardiopulmonary resuscitation provided by medical students, residents and specialists: A non-inferiority trial

Hong Kong Journal of Emergency Medicine ◽

10.1177/1024907917742877 ◽

2017 ◽

Vol 25 (1) ◽

pp. 20-26 ◽

Cited By ~ 1

Author(s):

Dan Sebastian Dîrzu ◽

Natalia Hagău ◽

Theodor Boț ◽

Loredana Fărcaș ◽

Sanda Maria Copotoiu

Keyword(s):

High School ◽

Intensive Care ◽

High School Students ◽

Medical Students ◽

Cardiopulmonary Resuscitation ◽

Chest Compression ◽

Life Support ◽

School Students ◽

Definitive Answer ◽

Resuscitation Training

Introduction: No definitive answer has been given to the question ‘who should teach cardiopulmonary resuscitation?’ Healthcare professionals and high school teachers are mostly the trainers, but medical students are increasingly being used for this purpose. Methods: We divided 296 high school students in three groups based on trainer professional level. Medical students, anaesthesia and intensive care residents, and anaesthesia and intensive care specialists provided basic life support training. We tested their theoretical knowledge with the help of a multiple-choice question questionnaire and practical abilities with the help of a medical simulator, recording chest compression frequency as the primary outcome parameter. Results: The study shows comparable results in all groups, with the exception of the chest compression frequency which was higher in the students’ and residents’ groups (students: 134.7/min ± 14.1; residents: 137.9/min ± 15.9; specialists: 126.3/min ± 19.3). Increased rates were not associated with lower depths (39.0 mm ± 8.2, 40.5 mm ± 9.7, and 38.1 mm ± 8.2), so the quality of compressions provided may be seen as equivalent in all the study groups. Conclusion: Our data suggest that medical students may be as effective as anaesthesia and intensive care specialists and residents in cardiopulmonary resuscitation training.

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Effect of a physical education-based fitness intermittent teaching unit on high school students' cardiorespiratory fitness: a cluster-randomized controlled trial

The Journal of Sports Medicine and Physical Fitness ◽

10.23736/s0022-4707.20.10328-1 ◽

2020 ◽

Vol 60 (5) ◽

Author(s):

Santiago Guijarro-Romero ◽

Daniel Mayorga-Vega ◽

Carolina Casado-Robles ◽

Jesús Viciana

Keyword(s):

High School ◽

Randomized Controlled Trial ◽

High School Students ◽

Physical Education ◽

Cardiorespiratory Fitness ◽

Controlled Trial ◽

School Students ◽

Randomized Controlled ◽

Teaching Unit ◽

Cluster Randomized

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Abstract 22: When Laws Save Lives: Impact of Legislation Requiring Cardiopulmonary Resuscitation Education in High Schools on Survival After Sudden Cardiac Arrest

Circulation ◽

10.1161/circ.138.suppl_2.22 ◽

2018 ◽

Vol 138 (Suppl_2) ◽

Author(s):

Victoria L Vetter ◽

Katherine F Dalldorf ◽

Joseph Rossano ◽

Maryam Y Naim ◽

Andrew C Glatz ◽

...

Keyword(s):

High School ◽

Cardiac Arrest ◽

High School Students ◽

Cardiopulmonary Resuscitation ◽

Hospital Discharge ◽

Cerebral Performance Category ◽

School Education ◽

High School Education ◽

School Students ◽

Bystander Cpr

Introduction: Thirty eight states have laws requiring education of high school students on cardiopulmonary resuscitation (CPR) and the use of automated external defibrillators (AED). No study has measured the association of these laws and outcomes. Hypothesis: Out of hospital cardiac arrests (OHCAs) occurring in states with CPR high school education laws will have higher bystander CPR, survival, and favorable neurological survival than states without such laws. Methods: We conducted an analysis of the Cardiac Arrest Registry to Enhance Survival database and included all nontraumatic OHCAs with at least 50% population catchment from 1/2013-12/2017 in all ages. We excluded OHCAs witnessed by 911 responders, in healthcare facilities, or nursing homes. Outcomes were bystander CPR, survival to hospital discharge and neurologically favorable survival (Cerebral Performance Category score of 1 or 2 at hospital discharge). Chi-square tests were used to assess associations. Results: The 110,902 subjects with OHCA included Male, 64.0%; <18 yrs., 3.2%; <35 yrs., 10.7%; <50 yrs., 23.9%; White, 49.3%; Black, 19.1%; Hispanic, 2.3%; Other, 2.9%; Unknown, 26.5%. Most OHCAs occurred at home, 81.4%. 44.4% were witnessed by bystanders. 75.5% occurred in states with CPR high school education laws. A higher percent of OHCAs received bystander CPR prior to emergency medical services (EMS) arrival in states with CPR high school education laws (40.1%) compared to states without laws (37.0%) (p<0.001). Bystander CPR was less common in males (40.3% vs. 37.7% for females), those >50 yrs. (38.9% vs. 40.7% for ≤50 yrs.), Black and Hispanic subjects (25.7% and 34.9%, respectively, vs. 42.4% for Whites) (p<0.001 for all). Overall survival to hospital discharge was 10.4%; 8.8% had a favorable neurological outcome. A higher percent survived to hospital discharge in states with CPR high school education laws (11.0%) compared to states without laws (8.7%) (p<0.001). Neurologically favorable survival was more likely in states with CPR high school education laws, (9.3%) compared to states without laws (7.5%) (p<0.001). Conclusions: Bystander CPR, survival to hospital discharge, and neurologically favorable survival was higher in states that had CPR high school education laws.

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