Improving individuals’ propensity to act in a medical emergency: A quasi-randomised trial to test the impact of a learning intervention

2018 ◽  
Vol 78 (2) ◽  
pp. 214-225 ◽  
Author(s):  
Joanna Muise ◽  
Emily Oliver ◽  
Penny Newell ◽  
Mark Forsyth
Keyword(s):  
Self Efficacy ◽  
Bystander Effect ◽  
Randomised Trial ◽  
First Aid ◽  
Medical Emergency ◽  
Significant Heterogeneity ◽  
First Aid Training ◽  
Significant Difference ◽  
Canadian Provinces ◽  
The Impact

Objective: To build the evidence base for first aid education by testing the hypothesis that learners will be more confident and willing to act in an emergency if their first aid education has attempted to break down perceived barriers to helping. Design: Additional activities were appended to and delivered alongside a control curriculum consisting of the Canadian Red Cross’ Emergency First Aid training for adult learners. Both control and test learners completed questionnaires before, immediately after and at 6 months following their training. Setting: Four Canadian provinces: British Columbia, Alberta, Manitoba and Nova Scotia. Participants: A total of 199 adult participants elected to take part in the first aid training and were randomised into test and control groups. Methods: Following first aid training lasting 6.5–8 hours, we assessed learners’ self-rated confidence/self-efficacy, willingness to act and changes in pre-identified fears and attitudes. Results: Learners from both control and test courses showed a positive change in self-efficacy and willingness to act although there was no statistically significant difference between control and test groups. The test course had a statistically significantly higher percentage of learners who were more aware of the bystander effect post learning. There was significant heterogeneity in learner outcomes which varied by Canadian province. Conclusion: First aid education can increase the propensity of learners to act. Although the additional activities provided in this study did not make a statistically significant difference to confidence and willingness to act, they may increase awareness of helping behaviours. Heterogeneity between Canadian provinces may link to differing provincial laws which protect lay people who try to help in an emergency.

scholarly journals An effective snakebite first aid training method for medics in the Chinese troops: a RCT

2019 ◽  
Vol 6 (1) ◽  
Author(s):  
Chen Qiu ◽  
Xiao-Feng Qiu ◽  
Jing-Jing Liu ◽  
Yi-Xin Wang ◽  
Li Gui
Keyword(s):  
First Aid ◽  
Baseline Measurement ◽  
Post Intervention ◽  
First Aid Training ◽  
Significant Difference ◽  
Chinese Military ◽  
Group A ◽  
Group B ◽  
The Impact ◽  
Self Learning

Abstract Background Snakebites can lead to lifelong consequences and is one of the main causes of death among military troops worldwide. However, few Chinese military medics know the proper first aid procedures for snakebites. Therefore, this study aimed to explore the impact of the Standard Operation Procedure (SOP) and checklist on Chinese military medics’ ability to manage snakebite first aid. Methods This study was a prospective single-blind randomized controlled trial conducted in a military medical university of China from May to June 2017. A questionnaire-based survey was performed to collect the participants’ socio-demographic profiles before the baseline measurement. During the baseline measurement, participants were requested to provide corresponding first aid that was responsive to the simulative situation portrayed by the SPs (standardized patients) and the evaluators then scored their performances according to a checklist for snakebite first aid scoring table. After the baseline measurement, they were randomly assigned to one of three intervention groups after stratification according to their baseline performance scores: group A received a self-learning course with textbooks (n = 27), group B received a self-learning training on the SOP and checklist (n = 27) and group C was engaged in an interactive discussion panel regarding the SOP and checklist (n = 26). After the interventions, participants received outcome measurements about snakebite first aid key points capability from the same evaluator and SP for each group to avoid observational error. The reviewers were blinded about the grouping in the trial. Results The baseline measurement yielded no significant difference (H = 1.647, P = 0.439) among the three groups. The post-intervention scores were higher than the pre-intervention scores for all three (A, B and C) groups (P = 0.008, P < 0.001 and P < 0.001, respectively). There was significant difference of the post-intervention scores among the three groups (F = 8.841, P < 0.001). Both post-intervention scores of group B and group C were higher than that of group A (P < 0.001 and P = 0.001, respectively), but no difference was found between group B and C (P = 0.695). The acceptance questionnaire score of SOP and checklist was mostly very satisfied, as the final scores of group B and group C were 4.62 ± 0.61 and 4.82 ± 0.45, respectively. Conclusions In this study, the implementation of an SOP and checklist for snakebite first aid was shown to update and improve first aid treatment concepts in military medics. These intervention methods played an important role in improving the medics’ cognition and understanding of snakebite first aid. Therefore, this finding suggests that SOP and checklist training should be further implemented in Chinese troops for snakebite care.

scholarly journals A Study to Assess the Impact of Self-instructional Module on Knowledge among Adolescent Students regarding First Aid Measures for Selected Emergencies in a Selected Higher Secondary School, Devsar, Kulgam

2021 ◽  
Vol 10 (01) ◽  
pp. 17-23
Author(s):  
Mehrun Nisa ◽  
Keyword(s):  
Secondary School ◽  
School Curriculum ◽  
First Aid ◽  
Quantitative Methodology ◽  
Adolescent Students ◽  
First Aid Training ◽  
Significant Difference ◽  
Instructional Module ◽  
Post Test ◽  
The Impact

Introduction: First aid is an important life-saving skill that everybody should know. As young people move towards independence and take on responsibilities in their own lives, they should know how to help others, whether it is a family member, friend or fellow citizen. While there are moves underway to introduce first aid training into the secondary school curriculum, there are other ways to give our kids and ourselves at least an elementary knowledge of the first aid basics. This study intended to assess the impact of a self-instructional module on knowledge among adolescent students regarding first aid measures for selected emergencies in a selected higher secondary school of Devsar, Kulgam. Method: A quantitative methodology was used with a pre-experimental one group pre-test and post-test design on a convenient sample of 50 adolescent students. A self-structured questionnaire was used to collect the data. Result: Data were analysed using descriptive and inferential statistics. Data analysis through SPSS-16 version by using t-test exposed significant difference (21.18) and p < 0.001 amongst pre-test and post-test knowledge scores of respondents. Conclusion: Thus the study revealed a substantial increase in knowledge scores amongst adolescent students regarding first aid measures for selected emergencies after administration of the self-instructional module.

An Investigation into the Impact of Environmental Education Certification on Perceptions of Personal Teaching Efficacy

2017 ◽  
Vol 22 (2) ◽  
pp. 5-17
Author(s):  
Mandy Harrison ◽  
Lisa Gross ◽  
Jennifer McGee
Keyword(s):  
North Carolina ◽  
Environmental Education ◽  
Self Efficacy ◽  
Teaching Efficacy ◽  
School Teachers ◽  
The North ◽  
Significant Difference ◽  
Personal Teaching Efficacy ◽  
Environmental Educators ◽  
The Impact

The purpose of this study is to examine how participation in the North Carolina Environmental Educator (NCEE) program influences the individual's perceived self-efficacy. Specifically, this study examines the impact of NCEE certification on participants’ perceived personal teaching self-efficacy. This study compared personal teaching efficacy scores of certified environmental educators, non-certified environmental educators, and licensed schoolteachers. The study found significant differences in teaching efficacy between certified and non-certified environmental educators, as well as certified environmental educators and licensed school teachers. In addition, the study found no significant difference in efficacy scores between NCEE certified licensed school teachers and NCEE certified environmental educators. Results of this study indicate a link between environmental education certification and higher personal teaching efficacy.

scholarly journals An associational study: preschool teachers’ acceptance and self-efficacy towards Educational Robotics in a pre-service teacher training program

2021 ◽  
Vol 18 (1) ◽  
Author(s):  
Despoina Schina ◽  
Cristina Valls-Bautista ◽  
Anna Borrull-Riera ◽  
Mireia Usart ◽  
Vanessa Esteve-González
Keyword(s):  
Teacher Training ◽  
Training Program ◽  
Self Efficacy ◽  
Group Intervention ◽  
Preschool Teachers ◽  
Ease Of Use ◽  
Educational Robotics ◽  
Perceived Ease Of Use ◽  
Significant Difference ◽  
The Impact

Abstract Purpose This study explores pre-service preschool teachers’ acceptance and self-efficacy towards Educational Robotics (ER) during a university course, and also examines their perceptions of the course. Methodology This is a one-group intervention study with an associational research design that includes both quantitative and qualitative research methods: two pre-questionnaires and two post-questionnaires on pre-service teachers’ acceptance and self-efficacy towards ER, and participants’ training journals. Findings The results show that pre-service teachers’ acceptance and self-efficacy towards ER improved after they completed the ER teacher training course. There was a significant difference between the start and the end of the ER training in the pre-service teachers’ acceptance of ER in the areas of perceived ease of use, enjoyment and attitudes, and in their self-efficacy. The findings based on the training journals show that participants positively evaluated the course. The participants also provided suggestions for improving it, such as additional training sessions, resources and time for experimentation. Value Our study reveals the impact of an ER training program and showcases the importance of integrating ER in pre-service teachers’ education.

scholarly journals Incorporating Behavioral Trigger Messages Into a Mobile Health App for Chronic Disease Management: Randomized Clinical Feasibility Trial in Diabetes

10.2196/15927 ◽  
2020 ◽  
Vol 8 (3) ◽  
pp. e15927
Author(s):  
Scott Sittig ◽  
Jing Wang ◽  
Sriram Iyengar ◽  
Sahiti Myneni ◽  
Amy Franklin
Keyword(s):  
Chronic Disease ◽  
Disease Management ◽  
Mobile Health ◽  
Self Efficacy ◽  
Chronic Disease Management ◽  
Text Messages ◽  
Feasibility Trial ◽  
Significant Difference ◽  
Within Subjects ◽  
The Impact

Background Although there is a rise in the use of mobile health (mHealth) tools to support chronic disease management, evidence derived from theory-driven design is lacking. Objective The objective of this study was to determine the impact of an mHealth app that incorporated theory-driven trigger messages. These messages took different forms following the Fogg behavior model (FBM) and targeted self-efficacy, knowledge, and self-care. We assess the feasibility of our app in modifying these behaviors in a pilot study involving individuals with diabetes. Methods The pilot randomized unblinded study comprised two cohorts recruited as employees from within a health care system. In total, 20 patients with type 2 diabetes were recruited for the study and a within-subjects design was utilized. Each participant interacted with an app called capABILITY. capABILITY and its affiliated trigger (text) messages integrate components from social cognitive theory (SCT), FBM, and persuasive technology into the interactive health communications framework. In this within-subjects design, participants interacted with the capABILITY app and received (or did not receive) text messages in alternative blocks. The capABILITY app alone was the control condition along with trigger messages including spark and facilitator messages. A repeated-measures analysis of variance (ANOVA) was used to compare adherence with behavioral measures and engagement with the mobile app across conditions. A paired sample t test was utilized on each health outcome to determine changes related to capABILITY intervention, as well as participants’ classified usage of capABILITY. Results Pre- and postintervention results indicated statistical significance on 3 of the 7 health survey measures (general diet: P=.03; exercise: P=.005; and blood glucose: P=.02). When only analyzing the high and midusers (n=14) of capABILITY, we found a statistically significant difference in both self-efficacy (P=.008) and exercise (P=.01). Although the ANOVA did not reveal any statistically significant differences across groups, there is a trend among spark conditions to respond more quickly (ie, shorter log-in lag) following the receipt of the message. Conclusions Our theory-driven mHealth app appears to be a feasible means of improving self-efficacy and health-related behaviors. Although our sample size is too small to draw conclusions about the differential impact of specific forms of trigger messages, our findings suggest that spark triggers may have the ability to cue engagement in mobile tools. This was demonstrated with the increased use of capABILITY at the beginning and conclusion of the study depending on spark timing. Our results suggest that theory-driven personalization of mobile tools is a viable form of intervention. Trial Registration ClinicalTrials.gov NCT04132089; http://clinicaltrials.gov/ct2/show/NCT004122089

scholarly journals The Seroprevalence of SARS-CoV-2 in Europe: A Systematic Review

2021 ◽  
Author(s):  
Natasha Marcella Vaselli ◽  
Daniel Hungerford ◽  
Ben Shenton ◽  
Arwa Khashkhusha ◽  
Nigel A. Cunliffe ◽  
...  
Keyword(s):  
Public Health ◽  
Systematic Review ◽  
Meta Analysis ◽  
Grey Literature ◽  
Age Groups ◽  
Significant Heterogeneity ◽  
Community Studies ◽  
Past Infection ◽  
Significant Difference ◽  
The Impact

AbstractBackgroundA year following the onset of the COVID-19 pandemic, new infections and deaths continue to increase in Europe. Serological studies, through providing evidence of past infection, can aid understanding of the population dynamics of SARS-CoV-2 infection.ObjectivesThis systematic review of SARS-CoV-2 seroprevalence studies in Europe was undertaken to inform public health strategies including vaccination, that aim to accelerate population immunity.MethodsWe searched the databases Web of Science, MEDLINE, EMBASE, SCOPUS, Cochrane Database of Systematic Reviews and grey literature sources for studies reporting seroprevalence of SARS-CoV-2 antibodies in Europe published between 01/12/2019 - 30/09/20. We provide a narrative synthesis of included studies. Studies were categorized into subgroups including healthcare workers (HCWs), community, outbreaks, pregnancy and children/school. Due to heterogeneity in other subgroups, we only performed a random effects meta-analysis of the seroprevalence amongst HCWs stratified by their country.Results109 studies were included spanning 17 European countries, that estimated the seroprevalence of SAR-CoV2 from samples obtained between November 2019 – August 2020. A total of 53/109 studies included HCWs with a reported seroprevalence among HCWs ranging from 0.7% to 45.3%, which did not differ significantly by country. In community studies significant heterogeneity was reported in the seroprevalence among different age groups and the majority of studies reported there was no significant difference by gender.ConclusionThis review demonstrates a wide heterogeneity in reported seroprevalence of SARS-CoV-2 antibodies between populations. Continued evaluation of seroprevalence is required to understand the impact of public health measures and inform interventions including vaccination programmes.

Evaluation of community-based psychological first aid in oncology

2019 ◽  
Vol 18 (4) ◽  
pp. 248-255
Author(s):  
Brandon L. Gray ◽  
Samuel Gaster ◽  
Christina Early ◽  
Amanda Reed
Keyword(s):  
Self Efficacy ◽  
Longitudinal Design ◽  
High Stress ◽  
First Aid ◽  
Care Staff ◽  
Control Group ◽  
Community Based ◽  
Content Type ◽  
Psychological First Aid ◽  
The Impact

Purpose Healthcare professionals work in high stress environments and may benefit from organizational efforts that enhance coping abilities. Community-based psychological first aid (CBPFA) is an evidence-informed program designed for building these skills and promoting resilience during stressful times. However, few studies have examined the effectiveness of CBPFA. The paper aims to discuss these issues. Design/methodology/approach This study examined the effectiveness of CBPFA training in promoting occupational self-efficacy and intentions to use CBPFA among oncology care staff over time using a longitudinal design. Findings Participants reported increased occupational self-efficacy and intentions to use CBPFA skills after completing training. These factors remained stable at one-month follow-up. Research limitations/implications The implications of these results are limited by the lack of a control group in the study’s design, relatively homogenous sample and participant dropout. Originality/value Despite the study’s limitations, these results represent an initial step in empirically examining the impact of CBPFA trainings and providing evidence that CBPFA may be an effective preparedness and development program in high-stress healthcare settings.

First-aid Training and Bystander Actions at Traffic Crashes — A Population Study

2002 ◽  
Vol 17 (3) ◽  
pp. 134-141 ◽  
Author(s):  
Eva M. Larsson ◽  
Niklas L. Mártensson ◽  
Kristina A.E. Alexanderson
Keyword(s):  
Road Traffic ◽  
Public Health Problem ◽  
First Aid ◽  
Economic Losses ◽  
Traffic Crashes ◽  
Traffic Crash ◽  
The Public ◽  
Lay Persons ◽  
First Aid Training ◽  
The Impact

AbstractIntroduction:Traffic crashes constitute a major, worldwide public-health problem that cause disabilities, life-long suffering, and huge economic losses. When a person is injured in a traffic crash, actions taken by bystanders often are of crucial importance. To perform first-aid actions in a correct manner, bystanders, often lay persons, need both the courage and the knowledge to do so. For preventive purposes, society spends large resources to inform and educate the public in order to enhance people's ability to take correct actions. However, there only is little information on the rate in a population of persons who have had first-aid training, have been bystanders at a traffic crash, on the actions taken by such persons, and on effects of first-aid training on patient care.Objective:The aim of this study was to acquire knowledge about: (1) the prevalence of first-aid training; (2) the incidence of being a bystander and of the first aid provided at traffic crashes and other emergencies; and (3) the impact of first-aid training on the risks people take in road traffic.Methods:A questionnaire was administered to 2,800 randomly selected persons aged 18–74 years.Results:The response rate was 67.5%. During the previous five years, 39% of the population had received first-aid training, with a higher rate among younger individuals and those with a higher education. After training, 30% of the respondents had used their skills, and 41% took fewer risks in traffic, particularly those who were older or had a lower level of education. Fourteen percent of those with training (significantly more men) had been bystanders at a traffic crash. At 20% of the crashes, a bystander had administered first aid, and one-third of those who provided such assistance had had use of their training. Conclusion: Intensified first-aid training of the general public could lead to citizens who are more cautious in traffic and to bystanders who provide more immediate and adequate first aid at traffic crashes and other emergencies.

A Meta-Analysis of the Impact of Professional Development on Teachers’ Knowledge, Skill, and Self-Efficacy in Data-Based Decision-Making

2020 ◽  
pp. 002221942097019
Author(s):  
Samantha A. Gesel ◽  
Lauren M. LeJeune ◽  
Jason C. Chow ◽  
Anne C. Sinclair ◽  
Christopher J. Lemons
Keyword(s):  
Professional Development ◽  
Decision Making ◽  
Self Efficacy ◽  
Meta Analysis ◽  
Experimental Studies ◽  
Sensitivity Analyses ◽  
Significant Heterogeneity ◽  
K 12 ◽  
The Impact ◽  
Data Based Decision Making

The purpose of this review was to synthesize research on the effect of professional development (PD) targeting data-based decision-making processes on teachers’ knowledge, skills, and self-efficacy related to curriculum-based measurement (CBM) and data-based decision-making (DBDM). To be eligible for this review, studies had to (a) be published in English, (b) include in-service or pre-service K–12 teachers as participants, (c) use an empirical group design, and (d) include sufficient data to calculate an effect size for teacher outcome variables. The mean effect of DBDM PD on teacher outcomes was g = 0.57 ( p < .001). This effect was not moderated by study quality. These results must be viewed through the lens of significant heterogeneity in effects across included studies, which could not be explained by follow-up sensitivity analyses. In addition, the experimental studies included in this review occurred under ideal, researcher-supported conditions, which impacts the generalizability of the effects of DBDM PD in practice. Implications for research and practice are discussed.

Sign in / Sign up

Export Citation Format

Share Document