The investigators conducted a stratified randomized controlled trial with an embedded cost-effectiveness analysis at a tertiary hospital in China. Participants were randomized to either traditional instructor-led ACLS training (ILT ACLS) or blended-learning HeartCode ACLS training (HC ACLS). The primary outcome was the overall first-attempt ACLS certification pass rate. A cost-effectiveness analysis was conducted from the institutional perspective using certification pass rate as the effectiveness measure. Costs estimation included program delivery costs and productivity losses associated with participant training time.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
OTHER
Masking
NONE
Enrollment
95
A blended-learning ACLS course combining online HeartCode self-paced modules with instructor-facilitated hands-on practice sessions.
A traditional, entirely in-person ACLS course delivered by certified instructors, following standard American Heart Association (AHA) guidelines, without online pre-learning components.
Shanghai East Hospital Affiliated To Tongji University
Shanghai, Shanghai Municipality, China
Overall First-Attempt ACLS Certification Pass Rate
The proportion of participants who pass the ACLS certification examination on their first attempt after completing the assigned training program.
Time frame: Up to 2 days.
First-Attempt Pass Rate for Individual Assessments
Proportion of participants who pass each of the three individual assessments (high-quality BLS, airway management, and Megacode) on the first attempt.
Time frame: Up to 2 days.
CPR Quality - Compression Depth
Mean chest compression depth (mm) recorded during Megacode assessment, measured by high-fidelity manikin with QCPR technology.
Time frame: Up to 2 days.
CPR Quality - Compression Rate
Mean chest compression rate (compressions per minute) recorded during Megacode assessment.
Time frame: Up to 2 days.
CPR Quality - Chest Recoil
Proportion of compressions with adequate chest recoil (percentage) recorded during Megacode assessment.
Time frame: Up to 2 days.
Training Cost per Participant
Mean total training cost per participant (in RMB), including program delivery costs (equipment, facilities, materials, personnel) and productivity losses.
Time frame: Through study completion, an average of 6 months.
Participant Satisfaction
Learner satisfaction measured using the AHA ACLS Classroom Course Evaluation Form, completed immediately after course completion.
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Time frame: Up to 2 days.