title: E-learning in pediatric basic life support: a randomized controlled non-inferiority study.
abstract: OBJECTIVE
  Dissemination of pediatric basic life support (PBLS) skills is recommended. E-learning is accessible and cost-effective, but it is currently unknown whether laypersons can learn PBLS through e-learning. The hypothesis of this study was to investigate whether e-learning PBLS is non-inferior to instructor-led training.
  
  
  METHODS
  Participants were recruited among child-minders and parents of children aged 0-6 years. Participants were randomized to either 2-h instructor-led training or e-learning using an e-learning program (duration 17 min) including an inflatable manikin. After training, participants were assessed in a simulated pediatric cardiac arrest scenario. Tests were video recorded and PBLS skills were assessed independently by two assessors blinded to training method. Primary outcome was the pass rate of the PBLS test (≥8 of 15 skills adequately performed) with a pre-specified non-inferiority margin of 20%.
  
  
  RESULTS
  In total 160 participants were randomized 1:1. E-learning was non-inferior to instructor-led training (difference in pass rate -4%; 95% CI -9:0.5). Pass rates were 100% among instructor-led trained (n=67) and 96% among e-learned (n=71). E-learners median time spent on the e-learning program was 30 min (range: 15-120 min) and the median number of log-ons was 2 (range: 1-5). After the study, all participants felt that their skills had improved.
  
  
  CONCLUSIONS
  E-learning PBLS is non-inferior to instructor-led training among child-minders and parents with children aged 0-6 years, although the pass rate was 4% (95% CI -9:0.5) lower with e-learning.
authors: Research Center for Emergency Medicine, Aarhus University Hospital, Nørrebrogade 44, Building 30, 8000 Aarhus C, Denmark. Electronic address: liseqvirinkrogh@gmail.com.
authors: Lise Qvirin
authors: LQ
authors: Krogh
authors: Research Center for Emergency Medicine, Aarhus University Hospital, Nørrebrogade 44, Building 30, 8000 Aarhus C, Denmark.
authors: Katrine
authors: K
authors: Bjørnshave
authors: Department of Cardiology, Odense University Hospital, Sdr. Boulevard 29, 5000 Odense C, Denmark.
authors: Lone Due
authors: LD
authors: Vestergaard
authors: Research Center for Emergency Medicine, Aarhus University Hospital, Nørrebrogade 44, Building 30, 8000 Aarhus C, Denmark.
authors: Maja Bendtsen
authors: MB
authors: Sharma
authors: Research Center for Emergency Medicine, Aarhus University Hospital, Nørrebrogade 44, Building 30, 8000 Aarhus C, Denmark.
authors: Stinne Eika
authors: SE
authors: Rasmussen
authors: Department of Pediatrics, Aarhus University Hospital, Brendstrupgårdsvej 100, 8200 Aarhus, Denmark.
authors: Henrik Vendelbo
authors: HV
authors: Nielsen
authors: Department of Cardiology, Aarhus University Hospital, Brendstrupgårdsvej 100, 8200 Aarhus, Denmark; Institute of Clinical Medicine, Aarhus University, Brendstrupgårdsvej 100, 8200 Aarhus, Denmark.
authors: Troels
authors: T
authors: Thim
authors: Research Center for Emergency Medicine, Aarhus University Hospital, Nørrebrogade 44, Building 30, 8000 Aarhus C, Denmark; Institute of Clinical Medicine, Aarhus University, Brendstrupgårdsvej 100, 8200 Aarhus, Denmark; Department of Internal Medicine, Regional Hospital of Randers, Skovlyvej 1, 8930 Randers, Denmark.
authors: Bo
authors: B
authors: Løfgren
mesh_terms: D000328:Adult; D016887:Cardiopulmonary Resuscitation / Q000193:education*; D017028:Caregivers / Q000193:education; D002648:Child; D002675:Child, Preschool; D003194:Computer-Assisted Instruction; D004521:Educational Measurement; D005260:Female; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D020407:Internet; D008297:Male; D008348:Manikins; D008875:Middle Aged; D010290:Parents / Q000193:education; D011446:Prospective Studies; D013663:Teaching
keywords: Cardiopulmonary resuscitation; E-learning; Pediatric basic life support