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Meta-Analysis
. 2024 Dec 19:10:e59720.
doi: 10.2196/59720.

Influence of Training With Corrective Feedback Devices on Cardiopulmonary Resuscitation Skills Acquisition and Retention: Systematic Review and Meta-Analysis

Abel Nicolau  1 , Inês Jorge  1 , Pedro Vieira-Marques  2 , Carla Sa-Couto  2
Affiliations
Meta-Analysis

Influence of Training With Corrective Feedback Devices on Cardiopulmonary Resuscitation Skills Acquisition and Retention: Systematic Review and Meta-Analysis

Abel Nicolau et al. JMIR Med Educ. .

Abstract

Background: Several studies related to the use of corrective feedback devices in cardiopulmonary resuscitation training, with different populations, training methodologies, and equipment, present distinct results regarding the influence of this technology.

Objective: This systematic review and meta-analysis aimed to examine the impact of corrective feedback devices in cardiopulmonary resuscitation skills acquisition and retention for laypeople and health care professionals. Training duration was also studied.

Methods: The search was conducted in PubMed, Web of Science, and Scopus from January 2015 to December 2023. Eligible randomized controlled trials compared technology-based training incorporating corrective feedback with standard training. Outcomes of interest were the quality of chest compression-related components. The risk of bias was assessed using the Cochrane tool. A meta-analysis was used to explore the heterogeneity of the selected studies.

Results: In total, 20 studies were included. Overall, it was reported that corrective feedback devices used during training had a positive impact on both skills acquisition and retention. Medium to high heterogeneity was observed.

Conclusions: This systematic review and meta-analysis suggest that corrective feedback devices enhance skills acquisition and retention over time. Considering the medium to high heterogeneity observed, these findings should be interpreted with caution. More standardized, high-quality studies are needed.

Trial registration: PROSPERO CRD42021240953; https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=240953.

Keywords: CPR quality; PRISMA; cardiopulmonary resuscitation; corrective feedback devices; evidence-based research; feedback devices; meta-analysis; resuscitation training; skills acquisition; skills retention; systematic review.

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Conflict of interest statement

Conflicts of Interest: None declared.

Figures

Figure 1
Figure 1
PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) flow diagram of the selection process. RCT: randomized controlled trial.
Figure 2
Figure 2
Forest plot presenting a mean difference of overall chest compression (CC) score (%) between the intervention (with feedback device) and control groups (instructor feedback). Positive values favor the use of feedback devices. Data collected immediately after training (skills acquisition assessment) [41,46,48,51-53,57,58]. * represents pediatric cardiopulmonary resuscitation training.
Figure 3
Figure 3
Overall chest compression (CC) score: subgroup analysis based on the duration of training. Set of forest plots presenting a mean difference of overall CC score (%) between the intervention (with feedback device) and control groups (instructor feedback). Positive values favor the use of feedback devices. Data collected immediately after training (skills acquisition assessment). Subgroup analysis: (A) studies with less than 30 minutes of training time [41,46,52,53,58] and (B) studies with more than 30 minutes of training time [48,51,57]. * represents pediatric cardiopulmonary resuscitation training.
Figure 4
Figure 4
Chest compression depth: subgroup analysis based on elapsed time after training. Set of forest plots presenting a mean difference of depth score (%) between the intervention (with feedback device) and control groups (instructor feedback). Positive values favor the use of feedback devices. Subgroup analysis for different periods of retention: (A) 3 months and (B) 9 to 12 months [45,49,59]. * represents pediatric cardiopulmonary resuscitation training.
See this image and copyright information in PMC

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