Long-term Effect of Game-Based Mobile Application Training on Cardiopulmonary Resuscitation and Automated External Defibrillator (CPR-AED) Use. A Nonrandomized Clinical Trial (Preprint)

作者：Ruting Gu, Jing Han, Min Wang, Yueshuai Pan, Xia Liu, Qianqian Li, Jingyuan Wang, Xiaomin Liu, Sheng-Jun Ji, Changfang Shi, Haiqing Zhou, Lili Wei · 年份：2025 · DOI：10.2196/preprints.78689 · 研究领域：Cardiac Arrest and Resuscitation、Heart Rate Variability and Autonomic Control、Simulation-Based Education in Healthcare

BACKGROUND Although bystander cardiopulmonary resuscitation and automated external defibrillator (CPR-AED) use is critical for improving survival after cardiac arrest, most studies have focused solely on the technical skills required for CPR-AED. OBJECTIVE To assess the impact of incorporating game-based mobile applications into traditional training methods on practical knowledge, skill level, willingness and dissemination awareness of CPR-AED among university students. METHODS We conducted prespecified surveys 7 d and 6 months post-training in China from March 21 to September 21, 2024. Two standardized, 1-h training protocols on CPR-AED theory and application: instructor-led traditional training using CPR manikins, or traditional training combined with a game-based mobile application in the follow-up phase for the experimental group. Primary outcomes included short-term results, theoretical knowledge retention, willingness to perform CPR and dissemination awareness in the long term. RESULTS 481 participants completed the entire survey and were included in the secondary analysis. After 7 d, the game-based application training group had significantly higher scores in theoretical and operational skills than those of the traditional training group (P = 0.020; P < 0.001, respectively). In the 6-month post-training survey regarding theoretical knowledge retention, the median scores were eight and nine out of 10 (P < 0.001). Overall, 70.9% (341 of 481) of p...