Comparison of cardiopulmonary resuscitation training methods for parents of infants at high risk for cardiopulmonary arrest

Ann Emerg Med. 1998 Aug;32(2):170-7. doi: 10.1016/s0196-0644(98)70133-7.


Study objectives: To compare three different methods of teaching CPR to parents of infants at high risk for sudden cardiopulmonary arrest and to identify characteristics that predict difficulty in learning CPR.

Methods: We conducted a prospective, multicenter clinical trial of 480 parents and other infant caretakers. Subjects were randomly assigned to 1 of 3 CPR training protocols: an instructor-taught CPR class, an instructor-taught CPR class followed by a social support intervention, or a self-training video module. CPR proficiency was evaluated with the use of a CPR skills checklist.

Results: Of 480 subjects, 301 (63%) were able to demonstrate successful CPR after training. Univariate analysis revealed that unsuccessful learners were likely to be less educated, to have lower incomes, to never have attended a previous CPR class, and to have better psychosocial adjustment to their infant's illness, compared with successful learners. The proportion of successful learners was significantly higher in the 2 instructor-taught classes than in the self-training video class. Multiple logistic regression analysis was used to develop a predictive profile to describe unsuccessful learners. The following characteristics independently predicted unsuccessful learners: CPR learned in the self-training video group, fewer years of education, and better psychosocial adjustment.

Conclusion: Most parents of infants at high risk for sudden death can demonstrate successful CPR skills at the completion of 1 class. However, a significant minority will require extra attention to be successful. Self-training video instruction may not be an adequate substitute for instructor-taught CPR.

Publication types

  • Clinical Trial
  • Comparative Study
  • Multicenter Study
  • Randomized Controlled Trial
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Adult
  • Analysis of Variance
  • Apnea / therapy*
  • Attitude to Health
  • Cardiopulmonary Resuscitation / education*
  • Educational Status
  • Female
  • Forecasting
  • Heart Arrest / therapy*
  • Humans
  • Income
  • Infant
  • Learning
  • Logistic Models
  • Male
  • Parents / education*
  • Prospective Studies
  • Psychomotor Performance
  • Risk Factors
  • Social Adjustment
  • Social Support
  • Teaching / methods*
  • Videotape Recording