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Basic Cardiac Life SupportNCT04736888

Effectiveness of Extended Reality CPR Training Methods

A study testing extended-reality CPR training and conventional CPR training in people with Basic Cardiac Life Support and Virtual Reality, run by Seoul National University Hospital at 3 sites in 3 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

The aim of this study is to explore the efficacy and safety of the extended reality (XR)-based basic life support (BLS) training. Read more about this study

Who is it for?
Ages 18 years and olderHealthy volunteers can take part
Conditions the study is for
Basic Cardiac Life Support, Virtual Reality
What is being tested?
extended-reality CPR training and conventional CPR training
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
154 participants
Where
3 sitesin 3 countries
Study dates
10 Sep 2021to 9 Sep 2024
Phase
Interventional
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • Healthy volunteers accepted
  • Adult, Older adult

Who may be able to join

  • Individuals who are not healthcare providers and are 18 years old or older

Who cannot join

  • Participants who
  • are not capable of performing either the training or the CPR test due to physical or cognitive limitations
  • have upper extremity injuries
  • are pregnant
  • experience dizziness, headache, or motion sickness during the 2-minute XR device adaptation period that prevents them from participating in the simulation study

Trial locations and contacts

3 sites in 3 countries.

3 sites in 3 countries

United States1 site
  • Children's Hospital Los Angeles

    Los Angeles, California, 90027

Other trials in United States

South Korea1 site
  • Seoul National University Bundang Hospital

    Seongnam-si, Gyeonggi-do, 13620

Other trials in South Korea

United Kingdom1 site
  • Royal Manchester Children's Hospital

    Manchester

Other trials in United Kingdom

About this study

Official title: Comparison of Extended Reality and Conventional Methods of Basic Life Support Training: Protocol for a Multinational Pragmatic Clinical Trial (XR BLS Trial)

The aim of this study is to explore the efficacy and safety of the extended reality (XR)-based basic life support (BLS) training.

Read the detailed description

Conventional CPR training is based on the use of a manikin and a training video. Though several feedback devices have been developed to improve the effectiveness of the training, they were neither realistic nor immersive. In addition, in conventional training programs, trainees are constrained in terms of time and location, as they are usually kept to a schedule.

Virtual reality (VR) technology, which was designed to maximize immersion, could be used to overcome those limitations, which in turn may improve the effectiveness of CPR training. However, even with VR technology, procedures such as chest compressions, ventilation, and defibrillation cannot be implemented as in the real world. Extended reality (XR), which combines the virtual and real worlds, could overcome these limitations by facilitating the use of real-world manikins in the virtual environment.

Being tested
extended-reality CPR training, conventional CPR training
Keywords
Cardiopulmonary resuscitation, Basic Cardiac Life Support, Virtual Reality, Extended Reality, Education

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • extended-reality CPR trainingOther

    extended-reality technologies based CPR training module

  • conventional CPR trainingOther

    conventional CPR training with video

Study groups in NCT04736888
Study groupRoleWhat they receive
Conventional groupSham comparatorConventional CPR training consists of a BLS video and a manikin equipped with a feedback device.
Receives: Other: conventional CPR training
XR groupActive comparatorThe XR group participants will be provided training via the XR BLS module and are allotted an additional 2 minutes that is needed to adapt to the XR equipment.
Receives: Other: extended-reality CPR training

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. mean compression depth, mm

    compression depth

    Measured: Test sessions on day 1 (during 5 minutes) after 1 hour training

Secondary outcomes (14)
  1. the total number of chest compressions (n)

    The total number of chest compressions

    Measured: Test sessions on day 1 (during 5 minutes) after 1 hour training

  2. the mean chest compression depth(mm)

    compression depth between 5cm and 6cm

    Measured: Test sessions on day 1 (during 5 minutes) after 1 hour training

  3. correct hand position (n, percent)

    The American Heart Association (AHA) guidelines describe the correct hand position for chest compression as the lower half of the victim's sternum in the centre of the chest, between the nipples.

    Measured: Test sessions on day 1 (during 5 minutes) after 1 hour training

  4. adequate compression depth (n, percent)

    compression depth between 5cm and 6cm

    Measured: Test sessions on day 1 (during 5 minutes) after 1 hour training

  5. compression and full release (n, percent)

    full release after chest compression

    Measured: Test sessions on day 1 (during 5 minutes) after 1 hour training

  6. mean compression rate (number per minute)

    mean compression rate

    Measured: Test sessions on day 1 (during 5 minutes) after 1 hour training

  7. adequate compression rate (percent)

    compression rate between 100 and 120 per minute

    Measured: Test sessions on day 1 (during 5 minutes) after 1 hour training

  8. adequate compression depth and rate (percent)

    adequate compression death and rate, simultaneously

    Measured: Test sessions on day 1 (during 5 minutes) after 1 hour training

  9. hands-off time (sec)

    Interruptions of chest compressions during cardiopulmonary resuscitation

    Measured: Test sessions on day 1 (during 5 minutes) after 1 hour training

  10. The time interval from arrival on the scene to the first chest compression (sec)

    The time interval from arrival on the scene to the first chest compression.

    Measured: Test sessions on day 1 (during 5 minutes) after 1 hour training

  11. AED use

    Done/Not done

    Measured: Test sessions on day 1 (during 5 minutes) after 1 hour training

  12. Correct AED use

    Yes/No

    Measured: Test sessions on day 1 (during 5 minutes) after 1 hour training

  13. Time from powering on the AED to defibrillation (sec)

    Time from powering on the AED to defibrillation (sec)

    Measured: Test sessions on day 1 (during 5 minutes) after 1 hour training

  14. Time from checking for a response to defibrillation (sec)

    Time from checking for a response to defibrillation (sec)

    Measured: Test sessions on day 1 (during 5 minutes) after 1 hour training

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted3 Feb 2021
  2. Study start10 Sep 2021
  3. Primary completion9 Sep 2024
  4. Study completion9 Sep 2024

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Other
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
154 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04736888
Sponsor's protocol ID
CBS2.0
Status last verified
Oct 2026
First submitted
29 Jan 2021
Last updated
13 Oct 2026
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • Semeraro F, Frisoli A, Loconsole C, Banno F, Tammaro G, Imbriaco G, Marchetti L, Cerchiari EL. Motion detection technology as a tool for cardiopulmonary resuscitation (CPR) quality training: a randomised crossover mannequin pilot study. Resuscitation. 2013 Apr;84(4):501-7. doi: 10.1016/j.resuscitation.2012.12.006. Epub 2012 Dec 10.

    PubMed 23238423
  • Semeraro F, Taggi F, Tammaro G, Imbriaco G, Marchetti L, Cerchiari EL. iCPR: a new application of high-quality cardiopulmonary resuscitation training. Resuscitation. 2011 Apr;82(4):436-41. doi: 10.1016/j.resuscitation.2010.11.023. Epub 2011 Jan 11.

    PubMed 21227560
  • Semeraro F, Frisoli A, Bergamasco M, Cerchiari EL. Virtual reality enhanced mannequin (VREM) that is well received by resuscitation experts. Resuscitation. 2009 Apr;80(4):489-92. doi: 10.1016/j.resuscitation.2008.12.016. Epub 2009 Feb 8.

    PubMed 19203823
  • Iwashyna TJ. Survivorship will be the defining challenge of critical care in the 21st century. Ann Intern Med. 2010 Aug 3;153(3):204-5. doi: 10.7326/0003-4819-153-3-201008030-00013. No abstract available.

    PubMed 20679565
  • Grasner JT, Lefering R, Koster RW, Masterson S, Bottiger BW, Herlitz J, Wnent J, Tjelmeland IB, Ortiz FR, Maurer H, Baubin M, Mols P, Hadzibegovic I, Ioannides M, Skulec R, Wissenberg M, Salo A, Hubert H, Nikolaou NI, Loczi G, Svavarsdottir H, Semeraro F, Wright PJ, Clarens C, Pijls R, Cebula G, Correia VG, Cimpoesu D, Raffay V, Trenkler S, Markota A, Stromsoe A, Burkart R, Perkins GD, Bossaert LL; EuReCa ONE Collaborators. EuReCa ONE-27 Nations, ONE Europe, ONE Registry: A prospective one month analysis of out-of-hospital cardiac arrest outcomes in 27 countries in Europe. Resuscitation. 2016 Aug;105:188-95. doi: 10.1016/j.resuscitation.2016.06.004. Epub 2016 Jun 16.

    PubMed 27321577
  • Deakin CD. The chain of survival: Not all links are equal. Resuscitation. 2018 May;126:80-82. doi: 10.1016/j.resuscitation.2018.02.012. Epub 2018 Feb 19.

    PubMed 29471008
  • Brady WJ, Mattu A, Slovis CM. Lay Responder Care for an Adult with Out-of-Hospital Cardiac Arrest. N Engl J Med. 2019 Dec 5;381(23):2242-2251. doi: 10.1056/NEJMra1802529. No abstract available.

    PubMed 31800989
  • Ro YS, Shin SD, Song KJ, Hong SO, Kim YT, Cho SI. Bystander cardiopulmonary resuscitation training experience and self-efficacy of age and gender group: a nationwide community survey. Am J Emerg Med. 2016 Aug;34(8):1331-7. doi: 10.1016/j.ajem.2015.12.001. Epub 2015 Dec 7.

    PubMed 27037129
  • Andrews C, Southworth MK, Silva JNA, Silva JR. Extended Reality in Medical Practice. Curr Treat Options Cardiovasc Med. 2019 Mar 30;21(4):18. doi: 10.1007/s11936-019-0722-7.

    PubMed 30929093
  • Nas J, Thannhauser J, Vart P, van Geuns RJ, Muijsers HEC, Mol JQ, Aarts GWA, Konijnenberg LSF, Gommans DHF, Ahoud-Schoenmakers SGAM, Vos JL, van Royen N, Bonnes JL, Brouwer MA. Effect of Face-to-Face vs Virtual Reality Training on Cardiopulmonary Resuscitation Quality: A Randomized Clinical Trial. JAMA Cardiol. 2020 Mar 1;5(3):328-335. doi: 10.1001/jamacardio.2019.4992.

    PubMed 31734702
  • Anderson R, Sebaldt A, Lin Y, Cheng A. Optimal training frequency for acquisition and retention of high-quality CPR skills: A randomized trial. Resuscitation. 2019 Feb;135:153-161. doi: 10.1016/j.resuscitation.2018.10.033. Epub 2018 Nov 2.

    PubMed 30391370
  • Bylow H, Karlsson T, Claesson A, Lepp M, Lindqvist J, Herlitz J. Self-learning training versus instructor-led training for basic life support: A cluster randomised trial. Resuscitation. 2019 Jun;139:122-132. doi: 10.1016/j.resuscitation.2019.03.026. Epub 2019 Mar 26.

    PubMed 30926451
  • Roppolo LP, Pepe PE, Campbell L, Ohman K, Kulkarni H, Miller R, Idris A, Bean L, Bettes TN, Idris AH. Prospective, randomized trial of the effectiveness and retention of 30-min layperson training for cardiopulmonary resuscitation and automated external defibrillators: The American Airlines Study. Resuscitation. 2007 Aug;74(2):276-85. doi: 10.1016/j.resuscitation.2006.12.017. Epub 2007 Apr 23.

    PubMed 17452070
  • Zapletal B, Greif R, Stumpf D, Nierscher FJ, Frantal S, Haugk M, Ruetzler K, Schlimp C, Fischer H. Comparing three CPR feedback devices and standard BLS in a single rescuer scenario: a randomised simulation study. Resuscitation. 2014 Apr;85(4):560-6. doi: 10.1016/j.resuscitation.2013.10.028. Epub 2013 Nov 8.

    PubMed 24215730
  • Park S, Lee G. Full-immersion virtual reality: Adverse effects related to static balance. Neurosci Lett. 2020 Aug 10;733:134974. doi: 10.1016/j.neulet.2020.134974. Epub 2020 Apr 12.

    PubMed 32294492

Questions about this trial

What is this clinical trial studying?

A study testing extended-reality CPR training and conventional CPR training in people with Basic Cardiac Life Support and Virtual Reality, run by Seoul National University Hospital at 3 sites in 3 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 1 inclusion and 5 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 13 Oct 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 3 sites in United States, South Korea, United Kingdom. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

mean compression depth, mm (time frame: Test sessions on day 1 (during 5 minutes) after 1 hour training). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT04736888, which also lists 21 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 13 Oct 2026.

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