AzTrials
AzTrials

Cardiac ArrestNCT07898891

Generative AI and Gamified Simulation-Based Train-the-Trainer Basic Life Support Training for High School Teachers in Vietnam

A study testing Generative AI and Gamified Simulation-Based Train-the-Trainer BLS Programme and Conventional Instructor-Led Simulation-Based BLS Training in people with Cardiac Arrest and Cardiopulmonary Resuscitation, run by Eastern International University at 2 sites in 2 countries.

Not yet recruiting

Opening soon. The study is approved but enrolment has not started yet. Sites may already take enquiries.

Sites and contacts
Official record
Search all trials

Trial summary

The goal of this randomized controlled trial is to learn whether adding generative artificial intelligence (AI) feedback, gamified practice and a structured Train-the-Trainer component to a one-day simulation-based Basic Life Support (BLS) course improves BLS competence among high school teachers and school health… Read more about this study

Who is it for?
Ages 20 years and olderHealthy volunteers can take part
Conditions the study is for
Cardiac Arrest, Cardiopulmonary Resuscitation
What is being tested?
Generative AI and Gamified Simulation-Based Train-the-Trainer BLS Programme and Conventional Instructor-Led Simulation-Based BLS Training
Could I receive a placebo?
No, everyone receives an active treatment
How many people
56 participants
Where
2 sitesin 2 countries
Study dates
1 Nov 2026to 30 Apr 2027
Phase
Interventional
Are there results?
Not yet: the study is under way

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

Who may be able to join

  • Aged 20 years or older
  • Employed full-time at a participating public high school in Ho Chi Minh City, Vietnam
  • Working as a physical education teacher, a teacher of another academic subject, or a school health staff member (school nurse or health officer)
  • Has not received formal CPR/AED instructor training or certification within the previous 12 months
  • Basic digital literacy, including the ability to use a computer and access online learning platforms
  • Able to read, write and communicate in Vietnamese
  • Willing and able to attend all intervention activities and assessment sessions
  • Provides written informed consent

Who cannot join

  • Formal CPR/AED instructor training or certification within the previous 12 months
  • A physical or medical condition that prevents safe participation in hands-on CPR practice (for example uncontrolled cardiovascular disease, recent surgery, or a current back, shoulder or wrist injury), self-declared with reference to the most recent periodic occupational health examination
  • Unable to attend the scheduled training sessions and follow-up assessments
  • Declines participation or does not provide informed consent

Trial locations and contacts

2 sites in 2 countries. Contact the study team or a site near you to ask about taking part.

2 sites in 2 countries

Thailand1 site
  • Faculty of Nursing, Burapha University

    Chon Buri, Changwat Chon Buri, 20131

Other trials in Thailand

Vietnam1 site
  • School of Health Sciences, Eastern International University

    Ho Chi Minh City

Other trials in Vietnam

About this study

Official title: Effectiveness of a Generative AI and Gamified-Enhanced Simulation-Based Train-the-Trainer Model to Improve Basic Life Support (BLS) Competence Among High School Teachers in Vietnam: A Randomized Controlled Trial

The goal of this randomized controlled trial is to learn whether adding generative artificial intelligence (AI) feedback, gamified practice and a structured Train-the-Trainer component to a one-day simulation-based Basic Life Support (BLS) course improves BLS competence among high school teachers and school health staff in Ho Chi Minh City, Vietnam.

The main questions it aims to answer are:

Read more
  • Does the enhanced programme improve BLS performance, BLS knowledge, attitudes toward BLS, self-efficacy in performing BLS and BLS teaching skills?
  • Do these outcomes differ between the enhanced programme and conventional instructor-led simulation training immediately after training and at three months?

Researchers will compare the Generative AI and gamified Train-the-Trainer programme (Group 1) with a conventional instructor-led simulation-based BLS course of the same length and the same 90 minutes of hands-on manikin practice (Group 2).

Participants will:

  • Complete a baseline BLS skills test and questionnaires at their own school before randomization
  • Attend one 8-hour training day at Eastern International University, ending with an immediate post-test
  • Complete a follow-up BLS skills test, questionnaires and a short micro-teaching lesson at their school three months later
Read the detailed description

Design: individually randomized, school-size-stratified, parallel-group randomized controlled trial with 1:1 allocation and three measurement points: baseline (T1, before randomization), immediately after the training day (T2) and three-month follow-up (T3, 12 +/- 2 weeks).

Setting and sample: eight public high schools in Ho Chi Minh City, Vietnam, are selected by stratified simple random sampling (two small, two medium and four large schools). All eligible full-time personnel (physical education teachers, teachers of other subjects and school health staff) are invited; seven participants are enrolled per school (n = 56; 28 per group). Sample size was calculated with G*Power 3.1.9.4 (repeated-measures ANOVA, within-between interaction; f = 0.25, alpha = .05, power = .95, 2 groups, 3 measurements, correlation .50), giving 44, inflated to 56 for 20% anticipated attrition.

Randomization and concealment: after T1, participants are randomized individually 1:1 within school-size stratum using a computer-generated sequence with permuted blocks of variable size (2, 4, 6), prepared by an independent statistician and concealed in sequentially numbered, opaque, sealed envelopes.

Blinding: participants and trainers cannot be blinded. Outcome assessors for the BLS Performance Checklist (scored live) and the BLS Teaching Skills Assessment (rated from video) are blinded to allocation, and the data analyst remains blinded to group labels until the primary analyses are complete.

Interventions: both groups receive a one-day programme (08:00-16:00) in six matched stages at the simulation facility of the School of Health Sciences, Eastern International University, delivered by instructors of equivalent qualification and covering the same five clinical modules (recognition of cardiac arrest, activation of emergency response/115 call, high-quality CPR, ventilation, AED use). Both groups receive exactly 90 minutes of hands-on manikin practice with real-time device feedback. Group 1 additionally receives AI-assisted narrative feedback on compression technique (OpenAI GPT-4o-mini via an institutional API; no personal identifiers are transmitted), gamified practice stations and a structured Train-the-Trainer micro-teaching component with structured peer and facilitator feedback. Group 2 receives conventional instructor-led practice and basic teaching exposure. Group 2 participants are offered the full Group 1 programme free of charge after T3.

Instruments: Tool 1 BLS Performance Checklist (15 items, 0-15) on the WorldPoint CPR Taylor manikin; Tool 2 BLS Questionnaire (demographics; 15-item knowledge test; 10-item attitudes scale; 10-item self-efficacy scale); Tool 3 BLS Teaching Skills Assessment (10 items, 0-20). Content validity is assessed by five experts (I-CVI/S-CVI); reliability is assessed with Cronbach's alpha and intraclass correlation coefficients.

Pilot: before the main trial, a separate pilot study with 20-30 eligible school personnel at one public high school outside the sampling frame (October 2026) evaluates feasibility and the psychometric properties of the instruments; pilot participants are not enrolled in this trial and pilot data are never pooled with trial data.

Ethics: approved by the Burapha University Institutional Review Board, Thailand (Panel 3, full board review), certificate no. IRB3-136/2569, protocol code G-HS077/2569, approved 30 September 2026. Approval from the Ethics Committee of Eastern International University, Vietnam, is obtained before any recruitment or data collection. Recruitment is led by investigators of the Faculty of Nursing, Burapha University, Thailand; data collection takes place in Ho Chi Minh City, Vietnam.

Being tested
Generative AI and Gamified Simulation-Based Train-the-Trainer BLS Programme, Conventional Instructor-Led Simulation-Based BLS Training
Keywords
Basic Life Support, CPR Training, Generative Artificial Intelligence, Gamification, Simulation Training, Train-the-Trainer, School Teachers, Vietnam
Medical subject headings
Heart Arrest

What participants receive

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

  • Generative AI and Gamified Simulation-Based Train-the-Trainer BLS ProgrammeBehavioural

    One-day simulation-based BLS course augmented with three elements: (1) generative-AI narrative feedback on compression technique, in which sensor metrics from an instrumented manikin are sent without personal identifiers to OpenAI GPT-4o-mini and returned as a short Vietnamese comment against AHA high-quality CPR targets, plus AI support for pre-learning, content questions, lesson planning and an individual practice summary; (2) a locally run gamified CPR module with timed skill-challenge stations, points, badges, adaptive difficulty and a team leaderboard; and (3) a structured Train-the-Trainer component with lesson planning, 5-minute micro-teaching and structured facilitator and peer feedback across five teaching domains.

  • Conventional Instructor-Led Simulation-Based BLS TrainingBehavioural

    One-day instructor-led simulation-based BLS course matched to the experimental programme stage for stage, covering the same five clinical modules with 90 minutes of hands-on practice on the WorldPoint CPR Taylor manikin with real-time device feedback. Content review uses printed materials, debriefing is an instructor-led group discussion, and teaching exposure is limited to observing and delivering a short demonstration. No generative AI, gamification or structured Train-the-Trainer methodology is used.

Study groups in NCT07898891
Study groupRoleWhat they receive
Group 1: Generative AI and Gamified Train-the-Trainer BLS ProgrammeExperimentalParticipants attend a one-day (08:00-16:00) simulation-based BLS programme at Eastern International University covering recognition of cardiac arrest, activation of the emergency response system (115), high-quality CPR, ventilation and AED use. Of the 90 minutes of hands-on practice, 45 minutes are on the WorldPoint CPR Taylor manikin with real-time feedback and 45 minutes on an instrumented manikin with generative-AI narrative feedback (GPT-4o-mini) and gamified challenge stations. The day includes AI-supported pre-learning, AI-assisted goal setting, video- and AI-assisted debriefing, structured Train-the-Trainer micro-teaching with facilitator and peer feedback, and an AI-assisted individual practice summary.
Receives: Behavioral: Generative AI and Gamified Simulation-Based Train-the-Trainer BLS Programme
Group 2: Conventional Instructor-Led Simulation-Based BLS TrainingActive comparatorParticipants attend a one-day (08:00-16:00) simulation-based BLS programme at Eastern International University with the same timetable, the same five clinical modules and the same 90 minutes of hands-on practice, all on the WorldPoint CPR Taylor manikin with real-time device feedback, delivered by instructors of equivalent qualification. Content review uses printed materials, debriefing is an instructor-led group discussion without video or AI, and teaching exposure consists of observing an instructor demonstration and delivering a short demonstration without the Train-the-Trainer methodology. No generative AI or gamification is used. After the three-month follow-up, participants are offered the full Group 1 programme free of charge.
Receives: Behavioral: Conventional Instructor-Led Simulation-Based BLS Training

What is being measured

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

  1. BLS Performance Score (BLS Performance Checklist)

    BLS performance measured with the researcher-developed 15-item BLS Performance Checklist (Tool 1) based on the 2020 AHA Guidelines, covering recognition of cardiac arrest, activation of the emergency response system, high-quality CPR and AED use, in one standardized scenario on a WorldPoint CPR Taylor manikin with feedback monitor in Blind Mode. Each item is scored 0 or 1; total score 0-15, higher scores indicate better performance. Scored live by trained assessors blinded to group allocation.

    Measured: Baseline (T1, 3-7 days before training, before randomization), immediately after the training day (T2, same day), and 3 months after training (T3, 12 +/- 2 weeks)

Secondary outcomes (4)
  1. BLS Knowledge Score

    BLS Knowledge Questionnaire (Tool 2, Part 2): 15 multiple-choice items based on the 2020 AHA Guidelines. Total score 0-15; higher scores indicate better knowledge.

    Measured: Baseline (T1, 3-7 days before training, before randomization), immediately after the training day (T2, same day), and 3 months after training (T3, 12 +/- 2 weeks)

  2. Attitudes Toward BLS Score

    Attitudes toward BLS Scale (Tool 2, Part 3): 10 Likert-type items on a five-point response format. Total score 10-50; higher scores indicate more positive attitudes toward BLS.

    Measured: Baseline (T1, 3-7 days before training, before randomization), immediately after the training day (T2, same day), and 3 months after training (T3, 12 +/- 2 weeks)

  3. Self-Efficacy in Performing BLS Score

    Self-Efficacy in Performing BLS Scale (Tool 2, Part 4): 10 items on a five-point response format, aligned with Bandura's Social Learning Theory. Total score 10-50; higher scores indicate greater self-efficacy.

    Measured: Baseline (T1, 3-7 days before training, before randomization), immediately after the training day (T2, same day), and 3 months after training (T3, 12 +/- 2 weeks)

  4. BLS Teaching Skills Score (BLS Teaching Skills Assessment)

    BLS Teaching Skills Assessment (Tool 3): 10-item rubric across five domains (content accuracy, demonstration skills, facilitation skills, learner engagement, feedback skills), each item scored 0-2; total score 0-20, higher scores indicate better teaching skills. Rated from video of a 5-7 minute micro-teaching session by an assessor blinded to group allocation.

    Measured: Immediately after the training day (T2, same day) and 3 months after training (T3, 12 +/- 2 weeks)

Timeline

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

  1. First posted27 Oct 2026
  2. Study start1 Nov 2026 (estimated)
  3. Primary completion30 Apr 2027 (estimated)
  4. Study completion30 Apr 2027 (estimated)

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
Model description
Individually randomized, school-size-stratified, two-arm parallel-group trial (1:1). Group 1 receives the Generative AI and gamified simulation-based Train-the-Trainer BLS programme; Group 2 receives conventional instructor-led simulation-based BLS training of identical length and hands-on practice time.
Masking
Single blind
Who is masked
Outcomes assessor
Enrolment
56 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07898891
Sponsor's protocol ID
G-HS077/2569(C2)
Status last verified
Oct 2026
First submitted
20 Oct 2026
Last updated
27 Oct 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No: Individual participant data will not be shared. Under the approved ethics protocol, identifiable data are accessible only to the principal investigator and the two thesis advisors, and all study records are destroyed one year after publication of the findings. Results will be reported only in aggregate.

Questions about this trial

What is this clinical trial studying?

A study testing Generative AI and Gamified Simulation-Based Train-the-Trainer BLS Programme and Conventional Instructor-Led Simulation-Based BLS Training in people with Cardiac Arrest and Cardiopulmonary Resuscitation, run by Eastern International University at 2 sites in 2 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 8 inclusion and 4 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: opening soon, as of the sponsor's last update on 27 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 2 sites in Thailand, Vietnam. 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. 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?

This study is still under way. Results are not available in the source record yet.

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

Contact Liem H Le (+84 397578007, 66810017@go.buu.ac.th), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

BLS Performance Score (BLS Performance Checklist) (time frame: Baseline (T1, 3-7 days before training, before randomization), immediately after the training day (T2, same day), and 3 months after training (T3, 12 +/- 2 weeks)). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
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 27 Oct 2026.

Free account

Keep searching with a free account

You’ve used your 3 free searches for this session. Log in or create a free AzTrials account to keep searching clinical trials and save the ones you want to follow.

Create a free accountLog in