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Completed

NCT Number: NCT07670637

Blended vs Conventional Training for ACLS

The investigators conducted a stratified randomized controlled trial with an embedded cost-effectiveness analysis at a tertiary hospital in China. Participants were randomized to either traditional instructor-led ACLS training (ILT ACLS) or blended-learning HeartCode ACLS training (HC ACLS). The primary outcome was the overall first-attempt ACLS certification pass rate. A cost-effectiveness analysis was conducted from the institutional perspective using certification pass rate as the effectiveness measure. Costs estimation included program delivery costs and productivity losses associated with participant training time.

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Key information

Age range

22 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Shanghai East Hospital Affiliated To Tongji University

Shanghai, Shanghai Municipality, 200120, China

Who can participate

Healthy volunteers accepted: Yes

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Second-year resident physicians and nurses
  • Working in the emergency, critical care, or anesthesiology departments
  • Valid Basic Life Support (BLS) certification
  • No prior Advanced Cardiovascular Life Support (ACLS) training
  • Physical ability to perform chest compressions, bag-mask ventilation, and defibrillation
  • Willing and able to provide written informed consent

Exclusion criteria

  • Individuals without a valid BLS certification

Treatment and study plan

HeartCode ACLS Blended Learning

Behavioral

A blended-learning ACLS course combining online HeartCode self-paced modules with instructor-facilitated hands-on practice sessions.

Instructor-Led ACLS Training

Behavioral

A traditional, entirely in-person ACLS course delivered by certified instructors, following standard American Heart Association (AHA) guidelines, without online pre-learning components.

Primary outcomes

  1. Overall First-Attempt ACLS Certification Pass Rate

    Time frame: Up to 2 days.

    The proportion of participants who pass the ACLS certification examination on their first attempt after completing the assigned training program.

Secondary outcomes

  1. First-Attempt Pass Rate for Individual Assessments

    Time frame: Up to 2 days.

    Proportion of participants who pass each of the three individual assessments (high-quality BLS, airway management, and Megacode) on the first attempt.

  2. CPR Quality - Compression Depth

    Time frame: Up to 2 days.

    Mean chest compression depth (mm) recorded during Megacode assessment, measured by high-fidelity manikin with QCPR technology.

  3. CPR Quality - Compression Rate

    Time frame: Up to 2 days.

    Mean chest compression rate (compressions per minute) recorded during Megacode assessment.

  4. CPR Quality - Chest Recoil

    Time frame: Up to 2 days.

    Proportion of compressions with adequate chest recoil (percentage) recorded during Megacode assessment.

  5. Training Cost per Participant

    Time frame: Through study completion, an average of 6 months.

    Mean total training cost per participant (in RMB), including program delivery costs (equipment, facilities, materials, personnel) and productivity losses.

  6. Participant Satisfaction

    Time frame: Up to 2 days.

    Learner satisfaction measured using the AHA ACLS Classroom Course Evaluation Form, completed immediately after course completion.

Sponsors and collaborators

Lead sponsor

Shanghai East Hospital of Tongji University

Other

Collaborators

  • Tongji University

Registry information

Official study title

Blended Learning Approach Versus Conventional Training in Advanced Cardiovascular Life Support Training: A Randomized Controlled Trial With Cost-Effectiveness Analysis

Important dates

Study start
2024
Primary completion
2024
Study completion
2024
First posted
Jun 26, 2026
Registry last updated
Jun 26, 2026

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.