{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T10:16:55Z","timestamp":1785406615414,"version":"3.56.0"},"reference-count":25,"publisher":"Cambridge University Press (CUP)","issue":"1","license":[{"start":{"date-parts":[[2026,7,20]],"date-time":"2026-07-20T00:00:00Z","timestamp":1784505600000},"content-version":"unspecified","delay-in-days":200,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["cambridge.org"],"crossmark-restriction":true},"short-container-title":["Prehosp. Disaster med."],"published-print":{"date-parts":[[2026]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec id=\"S1049023X26108991_as1\">\n                    <jats:title>Introduction:<\/jats:title>\n                    <jats:p>Survival after out-of-hospital cardiac arrest (OHCA) depends on the immediate provision of high-quality bystander cardiopulmonary resuscitation (CPR) during the prehospital phase. In many community settings, repeated training opportunities are not guaranteed, making early attainment of guideline-consistent CPR skills during a single training exposure particularly important.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1049023X26108991_as2\">\n                    <jats:title>Study Objective:<\/jats:title>\n                    <jats:p>This study evaluated whether a scalable, feedback-enabled CPR training model was associated with earlier attainment of guideline-recommended chest compression metrics compared with conventional instruction.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1049023X26108991_as3\">\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>A quasi-experimental study was conducted among medical students who received CPR instruction during two consecutive teaching periods (2014-2015, conventional instruction [CONV]; 2016-2017, simplified feedback-enabled kit [SIM]). Overall CPR performance was assessed at three pre-defined time points: pre-Basic Life Support (BLS), immediate post-BLS, and delayed follow-up (two-to-twelve months post-BLS). The primary outcome was attainment of the target compression rate (100-120 compressions\/minute). Mixed-effects regression models were used to account for repeated measurements and to evaluate group \u00d7 assessment interactions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1049023X26108991_as4\">\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>A total of 334 students were included: 171 in the CONV group and 163 in the SIM group. At the pre-BLS assessment, students in the SIM group demonstrated higher odds of achieving the target compression rate (odds ratio [OR], 3.49; 95% confidence interval [CI], 2.13\u20135.71), target compression depth (OR, 2.65; 95% CI, 1.24\u20135.64), and complete chest recoil (OR, 1.71; 95% CI, 1.05\u20132.78). Mixed-effects modeling demonstrated that the between-group difference in target compression rate changed over time, with convergence observed at delayed follow-up.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1049023X26108991_as5\">\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>A scalable, feedback-enabled CPR training model was associated with earlier attainment of guideline-consistent chest compression performance. These findings may support further evaluation of scalable feedback-enabled approaches in community-based or resource-limited training environments where repeated CPR instruction may not be feasible.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1017\/s1049023x26108991","type":"journal-article","created":{"date-parts":[[2026,7,20]],"date-time":"2026-07-20T09:49:15Z","timestamp":1784540955000},"update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":0,"title":["A Scalable Feedback-Enabled Cardiopulmonary Resuscitation Training Model and Early Attainment of Guideline-Consistent Compression Skills: A Quasi-Experimental Study"],"prefix":"10.1017","volume":"41","author":[{"given":"Sho","family":"Nachi","sequence":"first","affiliation":[{"name":"Gifu University Graduate School of Medicine"},{"name":"Chuno Kosei Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9924-7991","authenticated-orcid":false,"given":"Keiko","family":"Suzuki","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/024exxj48","id-type":"ROR","asserted-by":"publisher"}],"name":"Gifu Pharmaceutical University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kenji","family":"Hayashi","sequence":"additional","affiliation":[{"name":"Gifu University Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Akio","family":"Suzuki","sequence":"additional","affiliation":[{"name":"Gifu University Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nobuyuki","family":"Tetsuka","sequence":"additional","affiliation":[{"name":"Gifu University Graduate School of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Senji","family":"Kasahara","sequence":"additional","affiliation":[{"name":"Gifu Municipal Hospital"},{"name":"Gifu Pharmaceutical University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tomoaki","family":"Yoshimura","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/024exxj48","id-type":"ROR","asserted-by":"publisher"}],"name":"Gifu Pharmaceutical University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hideshi","family":"Okada","sequence":"additional","affiliation":[{"name":"Gifu University Graduate School of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2026,7,20]]},"reference":[{"key":"S1049023X26108991_ref6","doi-asserted-by":"publisher","DOI":"10.1001\/jama.1990.03440080084029"},{"key":"S1049023X26108991_ref21","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2022.12964"},{"key":"S1049023X26108991_ref24","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.94.3.361"},{"key":"S1049023X26108991_ref8","doi-asserted-by":"publisher","DOI":"10.1161\/hc4501.098926"},{"key":"S1049023X26108991_ref23","doi-asserted-by":"publisher","DOI":"10.1016\/j.resuscitation.2018.10.033"},{"key":"S1049023X26108991_ref11","doi-asserted-by":"publisher","DOI":"10.1161\/CIR.0000000000000583"},{"key":"S1049023X26108991_ref15","doi-asserted-by":"publisher","DOI":"10.1001\/jama.293.3.305"},{"key":"S1049023X26108991_ref20","doi-asserted-by":"publisher","DOI":"10.1016\/j.resuscitation.2009.04.012"},{"key":"S1049023X26108991_ref12","doi-asserted-by":"publisher","DOI":"10.1161\/CIR.0000000000000259"},{"key":"S1049023X26108991_ref19","doi-asserted-by":"publisher","DOI":"10.1161\/CIR.0b013e31829d8654"},{"key":"S1049023X26108991_ref13","doi-asserted-by":"publisher","DOI":"10.1016\/j.resuscitation.2021.02.009"},{"key":"S1049023X26108991_ref14","doi-asserted-by":"publisher","DOI":"10.1001\/jama.293.3.299"},{"key":"S1049023X26108991_ref4","doi-asserted-by":"publisher","DOI":"10.1161\/CIR.0000000000001359"},{"key":"S1049023X26108991_ref17","doi-asserted-by":"publisher","DOI":"10.1016\/j.resuscitation.2015.02.015"},{"key":"S1049023X26108991_ref9","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.114.008671"},{"key":"S1049023X26108991_ref10","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.109.852202"},{"key":"S1049023X26108991_ref3","doi-asserted-by":"publisher","DOI":"10.1016\/j.resuscitation.2010.08.006"},{"key":"S1049023X26108991_ref2","doi-asserted-by":"publisher","DOI":"10.1161\/CIR.0000000000000918"},{"key":"S1049023X26108991_ref22","doi-asserted-by":"publisher","DOI":"10.1161\/JAHA.120.017367"},{"key":"S1049023X26108991_ref5","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa1405796"},{"key":"S1049023X26108991_ref16","doi-asserted-by":"publisher","DOI":"10.1016\/j.resuscitation.2012.02.027"},{"key":"S1049023X26108991_ref1","doi-asserted-by":"publisher","DOI":"10.1016\/j.resuscitation.2025.110733"},{"key":"S1049023X26108991_ref18","doi-asserted-by":"publisher","DOI":"10.1161\/01.CIR.0000153811.84257.59"},{"key":"S1049023X26108991_ref7","doi-asserted-by":"publisher","DOI":"10.1161\/hc0502.102963"},{"key":"S1049023X26108991_ref25","doi-asserted-by":"publisher","DOI":"10.1016\/j.resuscitation.2019.12.042"}],"container-title":["Prehospital 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Author(s), 2026. Published by Cambridge University Press on behalf of World Association for Disaster and Emergency Medicine","name":"copyright","label":"Copyright","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (https:\/\/creativecommons.org\/licenses\/by\/4.0\/), which permits unrestricted re-use, distribution and reproduction, provided the original article is properly cited.","name":"license","label":"License","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This content has been made available to all.","name":"free","label":"Free to read"}],"article-number":"e16"}}