Effectiveness of e-learning platforms for cardiopulmonary resuscitation training by age group: a cluster randomised controlled trial

The coronavirus disease 2019 pandemic prompted a shift from face-to-face cardiopulmonary resuscitation (CPR) training to e-learning platforms. This study assessed the efficacy of fixed e-learning (FeL) and adaptive e-learning (AeL) courses across all age groups. Self-efficacy, knowledge, and willingness to perform CPR were evaluated before and after e-learning. Participants were categorised into three age groups: <30, 30-49, and ≥50 years old. Differences in course effectiveness were compared. Overall, 380 learners participated, with 203 and 177 in the FeL and AeL groups, respectively. Learners had similar median self-efficacy scores before training, which increased after training as did the median knowledge score. Among learners aged 50 years, the mean improvement in all assessments was higher with the FeL method than with the AeL method, with significant improvements in self-efficacy and willingness to perform CPR. CPR e-learning increased self-efficacy and willingness to perform CPR in all age groups and was more effective for older learners. As e-learning continues to play an important role in education, balancing innovation and inclusivity will ensure effective CPR training for individuals of all ages.