Corianna E Sichel, Elizabeth H Connors
Measurement feedback system implementation in public youth mental health treatment services: a mixed methods analysis
Implementation science communications
compare effectiveness peytons fourstep approach teaching resuscitation skills alternative approaches systematic review followed picost format population intervention comparison outcome study design timeframe using peytons fourstep approach standard included studies analyzing skills training related resuscitation first aid educational setting eligible randomized controlled trials rcts nonrandomized studies nonrandomized controlled trials interrupted time series controlled beforeandafter studies cohort studies published conference abstracts case series n 5 excluded unpublished results eg trial protocols commentaries editorials reviews medline embase psycinfo eric cinahl cochrane searched inception november 10 2020 updated november 25 2022 publications languages long english abstract titles abstracts papers retrieved screened eligible publications analysed full text final set papers data extracted spreadsheet subsequently risk bias assessment performed using rob2 robinsi certainty evidence using grade paper assessed screening studies data extraction riskofbias assessment assessment certainty evidence performed two independent researchers review conducted adherence prisma standards registered prospero crd42023377398 overall search identified 2574 studies 17 included final analysis 14 rcts 3 nonrcts studies involved total 2906 participants various populations lay persons health care professionals analysed nine different resuscitation skills taught ranging chest compressions needle cricotomy alternative teaching approaches ranged twosteps fivesteps various modifications single steps high methodological clinical heterogeneity precluded metaanalysis conducted risk bias assessment showed considerable variation studies ranging low serious across studies certainty evidence rated low due imprecision inconsistency overall 14 17 studies showed difference skill acquisition retention comparing peytons four steps stepwise approaches low certainty evidence suggest peytons fourstep approach effective resuscitation skills training compared alternative approaches none