Effects of a basic life support training program on knowledge, attitudes, and skills regarding CPR among village health volunteers in Phrom Khiri District, Nakhon Si Thammarat Province
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Abstract
Background: Sudden cardiac arrest is a leading cause of death worldwide. Basic Life Support (BLS) by bystanders significantly improves survival rates. Village Health Volunteers (VHVs) play a crucial role in providing emergency assistance, particularly in rural areas with limited access to emergency medical services. This study aims to evaluate the effectiveness of a BLS training program for VHVs in enhancing their knowledge, attitudes, and skills in life-saving interventions. The study was conducted in Phrom Khiri District, Nakhon Si Thammarat Province.
Methods: A quasi-experimental research design with two pre- and post-test groups was employed. The sample consisted of 114 VHVs, selected through simple random sampling and matched into two groups of 57 participants each. The experimental group received a BLS training program developed based on the Knowledge-Attitude-Practice (KAP) model, which included lectures, video demonstrations, hands-on practice with mannequins, simulated scenarios, and a mobile application for knowledge review. The control group received standard training. Data were collected from April to May 2025. Research instruments included a knowledge questionnaire, an attitude scale, and a BLS skills assessment. Data were analyzed using descriptive statistics, paired samples t-test, and independent samples t-test.
Results: The experimental group, which received the BLS training program, showed significantly higher scores in knowledge, attitudes, and skills compared to the control group (p-value < 0.05). The experimental group’s average knowledge score increased from 12.39 to 17.21, and their attitude score improved from 4.14 to 4.48, while the control group showed no statistically significant changes in either domain.
Conclusion: The BLS training program developed using the KAP model was effective in improving the knowledge, attitudes, and skills of VHVs in life-saving interventions. The program should be expanded to other areas, with the development of supplementary materials for continuous review and long-term evaluation.
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