The Effect of Self-efficacy Program on Basic Cardiopulmonary Resuscitation Skills among Fourth-grade Elementary School Students in Bangkok Metropolitan Area

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Kotchakorn Thamnamsin
Kanjana Punyapet
Supranee Noitung
Chainarong Naktes


            The purpose of this research was to compare the average score of knowledge, self-efficacy and basic cardiopulmonary resuscitation (CPR) skills of fourth-grade elementary school students in Bangkok Metropolitan area. A cluster-random sample of 66 students was divided into an experimental group (n = 32) and a control group (n = 34). The experimental group received three-week activities and intervention procedures, administered weekly. The program was created by the researcher which consisted of lectures, video clips, modeling, group discussions, basic CPR and Automated External Defibrillator (AED) skills training. The control group received health education and video clips. Data was collected in the pre-post and follow-up period using a knowledge questionnaire, self-efficacy questionnaire, basic cardiopulmonary resuscitation skills questionnaire. The content validity index (CVI) of the entire questionnaire was 0.80, with a reliability of 0.72, 0.71, and 0.72, respectively. Data were analyzed using repeated two-way ANOVA and independent t-test. After the intervention and evaluation phases were completed, the experimental group achieved a higher average score of knowledge, self-efficacy and basic CPR skills than the control group, with statistical significance (p < .001). Within the experimental group for each period, there was a statistical difference in knowledge score (F = 71.094, p < .001), self-efficacy (F = 44.260, p < .001), and basic CPR skills (F = 632.114, p < .001). This program provides students with the necessary knowledge, awareness and skills to perform CPR. The program should be continually implemented annually and be available to other student groups to disseminate knowledge and skills to advance policy change and establish curriculum teaching at elementary schools throughout the country.


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