Effects of SMART PLUS Program on Basic Life Support Competency among Village Health Volunteers in Uttaradit Province
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Abstract
This study aimed to: (1) examine the effects of SMART PLUS program on basic life support knowledge, skills, and confidence among village health volunteers in Uttaradit province; (2) compare the effectiveness between SMART PLUS program and traditional training methods; and (3) study factors affecting program effectiveness. A randomized controlled trial was conducted with 190 village health volunteers, equally divided into intervention and control groups. Research instruments demonstrated high content validity (CVI = 0.92), reliability of knowledge test (KR-20 = 0.85), confidence scale (Cronbach's alpha = 0.91), and inter-rater reliability of skill assessment (ICC = 0.88). Data were analyzed using repeated measures ANOVA and multivariate multiple regression. Results showed that the intervention group had significantly higher scores in knowledge, skills, and confidence compared to the control group both immediately post-intervention and at 6-month follow-up (p < .001). Factors influencing program effectiveness, in order of effect size, were frequency of application use (Partial η² = 0.316), education level (Partial η² = 0.258), village health volunteer experience (Partial η² = 0.188), and age (Partial η² = 0.144). This study demonstrates that the SMART PLUS program is effective in enhancing basic life support competency among village health volunteers and supports the continued use of technology in training.
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