The mailed brochure is a common health education format that was conceptualized as the control condition for the study. Correctly recalled and applied CPR steps are essential in lifesaving. Studies have shown that the quantity and spacing of refreshers

is related to the degree of subsequent skill this website retention [40,41]. Thus the present study also tested whether repeating the CPR refresher episodes was useful for proper sequencing of skills in administering CPR. The primary study hypothesis is that the three novel, technologically “active” CPR refreshers, Inhibitors,research,lifescience,medical will yield outcomes superior to those of the relatively passive, traditional mailed brochure refresher. (We do not hypothesize the relative efficacy of the three novel refreshers; this aspect of

the analysis is exploratory.) The secondary study hypothesis is that subjects receiving two refresher episodes will have outcomes superior to subjects receiving only a single refresher Inhibitors,research,lifescience,medical episode. Methods Interventions Using clear, concise visual depictions, Each of the four refreshers described below reviewed the five principal CPR skills: (1) checking for responsiveness, (2) calling 911, (3) ventilation, Inhibitors,research,lifescience,medical (4) compression, and (5) hand placement. Each refresher included separate visual and narrative (written and/or audio) depictions of procedures for conducting CPR. To avoid information overload for the subjects, we limited the content of the refreshers and subsequent re-tests to adult CPR procedures. Online website Subjects received an e-mail with a link to the CPR refresher website, which consisted of 10 modules. Users were presented with refresher information and Inhibitors,research,lifescience,medical scenarios based on their unique learning profile driven by the above theoretical constructs. The application of these skills to a situation of bystander assistance was followed by a review of the five basic skills. Additional guided experiences were presented, allowing

the subject to apply their Inhibitors,research,lifescience,medical knowledge, skills, readiness, efficacy, and intent to various scenarios. The approach used within this intervention differs significantly from that which would be found in a traditional educational course approach. It was not the intent of the website to Thiamine-diphosphate kinase replicate or serve as an educational course, as online CPR courses currently exist. Rather, the basis of the website is dynamic in the sense that users are directed toward refresher information that is keyed to their stated degree of confidence in being able to perform actions associated with the five CPR skills. The website focused on review of skills based on where the user was in relation to their confidence to engage in CPR administration. Prior to this, no web-based approach had been developed that provides refresher intervention which is stage-based and designed to enhance intent to engage in CPR administration behaviors. E-mail A series of 12 e-mail messages was sent to subjects over the span of one month.