Jackson Morgan E, Ludi Erica K, Reitz Alexandra C W, Moraes Dos Santos Gustavo, Helenowski Irene B, Quiroga Lucy Lopez, Foianini J Esteban, Swaroop Mamta
Northwestern University Feinberg School of Medicine, Chicago, Illinois.
Department of General Surgery, Emory University, Atlanta, Georgia.
J Surg Res. 2022 May;273:1-8. doi: 10.1016/j.jss.2021.12.006. Epub 2022 Jan 6.
The aim of this study is to assess the efficacy of the TRUE-Bolivia (Trauma Responders Unifying to Empower Communities Bolivia) trauma first responder course at improving participant confidence in first responder abilities and increasing knowledge of trauma response skills.
Participants attended the 4-h TRUE-Bolivia course at the municipal department of urban transportation and universities and medical schools in Santa Cruz, Bolivia and completed a demographic survey and pre- and post-course knowledge assessments. All participants who attended the full course and completed both knowledge assessments were included in the study, with 453 people attending at least one portion of the course and 329 completing the full course and assessments.
A majority of participants were men, had completed high school or attended university, and worked or trained in the fields of transportation or medicine. Participant ratings of confidence on a 5-point Likert scale improved from a median of 3 (interquartile range [IQR] 2) before the course to 5 (IQR 1) after the course (P < 0.01). The median number of correct answers on the pre-course nine-question knowledge assessment was 3 (IQR 3), improving to 7 (IQR 3) on the post-course assessment (P < 0.01). All demographic groups demonstrated improvements in scores from the pre- to post-test. Female gender, higher education level, a background in medicine, and prior training in first aid were associated with higher pre- and post-test scores.
The TRUE-Bolivia course increased knowledge of first responder skills and improved confidence in these abilities in participants from a variety of backgrounds. Further study is needed to determine the long-term skill utilization by participants and the course's impact on local trauma morbidity and mortality.
本研究旨在评估“真实玻利维亚”（创伤急救人员团结起来赋能社区玻利维亚）创伤急救人员课程在提高参与者对急救能力的信心以及增加创伤应对技能知识方面的效果。
参与者在玻利维亚圣克鲁斯市的城市交通部门以及大学和医学院参加了为期4小时的“真实玻利维亚”课程，并完成了人口统计学调查以及课程前后的知识评估。所有参加完整课程并完成两项知识评估的参与者均纳入本研究，453人至少参加了课程的一部分，329人完成了完整课程及评估。
大多数参与者为男性，已完成高中学业或上过大学，且在交通或医学领域工作或接受培训。参与者在5分制李克特量表上的信心评分从课程前的中位数3（四分位间距[IQR]为2）提高到课程后的5（IQR为1）（P<0.01）。课程前九题知识评估中正确答案的中位数为3（IQR为3），课程后评估提高到7（IQR为3）（P<0.01）。所有人口统计学组在测试前到测试后的分数均有提高。女性、高等教育水平、医学背景以及先前的急救培训与测试前后的较高分数相关。
“真实玻利维亚”课程增加了参与者对急救技能的知识，并提高了他们对这些能力的信心，参与者来自各种背景。需要进一步研究以确定参与者对技能的长期使用情况以及该课程对当地创伤发病率和死亡率的影响。
