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Original Research

Open Access

Knowledge retention when using e-learning to supplement face-to face training of first responders

  • Igor Karnjuš1
  • Dominik Simčič2
  • Boštjan Žvanut1,*,

1Faculty of Health Sciences, University of Primorska, 6310 Izola, Slovenia

2Health Center Ilirska Bistrica, 6250 Ilirska Bistrica, Slovenia

DOI: 10.22514/sv.2023.057 Vol.19,Issue 4,July 2023 pp.144-150

Submitted: 07 September 2022 Accepted: 28 October 2022

Published: 08 July 2023

*Corresponding Author(s): Boštjan Žvanut E-mail:


Training of first responders in cardiopulmonary resuscitation and the use of the automated external defibrillator should be designed to maximise retention of acquired knowledge. The objective of this study was to investigate whether the use of e-learning as a supplement to face-to-face training can lead to better knowledge retention among training participants than face-to-face training alone. A quasi-experiment was conducted between May 2017 and February 2018. Both the intervention and control groups participated in two days of training (totalling ten hours). The intervention group also participated in an additional 15-minute e-learning course. The knowledge of all participants was assessed immediately after the training and six months after the training with a paper-based test. The use of an e-learning course to supplement face-to-face instruction resulted in a significant positive improvement in knowledge retention. After a period of six months, a statistically significant decrease in test scores was observed in the control group (p = 0.005), in contrast to the intervention group (p = 0.114). The use of e-learning as a supplement to face-to-face training could be a valid approach to improve knowledge retention among course participants.


E-learning; supplementation; First responder; Knowledge retention; Cardiopulmonary resuscitation; Automated external defibrillator

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Igor Karnjuš,Dominik Simčič,Boštjan Žvanut. Knowledge retention when using e-learning to supplement face-to face training of first responders. Signa Vitae. 2023. 19(4);144-150.


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