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Table 2 Study findings of the studies investigating the effectiveness of first aid education for burns, bleeding and skin wounds. 2A. Burns, 2B. Bleeding, 2C. Skin wounds

From: An educational pathway and teaching materials for first aid training of children in sub-Saharan Africa based on the best available evidence

Outcome

Comparison

Effect Size

#studies, # participants, age

Reference

A. Burns

 Knowledge: Burns FA

FA training vs no intervention

Statistically significant:

1.5±1.0 vs 1.3±1.0

MD: 0.2, 95% CI [0.08;0.32]

(p < 0.001)a

in favour of first aid training

1, 542 vs 554, 10-11 years

Frederick, 2000 [26]

 Knowledge: what to do when clothes catch fire

Pre vs 11 month follow-up

Statistically significant:

1873 (85%) vs 179 (57%)

OR: 0·41 b,d

(p < 0.01)

in favour of first aid training

1, 2197 vs 312, 10-15 years

Heard, 2013 [27]

 Knowledge: Burns FA

Pre vs 11 month follow-up

Statistically significant:

1820 (83%) vs 258 (83%)

OR: 1.83 b,d

(p = 0.03)

in favour of first aid training

1, 2197 vs 312, 10-15 years

Heard, 2013 [27]

 Knowledge: Burns FA (score >60%)

Pre vs post

Statistically significant:

5 (5%) vs 99 (99%) e

RR: 19.80a b

(p < 0.001)

in favour of first aid training

1, 100, 11-15 years

Wafik, 2014 [30]

 Knowledge: Burns FA (score >60%)

Pre vs 2 month follow-up

Statistically significant:

5 (5%) vs 100 (100%) e

RR: 20.00a b

(p < 0.001)

in favour of first aid training

1, 100, 11-15 years

Wafik, 2014 [30]

 Skills: Burns practice (score >60%)

Pre vs post

Statistically significant:

0 (0%) vs 94 (94%) e

RR: 189.00a b

(p < 0.001)

in favour of first aid training

1, 100, 11-15 years

Wafik, 2014 [30]

 Skills: Burns practice (score >60%)

Pre vs 2 month follow-up

Statistically significant:

0 (0%) vs 74 (74%) e

RR: 149.00a b

(p < 0.001)

in favour of first aid training

1, 100, 11-15 years

Wafik, 2014 [30]

 Skills: Order of FA response

FA training vs sham intervention

Scenario (severe burn injury)

Not statistically significant:

5 (3%) vs 1 (0·5%) e

RR: 7.52, 95% CI [0.89;63.69]a c

(p = 0.06)

1, 147 vs 221, 11-16 years

Campbell, 2001 [25]

 Skills: Correct procedures listed

FA training vs sham intervention

Scenario (severe burn injury)

Not statistically significant:

104 (73%) vs 149 (69%) e

RR: 1.05, 95% CI [0.91;1.21]a c

(p = 0.49)

1, 147 vs 221, 11-16 years

Campbell, 2001 [25]

B. Bleeding

 Knowledge: cuts and bleeding FA

Pre vs 1 week post

Statistically significant:

74 (69%) vs 94 (90%) e

RR: 1.33a b

(p < 0.001- overall p)

in favour of first aid training

1, 107 vs 102, 11-12 years

Wilks, 2015 [29]

 Knowledge: cuts and bleeding FA

Pre vs 8 week follow-up

Statistically significant:

74 (69%) vs 93 (82%) e

RR: 1.28a b

(p < 0.001- overall p)

in favour of first aid training

1, 107 vs 105, 11-12 years

Wilks, 2015 [29]

 Knowledge: Haemorrhage FA (score >60%)

Pre vs post

Statistically significant:

34 (34%) vs 97 (97%) e

RR: 2.85a b

(p < 0.001)

in favour of first aid training

1, 100, 11-15 years

Wafik, 2014 [30]

 Knowledge: Haemorrhage FA (score >60%)

Pre vs 2 month follow-up

Statistically significant:

34 (34%) vs 92 (92%) e

RR: 2.71a b

(p < 0.001)

in favour of first aid training

1, 100, 11-15 years

Wafik, 2014 [30]

 Skills: Order of FA response

FA training vs sham intervention

Scenario (severe glass wound)

Statistically significant:

21 (14%) vs 10 (5%) e

RR: 3.16, 95% CI [1.53;6.51]a

(p < 0.001)

in favour of first aid training

1, 147 vs 221, 11-15 years

Campbell, 2001 [25]

 Skills: Correct procedures listed

FA training vs sham intervention

Scenario (severe glass wound)

Not statistically significant:

75 (52%) vs 125 (57%) e

RR: 0.90, 95% CI [0.74;1.10]a c

(p = 0.41)

1, 147 vs 221, 11-15 years

Campbell, 2001 [25]

C. Skin wounds

 Knowledge: cuts and bleeding FA

Pre vs 1 week post

Statistically significant:

74 (69%) vs 94 (90%) e

RR: 1·33a b

(p < 0.001- overall p)

in favour of first aid training

1, 107 vs 102, 11-12 years

Wilks, 2016 [29]

 Knowledge: cuts and bleeding FA

Pre vs 8 week follow-up

Statistically significant:

74 (69%) vs 93 (82%) e

RR: 1.28a b

(p < 0.001- overall p)

in favour of first aid training

1, 107 vs 105, 11-12 years

Wilks, 2016 [29]

 Knowledge: Wounds FA (score >60%)

Pre vs post

Statistically significant:

47 (47%) vs 96 (96%) e

RR: 2.04a b

(p < 0.001)

in favour of first aid training

1, 100, 11-15 years

Wafik, 2014 [30]

 Knowledge: Wounds FA (score >60%)

Pre vs 2 month follow-up

Statistically significant:

47 (47%) vs 90 (90%) e

RR: 1.91a b

(p < 0.001)

in favour of first aid training

1, 100, 11-15 years

Wafik, 2014 [30]

 Skills: Order of FA response

FA training vs sham intervention

Scenario (severe glass wound)

Statistically significant:

21 (14%) vs 10 (5%) e

RR: 3.16, 95% CI [1.53;6.51]a

(p < 0.001)

in favour of first aid training

1, 147 vs 221, 11-16 years

Campbell, 2001 [25]

 Skills: Correct procedures listed

FA training vs sham intervention

Scenario (severe glass wound)

Not statistically significant:

75 (52%) vs 125 (57%) e

RR: 0.90, 95% CI [0.74;1.10]a c

(p = 0.41)

1, 147 vs 221, 11-16 years

Campbell, 2001 [25]

  1. Mean ± SD (unless otherwise indicated), MD mean difference, RR risk ratio, OR odds ratio, RD risk difference
  2. aCalculations done by the reviewer using Revman, R software, or Excel
  3. bNo raw data available and CI cannot be calculated
  4. cImprecision (large variability of results)
  5. dImprecision (lack of data)
  6. eImprecision (limited sample size or low number of events)