Effectiveness of Feedback with Mobile Devices for Quality Measure of CPR Training: A Systematic Review

  • Imaniar Vitasari Faculty of Health and Sciences, Universitas Jenderal Soedirman
  • Sidik Awaludin Faculty of Health and Sciences, Universitas Jenderal Soedirman
  • Koernia Nanda Pratama Faculty of Health and Sciences, Universitas Jenderal Soedirman
Keywords: cardiopulmonary resuscitation, cpr training, mobile devices


Cardiopulmonary resuscitation (CPR) is a life-saving skill that can significantly increase survival rates in an emergency. Medical professionals, health students, and trained lay people must all perform high-quality CPR. As an outcome, effective CPR training using instruments that support the achievement of high-quality CPR is essential. Objective: This systematic review aimed to evaluate the effectiveness of feedback provided via mobile devices in measuring the quality of CPR training. Method: Design used systematic review with reference to the PRISMA Statement Guidelines 2020. Search results through database of ScienceDirect (778 articles), Wiley Online Library (765 articles), PubMed (55 articles), and ResearchGate (73 articles). The research designs of articles analyzed was randomized controlled trial which published from 2013 to 2023 with the keywords cardiopulmonary resuscitation, CPR training, mobile devices. The sample in this study was taken from five articles that match the inclusion criteria. JBI's critical assessment tool for assessing bias risk in randomly controlled 2023 checklist tests is used to critically evaluate the instruments used for the selected article.  Results: The primary results that five publications were based on CPR quality metrics such as chest compression depth and speed, as well as the proportion of acceptable chest compression depth. Conclusions: This review discovered evidence that mobile devices have an effect on the effectiveness of real-time feedback on CPR quality in CPR training. CPR trainees received effective instant guidance from a variety of mobile devices, including smartphones and smart watches equipped with sensors.


Abella BS. (2016). High-quality cardiopulmonary resuscitation: current and future directions. Curr Opin Crit Care 2016;22:218–24., 22.

Ahn, C., Lee, J., Oh, J., Song, Y., Chee, Y., Lim, T. H., Kang, H., & Shin, H. (2017). Effectiveness of feedback with a smartwatch for high-quality chest compressions during adult cardiac arrest: A randomized controlled simulation study. PloS One, 12(4), e0169046. https://doi.org/10.1371/journal.pone.0169046

Berg, R. A., Hemphill, R., Abella, B. S., Aufderheide, T. P., Cave, D. M., Hazinski, M. F., Lerner, E. B., Rea, T. D., Sayre, M. R., & Swor, R. A. (2010). Part 5: Adult basic life support: 2010 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. In Circulation (Vol. 122, Issue SUPPL. 3). https://doi.org/10.1161/CIRCULATIONAHA.110.970939

Buléon, C., Parienti, J. J., Halbout, L., Arrot, X., De Facq Régent, H., Chelarescu, D., Fellahi, J. L., Gérard, J. L., & Hanouz, J. L. (2013). Improvement in chest compression quality using a feedback device (CPRmeter): A simulation randomized crossover study. American Journal of Emergency Medicine, 31(10), 1457–1461. https://doi.org/10.1016/j.ajem.2013.07.029

Cheng, A., Brown, L. L., Duff, J. P., Davidson, J., Overly, F., Tofil, N. M., Peterson, D. T., White, M. L., Bhanji, F., Bank, I., Gottesman, R., Adler, M., Zhong, J., Grant, V., Grant, D. J., Sudikoff, S. N., Marohn, K., Charnovich, A., Hunt, E. A., … Chime, N. (2015). Improving cardiopulmonary resuscitation with a CPR feedback device and refresher simulations (CPR cares study) a randomized clinical trial. JAMA Pediatrics, 169(2), 137–144. https://doi.org/10.1001/jamapediatrics.2014.2616

Eaton, G., Renshaw, J., Gregory, P., & Kilner, T. (2018). Can the British Heart Foundation PocketCPR application improve the performance of chest compressions during bystander resuscitation: A randomised crossover manikin study. Health Informatics Journal, 24(1), 14–23. https://doi.org/10.1177/1460458216652645

Kirkbright, S., Finn, J., Tohira, H., Bremner, A., Jacobs, I., & Celenza, A. (2014). Audiovisual feedback device use by health care professionals during CPR: A systematic review and meta-analysis of randomised and non-randomised trials. In Resuscitation (Vol. 85, Issue 4, pp. 460–471). Elsevier Ireland Ltd. https://doi.org/10.1016/j.resuscitation.2013.12.012

Laporan hasil Riset Kesehatan Dasar (Riskesdas) Tahun 2018. (2018). Rikesdas. Jakarta: Badan Penelitian Dan Pengembangan Kesehatan Kementerian Kesehatan RI. (https://sehatnegeriku.kemkes.go.id/baca/rilis-media/20220929/0541166/penyakit-jantung-penyebab-utama-kematian-kemenkes-perkuat-layanan-primer/)

Lee, J., Song, Y., Oh, J., Chee, Y., Ahn, C., Shin, H., Kang, H., & Lim, T. H. (2019). Smartwatch feedback device for high-quality chest compressions by a single rescuer during infant cardiac arrest: a randomized, controlled simulation study. European Journal of Emergency Medicine : Official Journal of the European Society for Emergency Medicine, 26(4), 266–271. https://doi.org/10.1097/MEJ.0000000000000537

Lu, T.-C., Chang, Y.-T., Ho, T.-W., Chen, Y., Lee, Y.-T., Wang, Y.-S., Chen, Y.-P., Tsai, C.-L., Ma, M. H.-M., Fang, C.-C., Lai, F., Meischke, H. W., & Turner, A. M. (2019). Using a smartwatch with real-time feedback improves the delivery of high-quality cardiopulmonary resuscitation by healthcare professionals. Resuscitation, 140, 16–22. https://doi.org/10.1016/j.resuscitation.2019.04.050

Monsieurs, K. R. G., Nolan, J. P., Bossaert, L. L., Greif, R., Maconochie, I. K., Nikolaou, N. I., Perkins, G. D., Soar, J., Truhlář, A., Wyllie, J., Zideman, D. A., Abbas Khalifa, G. E., Alfonzo, A., Arntz, H. R., Askitopoulou, H., Bellou, A., Beygui, F., Biarent, D., Bingham, R., … Xanthos, T. T. (2015). European Resuscitation Council Guidelines for Resuscitation 2015. Section 1. Executive summary. Resuscitation, 95, 1–80. https://doi.org/10.1016/j.resuscitation.2015.07.038

Sakai, T., Kitamura, T., Nishiyama, C., Murakami, Y., Ando, M., Kawamura, T., Tasaki, O., Kuwagata, Y., Shimazu, T., & Iwami, T. (2015a). Cardiopulmonary resuscitation support application on a smartphone - randomized controlled trial. Circulation Journal : Official Journal of the Japanese Circulation Society, 79(5), 1052–1057. https://doi.org/10.1253/circj.CJ-14-1258

Sakai, T., Kitamura, T., Nishiyama, C., Murakami, Y., Ando, M., Kawamura, T., Tasaki, O., Kuwagata, Y., Shimazu, T., & Iwami, T. (2015b). Cardiopulmonary Resuscitation Support Application on a Smartphone – Randomized Controlled Trial –. Circulation Journal, 79(5), 1052–1057. https://doi.org/10.1253/circj.CJ-14-1258

Song, Y., Chee, Y., Oh, J., Ahn, C., & Lim, T. H. (2016). Smartwatches as chest compression feedback devices: A feasibility study. Resuscitation, 103, 20–23. https://doi.org/10.1016/j.resuscitation.2016.03.014

Song, Y., Oh, J., & Chee, Y. (2015). A new chest compression depth feedback algorithm for high-quality CPR based on smartphone. Telemedicine and E-Health, 21(1), 36–41. https://doi.org/10.1089/tmj.2014.0051

Tsao, C. W., Aday, A. W., Almarzooq, Z. I., Alonso, A., Beaton, A. Z., Bittencourt, M. S., Boehme, A. K., Buxton, A. E., Carson, A. P., Commodore-Mensah, Y., Elkind, M. S. V., Evenson, K. R., Eze-Nliam, C., Ferguson, J. F., Generoso, G., Ho, J. E., Kalani, R., Khan, S. S., Kissela, B. M., … Martin, S. S. (2022). Heart Disease and Stroke Statistics-2022 Update: A Report from the American Heart Association. In Circulation (Vol. 145, Issue 8, pp. E153–E639). Lippincott Williams and Wilkins. https://doi.org/10.1161/CIR.0000000000001052

Ventola, C. L. (2014). Mobile Devices and Apps for Health Care Professionals: Uses and Benefits. Pharmacy and Therapeutics, 39(5), 356–364.

Yeung, J., Meeks, R., Edelson, D., Gao, F., Soar, J., & Perkins, G. D. (2009). The use of CPR feedback/prompt devices during training and CPR performance: A systematic review. In Resuscitation (Vol. 80, Issue 7, pp. 743–751). https://doi.org/10.1016/j.resuscitation.2009.04.012

How to Cite
Vitasari, I., Awaludin, S., & Pratama, K. (2024). Effectiveness of Feedback with Mobile Devices for Quality Measure of CPR Training: A Systematic Review. Indonesian Journal of Global Health Research, 6(1), 117-126. https://doi.org/10.37287/ijghr.v6i1.2647