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<article article-type="research-article" dtd-version="1.3" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xml:lang="ru"><front><journal-meta><journal-id journal-id-type="publisher-id">russjcardiol</journal-id><journal-title-group><journal-title xml:lang="ru">Российский кардиологический журнал</journal-title><trans-title-group xml:lang="en"><trans-title>Russian Journal of Cardiology</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">1560-4071</issn><issn pub-type="epub">2618-7620</issn><publisher><publisher-name>«SILICEA-POLIGRAF» LLC</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.15829/1560-4071-2024-5601</article-id><article-id custom-type="edn" pub-id-type="custom">VUFABE</article-id><article-id custom-type="elpub" pub-id-type="custom">russjcardiol-5601</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="ru"><subject>МЕТОДЫ ОБУЧЕНИЯ ПАЦИЕНТОВ</subject></subj-group></article-categories><title-group><article-title>Доступность обучения основам оказания первой помощи при остановке сердца для людей с ограниченными возможностями здоровья</article-title><trans-title-group xml:lang="en"><trans-title>Availability of basic first aid training for cardiac arrest for people with disabilities</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-2789-9760</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Биркун</surname><given-names>А. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Birkun</surname><given-names>A. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Биркун Алексей Алексеевич — д. м. н., доцент; доцент кафедры общей хирургии, анестезиологии-реаниматологии и скорой медицинской помощи</p><p>Симферополь</p></bio><bio xml:lang="en"><p>Aleksei A. Birkun</p><p>Simferopol</p></bio><email xlink:type="simple">birkunalexei@gmail.com</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-3263-9373</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Косова</surname><given-names>Е. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Kosova</surname><given-names>Ye. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Косова Екатерина Алексеевна — к.пед.н., доцент; зав. кафедрой прикладной математики</p><p>Симферополь</p></bio><bio xml:lang="en"><p>Yekaterina A. Kosova</p><p>Simferopol</p></bio><email xlink:type="simple">lynx99@inbox.ru</email><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-3535-7336</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Редкокош</surname><given-names>К. И.</given-names></name><name name-style="western" xml:lang="en"><surname>Redkokosh</surname><given-names>K. I.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Редкокош Кирилл Игоревич — магистрант направления подготовки 01.04.02 "Прикладная математика и информатика", направленность "Математическое моделирование, программирование и искусственный интеллект"</p><p>Санкт-Петербург</p></bio><bio xml:lang="en"><p>Kirill I. Redkokosh</p><p>St. Petersburg</p></bio><email xlink:type="simple">kirillf13@yandex.ru</email><xref ref-type="aff" rid="aff-3"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-8696-3849</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Гапон</surname><given-names>А. С.</given-names></name><name name-style="western" xml:lang="en"><surname>Gapon</surname><given-names>A. S.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Гапон Александра Сергеевна — магистрант направления подготовки 01.04.02 "Прикладная математика и информатика", направленность "Разработка программного обеспечения"</p><p>Санкт-Петербург</p></bio><bio xml:lang="en"><p>Aleksandra S. Gapon</p><p>St. Petersburg</p></bio><email xlink:type="simple">gapon-sasha@mail.ru</email><xref ref-type="aff" rid="aff-4"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>Ордена Трудового Красного Знамени Медицинский институт им. С. И. Георгиевского, ФГАОУ ВО Крымский федеральный университет им. В. И. Вернадского;&#13;
ГБУЗ Республики Крым Крымский республиканский центр медицины катастроф и скорой медицинской помощи</institution><country>Россия</country></aff><aff xml:lang="en"><institution>S. I. Georgievsky Medical Institute, V. I. Vernadsky Crimean Federal University;&#13;
Crimean Republican Center for Disaster Medicine and Emergency Medical Care</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-2"><aff xml:lang="ru"><institution>Физико-технический институт, ФГАОУ ВО Крымский федеральный университет им. В. И. Вернадского</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Physical and Technical Institute, V. I. Vernadsky Crimean Federal University</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-3"><aff xml:lang="ru"><institution>Санкт-Петербургский государственный университет</institution><country>Россия</country></aff><aff xml:lang="en"><institution>St. Petersburg State University</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-4"><aff xml:lang="ru"><institution>Национальный исследовательский университет ИТМО</institution><country>Россия</country></aff><aff xml:lang="en"><institution>ITMO University</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2024</year></pub-date><pub-date pub-type="epub"><day>15</day><month>12</month><year>2023</year></pub-date><volume>29</volume><issue>1S</issue><issue-title>Образование</issue-title><fpage>5601</fpage><lpage>5601</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Биркун А.А., Косова Е.А., Редкокош К.И., Гапон А.С., 2024</copyright-statement><copyright-year>2024</copyright-year><copyright-holder xml:lang="ru">Биркун А.А., Косова Е.А., Редкокош К.И., Гапон А.С.</copyright-holder><copyright-holder xml:lang="en">Birkun A.A., Kosova Y.A., Redkokosh K.I., Gapon A.S.</copyright-holder><license xml:lang="ru" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>Данная работа распространяется под лицензией Creative Commons Attribution 4.0.</license-p></license><license xml:lang="en" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>This work is licensed under a Creative Commons Attribution 4.0 License.</license-p></license></permissions><self-uri xlink:href="https://russjcardiol.elpub.ru/jour/article/view/5601">https://russjcardiol.elpub.ru/jour/article/view/5601</self-uri><abstract><sec><title>Цель</title><p>Цель. Цифровое обучение основам оказания первой помощи (ПП) при остановке сердца открывает возможности массового распространения знаний, популяризации и мотивации населения к оказанию помощи, а также может выступать заменой теоретической части аудиторной подготовки, сокращая стоимость обучения. Однако в связи с несовершенным дизайном учебных курсов такое обучение может быть недоступно людям с ограниченными возможностями здоровья (ОВЗ), которые составляют обширный контингент потенциальных участников оказания ПП численностью более одного миллиарда человек. Цель исследования — изучить цифровую доступность (вебдоступность) массовых открытых онлайн-курсов по сердечно-легочной реанимации (СЛР) для людей с ОВЗ.</p></sec><sec><title>Материал и методы</title><p>Материал и методы. Выполнен поиск бесплатных англоязычных онлайнкурсов, обучающих принципам и правилам оказания ПП при остановке сердца и проведена экспертная оценка цифрового содержимого онлайн-курсов на предмет соответствия международным Рекомендациям по доступности вебконтента WCAG 2.1.</p></sec><sec><title>Результаты</title><p>Результаты. Все проанализированные онлайн-курсы по базовой СЛР (n=28) характеризуются нарушениями веб-доступности. Для каждого курса не выполнены от 26,9% до 51,3% критериев успеха рекомендаций WCAG 2.1. Все курсы имеют ошибки веб-доступности, связанные с нарушениями контрастности и визуального оформления текста, отсутствием альтернативного текстового описания для нетекстового контента, отсутствием расшифровки аббревиатур и нарушениями разметки веб-страниц, которые препятствуют использованию вспомогательных технологий (например, программ для преобразования текста в речь). В целом ни один из курсов не удовлетворяет всем критериям минимального приемлемого уровня соответствия рекомендациям WCAG 2.1. Обнаруженные проблемы веб-доступности могут служить серьезными, иногда непреодолимыми препятствиями для освоения курсов слушателями (в т.ч. пожилыми людьми) с дефектами зрения, слуха, двигательными, когнитивными и неврологическими расстройствами.</p></sec><sec><title>Заключение</title><p>Заключение. Все бесплатные массовые онлайн-курсы по базовой СЛР имеют недостатки доступности цифрового контента, существенно затрудняющие освоение учебных материалов пользователями с ОВЗ, вплоть до невозможности прохождения обучения. Разработка единых рекомендаций по формированию доступного образовательного контента, наряду с интенсификацией научных исследований и реализацией организационно-методических мероприятий по обеспечению доступности учебных ресурсов по ПП для различных категорий населения, должны способствовать созданию равных возможностей для качественного обучения ПП, существенному расширению охвата популяции обучением, повышению частоты и результативности оказания ПП.</p></sec></abstract><trans-abstract xml:lang="en"><sec><title>Aim</title><p>Aim. Basic first aid digital training for cardiac arrest opens up opportunities for mass dissemination of knowledge, popularization and motivation of the population to provide assistance, and can also replace the theoretical part of classroom training, reducing the cost of training. However, due to poor design, such training may not be available to people with disabilities (PWD), who constitute a large population of more than one billion potential participants in first aid. The aim was to study the digital accessibility (web accessibility) of massive open online courses in cardiopulmonary resuscitation (CPR) for PWD.</p></sec><sec><title>Material and methods</title><p>Material and methods. A search was carried out for free English-language online courses teaching the principles and rules of providing first aid in cardiac arrest. In addition, the digital content of online courses was assessed for compliance with the international Web Content Accessibility Guidelines (WCAG) 2.1.</p></sec><sec><title>Results</title><p>Results. All basic CPR online courses analyzed (n=28) were characterized by poor web accessibility. For each course, between 26,9% and 51,3% of the WCAG 2.1 guideline success criteria were not met. All courses have web accessibility errors related to text contrast and visual issues, lack of alternative text descriptions for non-text content, missing abbreviations, and web page layout issues that prevent the use of assistive technologies (such as text-to-speech software). Overall, none of the courses meet all of the criteria for the minimum acceptable level of compliance with WCAG 2.1 guidelines. The discovered problems of web accessibility can serve as serious, sometimes insurmountable barriers to the mastery of courses by students (including older people) with visual impairments, hearing loss, motor, cognitive and neurological disorders.</p></sec><sec><title>Conclusion</title><p>Conclusion. All free mass online courses on basic CPR have deficiencies in the availability of digital content, which significantly complicate the learning of educational materials by PWD. The development of uniform guidelines for accessible educational content, along with the intensification of research and the implementation of organizational and methodological measures to ensure the availability of educational resources on first aid for various categories of the population, should help create equal opportunities for quality training. In addition, this should significantly expand the population coverage with training, and increase the frequency and effectiveness of first aid.</p></sec></trans-abstract><kwd-group xml:lang="ru"><kwd>остановка сердца</kwd><kwd>сердечно-легочная реанимация</kwd><kwd>первая помощь</kwd><kwd>веб-доступность</kwd><kwd>ограниченные возможности здоровья</kwd><kwd>онлайн-обучение</kwd></kwd-group><kwd-group xml:lang="en"><kwd>cardiac arrest</kwd><kwd>cardiopulmonary resuscitation</kwd><kwd>first aid</kwd><kwd>web accessibility</kwd><kwd>disability</kwd><kwd>online training</kwd></kwd-group></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">Greif R, Lockey AS, Conaghan P, et al. European Resuscitation Council Guidelines for Resuscitation 2015: Section 10. Education and implementation of resuscitation. 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