Maternal Health, Newborn; Vitality
Conditions
Brief summary
Helping Babies Breathe (HBB) implementation is associated with reduction in neonatal deaths and reduction in fresh stillbirths. HBB has successfully integrated some aspects of simulation into an educational curriculum that teach the management of neonatal emergencies in resource-constrained countries. Simulation based training brings special advantages and may enhance HBB training. Critical elements of simulation such as enhanced realism and post-event debriefing may carry potential to strengthen HBB training to attain maximum impact. However, evidence for the effectiveness of this combined approach is limited.
Detailed description
Helping Babies Breathe (HBB) implementation is associated with reduction in neonatal deaths and reduction in fresh stillbirths. HBB has successfully integrated some aspects of simulation into an educational curriculum that teach the management of neonatal emergencies in resource-constrained countries. High levels of physical, emotional and conceptual realism are important features of simulation-based learning that impact learning outcomes. Formal debriefing is characterized as the most important element of simulation based education. Structured feedback in a safe learning environment provides the opportunity for learning of clinically relevant material. Guided reflection transfers the responsibility for learning to the participants and solidifies knowledge, skills and behaviors for transfer to clinical practice. Simulation based training brings special advantages and may enhance HBB training. Critical elements of simulation such as enhanced realism and post-event debriefing may carry potential to strengthen HBB training to attain maximum impact. However, evidence for the effectiveness of this combined approach is limited.
Interventions
OTHERHBB facilitators with simulation training
HBB training from facilitators with simulation skills. Standard HBB facilitators do not have simulation skills
Sponsors
University of Calgary
Mbarara University of Science and Technology
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
OTHER
Masking
NONE
Masking description
No masking will be done
Intervention model description
Investigators will conduct a prospective, randomized controlled trial to determine if the implementation of a simulation facilitator training program for HBB compared with no facilitator training in simulation is superior in terms of the acquisition of knowledge, acute care skills, and teamwork skills of pre-service medical students. Investigators will randomly randomly assign study participants to either intervention or control arm in a 1:1 ratio.
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
* Only trained facilitators are eligible to participate * Must hold a Faculty position or are a health care provider at KIU Teaching Hospital in western Uganda * Are engaged in teaching health students. * Participating medical students are those enrolled at KIU Teaching Hospital in western Uganda
Exclusion criteria
* Faculty and hospital workers who are not engaged in teaching health students. * Medical students not enrolled at KIU Teaching Hospital, western Uganda
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Knowledge | Change in knowledge scores at 6 months from Baseline | The primary outcome for this analysis is level of knowledge. For each course, learners will be assessed at baseline and at course-end to determine their knowledge via multiple choice test. Scores out of 100% will be computed |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Clinical skills | Change in clinical skills at 6 months from baseline | The clinical skills outcome (via short neonatal resuscitation simulation scenario - HBB OSCE B). HBB OSCE B assessment will be conducted by the facilitator. |
| Facilitator debriefing skills | Change in facilitator skills at 6 months from baseline | Facilitator debriefing skills will be assessed using the OSAD. OSAD assessments will be conducted by a pre-trained rater who will rate facilitator performance in real time. |
Countries
Uganda
Contacts
Primary ContactSantorini Data, MD
Backup ContactFrancis Bajunirwe, PhD
Outcome results
None listed