Resuscitation
Conditions
Keywords
neonatal, resuscitation, education, virtual, simulation, mobile, phone
Brief summary
Intrapartum asphyxia and prematurity are the leading causes of neonatal mortality in low and middle income countries. Neonatal resuscitation training reduces asphyxia-related newborn mortality and morbidity, but in the absence of continuing low-dose, high frequency practice, these initial gains rapidly decay. The investigators propose to develop and evaluate innovative mobile virtual simulations for refresher training on neonatal resuscitation and essential newborn care to support the retention of knowledge and skills among health care workers in low and middle income countries.
Detailed description
The main goal of this study is to improve newborn mortality and morbidity by using affordable and accessible mobile virtual simulations to provide quality skills training and maintenance for healthcare workers in Low/Middle income countries (LMIC). The investigators hypothesize that mobile devices will provide a readily accessible, standardized alternative to in-person training to maintain skills. This study has the following Specific Aims: Specific Aim 1: Co-develop and pilot test the usability and efficacy of mobile virtual simulations on early newborn care skills among healthcare workers who attend deliveries in community and health facility-based settings. Specific Aim 2: Evaluate the impact of the mobile virtual essential newborn care (vENC) training on neonatal resuscitation and care educational indicators and performance outcomes among healthcare workers who provide newborn care in community and health facility-based settings. Specific Aim 3: Evaluate the impact of virtual simulation refresher training on the rates of neonatal mortality in primary, secondary and tertiary healthcare facilities in Nigeria.
Interventions
OTHERVirtual Essential Newborn Care (vENC) training
Essential Newborn Care Mobile Virtual Reality Simulation
Sponsors
Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD)
University of Lagos, Nigeria
eHealth4everyone
University of Washington
Study design
Allocation
RANDOMIZED
Intervention model
CROSSOVER
Primary purpose
HEALTH_SERVICES_RESEARCH
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Healthy volunteers
No
Inclusion criteria
* Must have a direct clinical role related to newborn care * Is able and willing to attend and complete study-related engagements
Exclusion criteria
* Healthcare workers who have received essential newborn care course (ENCC) training within the past 12 months at time of recruitment
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Number of participants with correct performance on essential newborn care objective structured clinical exam (OSCE) items at 6 months | at 6 months after in-person training | — |
| Early neonatal mortality | within 7 days of birth | Defined as neonatal mortality within 7 days of birth |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Number of newborns receiving recommended essential newborn care practices | within 7 days of birth | WHO essential newborn care practices include skin to skin immediately after birth, cord care, early breastfeeding and vitamin K administration |
| Number of participants with correct performance on essential newborn care objective structured clinical exam (OSCE) items by 12 months | at 12 months after in-person training | — |
| Early neonatal mortality among babies requiring resuscitation | within 7 days of birth | Defined as neonatal mortality within 7 days of birth among babies requiring resuscitation |
| Intrapartum-related mortality | on day 1 | Defined as intrapartum stillbirth (no breathing 10 minutes after delivery) |
| Number of non-breathing newborns receiving bag and mask ventilation | at delivery | — |
Countries
Nigeria
Outcome results
None listed