Birth Asphyxia, Neonatal Death
Conditions
Keywords
Helping Babies Breathe (HBB) training
Brief summary
Helping Babies Breathe (HBB) is a program that teaches providers in low- and middle-income countries about neonatal resuscitation. Historically, HBB training was delivered in person. During the COVID-19 pandemic, many subject matter experts were unable to travel to conduct HBB courses. Innovative methods for teaching HBB are needed to promote the acquisition and retention of resuscitation skills and knowledge.
Detailed description
In this non-inferiority randomized controlled trial, medical students, nursing students, and midwifery students will be randomized to receive either standard in-person HBB training (control) or virtual telesimulation training (intervention). The hypothesis is that virtual delivery is as effective as in-person training of HBB content when teaching neonatal resuscitation skills and knowledge to medical, nursing, and midwifery students.
Interventions
BEHAVIORALHBB Virtual Training
HBB Virtual Training (Intervention): The 2nd edition HBB training course focuses on preparation for birth, routine care for all babies, the Golden Minute, and continued ventilation with normal or slow heart rate. The one-day virtual training will be delivered remotely to participants via Zoom. Facilitators and training materials will be the same in both the control and intervention arms.
BEHAVIORALHBB In-person Training
HBB In-Person Training (Control): The 2nd edition HBB training course focuses on preparation for birth, routine care for all babies, the Golden Minute, and continued ventilation with normal or slow heart rate. The one-day in-person training will be delivered in person. Facilitators and training materials will be the same in both the control and intervention arms.
Sponsors
Jimma University
Laerdal Foundation
Stanford University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
HEALTH_SERVICES_RESEARCH
Masking
NONE
Intervention model description
The content of each arm of the study is the same and will be taught live by the same HBB instructors; the only difference is the teaching method.
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
* Adults * Year IV through year VI medical students, year II to IV nursing students, year II and III midwifery students at Jimma University in Jimma, Ethiopia.
Exclusion criteria
* Minors * Individuals who are not medical students, nursing students, or midwifery students at Jimma University. * Individuals who attended a neonatal resuscitation training course in the preceding year. * Individuals who would be unavailable or unwilling to participate in follow-up study activities throughout the 2-month post-initial training period.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Helping Babies Breathe Objective Structured Clinical Exam (OSCE) B | Two months after HBB training (approximately 15 minutes to assess) | Compare skill retention between the virtual delivery of Helping Babies Breathe (HBB) with the in-person delivery of HBB. This is a standardized evaluation of HBB skills, a score of 17 out of 23 is required to pass. Score range: 0 to 23, higher scores indicate better HBB skills, and a score of 17 or higher is required to pass. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Helping Babies Breathe Objective Structured Clinical Exam (OSCE) A | Two months after HBB training (approximately 10 minutes to assess) | Compare skill retention between the virtual delivery of Helping Babies Breathe (HBB) with the in-person delivery of HBB. This is a standardized evaluation of HBB skills, a score of 9 out of 12 is required to pass. Score range: 0 to 12, higher scores indicate better HBB skills, and a score of 9 or higher is required to pass. |
| Helping Babies Breathe Bag and Mask Ventilation score | Immediately after HBB training (approximately 10 minutes to assess) | Compare skill acquisition between virtual delivery of Helping Babies Breathe (HBB) with the in-person delivery of HBB. This is a standardized evaluation of bag and mask ventilation, a score out of 14. Score range: 0 to 14, higher scores indicate better HBB skills, and a score of 14 is required to pass. |
| Helping Babies Breathe Multiple Choice Questionnaire score | Immediately before HBB training (approximately 20 minutes to assess) | Determine baseline understanding of HBB material for each participant. This exam contains 18 questions pertaining to HBB curriculum. Score range: 0 to 18, higher scores indicate better HBB knowledge, and a score of 15 or higher is required to pass. |
| NeoNatalie Live Data: Heart rate | Immediately after HBB training (approximately 10 minutes to assess) | NeoNatalie Live is a mannequin that will provide data on bag-mask ventilation proficiency. During each simulation, the heart rate of the mannequin will be collected per participant. |
| Helping Babies Breathe Objective Structured Clinical Exam (OSCE) B | Immediately after HBB training (approximately 15 minutes to assess) | Compare skill acquisition between the virtual delivery of Helping Babies Breathe (HBB) with the in-person delivery of HBB. This is a standardized evaluation of HBB skills, a score of 17 out of 23 is required to pass. Score range: 0 to 23, higher scores indicate better HBB skills, and a score of 17 or higher is required to pass. |
| NeoNatalie Live Data: Time to spontaneous breathing | Immediately after HBB training (approximately 10 minutes to assess) | NeoNatalie Live is a mannequin that will provide data on bag-mask ventilation proficiency. Data about the amount of time it takes to reach a ventilation rate of 40-60 breaths per minute will be collected per participant. |
| NeoNatalie Live Data: Ventilation attempts | Immediately after HBB training (approximately 10 minutes to assess) | NeoNatalie Live is a mannequin that will provide data on bag-mask ventilation proficiency. Data about the number of ventilation attempts will be collected per participant. |
| Attitude Questionnaire | Immediately before HBB training (approximately 5 minutes to assess) | 5-point Likert scale designed to assess perceived confidence in performing HBB skills. |
| Profile of perceived barriers and facilitators | Two months after HBB training (approximately 60 minutes to assess) | Focus group discussions will be intended to understand differences in perceived barriers/facilitators of training. This will explore confidence in performing HBB techniques and attitudes toward virtual and in-person delivery of content. The objective of the focus groups will be to identify key themes around participants' perspectives of the HBB training to provide context around the outcomes listed above. |
| NeoNatalie Live Data: Ventilation pressure | Immediately after HBB training (approximately 10 minutes to assess) | NeoNatalie Live is a mannequin that will provide data on bag-mask ventilation proficiency. During each simulation, the ventilation pressure of the mannequin will be collected per participant. |
Countries
Ethiopia
Outcome results
None listed