Disabilities Multiple, Foreign Body Aspiration, Obstruction Airway
Conditions
Keywords
Breath, Foreign Body Obstruction, Disabilities, Children, Heimlich Maneuver
Brief summary
Foreign body obstruction is one of the most common causes of medical emergencies, particularly in childhood, and can lead to fatal outcomes if not treated promptly and correctly. Therefore, this study aims to examine the effect of hands-on Heimlich maneuver training for mothers of children with disabilities on the mothers' knowledge, skills, self-efficacy, and anxiety levels. Conducted as a randomized controlled trial, the study is planned to include 70 mothers (experimental group: 35, control group: 35) of children aged 1-8 years attending a private rehabilitation center in the Besni district of Adıyaman. Data collection tools will consist of a demographic information form, a Heimlich maneuver knowledge and skill test, and self-efficacy and anxiety scales. A pilot study will be conducted to evaluate the validity and reliability of the data collection tools, test their comprehensibility for the mothers, and identify potential problems that may arise during implementation. Prior to the start of the training, the knowledge levels of all mothers will be assessed via a questionnaire. The Heimlich maneuver training provided to mothers in the experimental group will be delivered hands-on using a pediatric Heimlich mannequin. One month after the training, a post-test will be administered to the mothers. Mothers in the control group will be informed about the study during the initial interview and will take a pre-test. One month after the training, the mothers will take the post-test. Mothers in the control group will be informed about the study during the initial interview and will take the pre-test. The post-test will be administered one month later, after which the mothers in this group will also receive maneuver training. The mothers' pre-test and post-test scores will be compared both within and between groups.
Interventions
BEHAVIORALHeimlich Maneuver training
The Heimlich Maneuver training materials were prepared based on the first aid guidelines of the American Academy of Pediatrics and the Ministry of Health of the Republic of Turkey. A guide supported by visuals was also prepared to serve as a reminder. The training was demonstrated hands-on using a mannequin, and participants then practiced the technique under the supervision of a parent.
Sponsors
University of Yalova
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
NONE
Intervention model description
The study is a pre-test-post-test controlled group study with a randomized controlled design.
Eligibility
Sex/Gender
FEMALE
Age
18 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
1. Be a mother of a child with a disability, aged 1-8, who is enrolled in a rehabilitation center. 2. Be 18 years of age or older. 3. Be able to read and understand the research protocol, provide written informed consent, and agree to participate. 4. Be physically able to participate in the training (standing/model-based exercises).
Exclusion criteria
1. Must have previously received professional Heimlich maneuver/first aid training (those who have taken a course within the last 2 years). 2. Those who are unable to participate in hands-on training due to physical limitations (e.g., severe heart disease, mobility issues). 3. Individuals determined to be unsuitable for training or assessments due to psychiatric or neurological conditions. 4. Children with severe respiratory system disorders (e.g., tracheostomy, severe bronchopulmonary dysplasia), 5. Children who have undergone heart surgery or have a serious cardiac anomaly, 6. Children with severe orthopedic or neurological disabilities for whom performing the Heimlich maneuver may be risky, 7. Children with congenital anomalies of the trachea or upper respiratory tract (e.g., tracheoesophageal fistula), 8. Children requiring mechanical ventilator support or continuous oxygen therapy. 9. Withdrawing from participation during the study or failing to attend any of the training/testing sessions.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Heimlich Knowledge Test | Baseline, Week 4, and Week 8 | Parental first aid knowledge was assessed using a researcher-developed 12-item multiple-choice knowledge test. The test includes questions on recognition of foreign body obstruction, correct first aid steps, calling for emergency assistance, and age-group-specific application knowledge. Each correct answer was scored as 1 point and incorrect answers as 0 points. Total scores range from 0 to 12, with higher scores indicating better first aid knowledge. |
| Parental Self-Efficacy Scale | Baseline, Week 4, and Week 8 | Parental self-efficacy was assessed using the Parental Self-Efficacy Scale. The scale consists of 17 items rated on a 7-point Likert scale. Total scores range from 17 to 119, with higher scores indicating higher parental self-efficacy. |
| Beck Anxiety Inventory Score | Baseline, Week 4, and Week 8 | Anxiety symptoms were assessed using the Beck Anxiety Inventory. The scale consists of 21 items rated on a 4-point Likert scale. Each item is scored from 0 to 3, resulting in a total score ranging from 0 to 63. Higher total scores indicate greater severity of anxiety symptoms. |
Countries
Turkey (Türkiye)
Contacts
CONTACTEMEL AVÇİN, Assist Prof
STUDY_DIRECTOREMEL AVÇİN, Assist Prof
Adiyaman University
Outcome results
None listed