Please select the arm or intervention descriptions that belong to the clinical trial below.
Title: A Randomised Educational Feasibility Trial: 'In Situ Simulation' Versus 'Off Site Simulation' in Obstetric Emergencies and the Effect on Knowledge, Safety-attitudes, Team Performance, Stress, and Motivation
Brief Summary: Care for pregnant is a field where unexpected emergencies occur, however emergencies are rare and hence competences difficult to learn. Therefore, it can be relevant to use simulation-based medical education. Many questions on how simulation can optimise learning remain unanswered. A major question is how simulation settings as 'in situ simulation' (i.e. in the actual patient care unit) versus 'off site simulation' (i.e. in training rooms or simulation center) impact learning.

Objectives: To study the effect of 'in situ simulation' versus 'off site simulation' on learning outcome, safety-attitudes, team performance and clinical performance in the simulated setting plus stress and motivational inducing effect of simulation settings.

Design: Randomised trial. Primary outcome: Written knowledge-test. Exploratory outcomes: Safety Attitudes Questionnaire, team- and clinical performance score, validated stress inventory, salivary cortisol, Intrinsic Motivation Inventory and questionnaire on perceptions of the simulation and organisational changes needed.

Perspective: To provide new knowledge on contextual effects of different simulation settings.


Options:
A: Arm Label: Intervention; Type: EXPERIMENTAL; Interventions: Behavioral: Low dose high frequency health worker training approach | Arm Label: Comparison; Type: ACTIVE_COMPARATOR; Interventions: Behavioral: Active Comparison | Intervention Type: BEHAVIORAL; Name: Low dose high frequency health worker training approach; Assigned to Arm(s): Intervention | Intervention Type: BEHAVIORAL; Name: Active Comparison; Assigned to Arm(s): Comparison
B: Arm Label: Control; Type: NO_INTERVENTION; Interventions: N/A | Arm Label: PRONTO training; Type: EXPERIMENTAL; Interventions: Other: PRONTO training | Intervention Type: OTHER; Name: PRONTO training; Assigned to Arm(s): PRONTO training
C: Arm Label: Standard care; Type: ACTIVE_COMPARATOR; Interventions: Behavioral: data strengthening, Behavioral: modified Safe childbirth checklist - control | Arm Label: Enhanced care (intervention); Type: EXPERIMENTAL; Interventions: Behavioral: data strengthening, Behavioral: modified Safe childbirth checklist - enhanced, Behavioral: PRONTO training, Behavioral: QI cycles | Intervention Type: BEHAVIORAL; Name: data strengthening; Assigned to Arm(s): Enhanced care (intervention), Standard care | Intervention Type: BEHAVIORAL; Name: modified Safe childbirth checklist - control; Assigned to Arm(s): Standard care | Intervention Type: BEHAVIORAL; Name: modified Safe childbirth checklist - enhanced; Assigned to Arm(s): Enhanced care (intervention) | Intervention Type: BEHAVIORAL; Name: PRONTO training; Assigned to Arm(s): Enhanced care (intervention) | Intervention Type: BEHAVIORAL; Name: QI cycles; Assigned to Arm(s): Enhanced care (intervention)
D: Arm Label: In situ simulation; Type: EXPERIMENTAL; Interventions: Other: In situ simulation | Arm Label: Off site simulation; Type: ACTIVE_COMPARATOR; Interventions: Other: Off site simulation | Intervention Type: OTHER; Name: In situ simulation; Assigned to Arm(s): In situ simulation | Intervention Type: OTHER; Name: Off site simulation; Assigned to Arm(s): Off site simulation

Answer: D