Clinical trial NCT03256591: Implementation of HBB Training With Facilitators That Have Undergone Simulation Methodology Training
Official title: A Comparison of the Implementation of HBB Training Using Facilitators With and Without Simulation Methodology Training
Study type: INTERVENTIONAL
Overall status: UNKNOWN
Phase: NA
Conditions: Maternal Health
Newborn; Vitality
Lead sponsor: Mbarara University of Science and Technology
Sponsor class: OTHER
Collaborators: name: University of Calgary
First posted: 2017-08-22
Enrollment: 100
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: PARALLEL
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.
Primary purpose: OTHER

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.

Eligibility criteria: 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

Primary outcomes:
measure: Knowledge
timeFrame: Change in knowledge scores at 6 months from Baseline
Secondary outcomes:
measure: Clinical skills
timeFrame: Change in clinical skills at 6 months from baseline
measure: Facilitator debriefing skills
timeFrame: Change in facilitator skills at 6 months from baseline
Other outcomes:
Locations:
city: Ishaka
country: Uganda
facility: Kampala International University
state: Bushenyi
Study officials:
affiliation: Mbarara University of Science and Technology
name: Santorini Data, MD
role: PRINCIPAL_INVESTIGATOR
References: