Clinical trial NCT04889001: Ventilation Knowledge and Skills Retention Using a Novel Tool, the Augmented Infant Resuscitator (AIR) Device as an Instant-feedback Tool
Official title: Ventilation Knowledge and Skills Retention Among Medical, Nursing and Midwifery Students Using a Novel Tool, the Augmented Infant Resuscitator (AIR) Device as an Instant-feedback Tool / "Electronic Coach".
Study type: INTERVENTIONAL
Overall status: UNKNOWN
Phase: NA
Conditions: Ventilation Skills Acquisition and Retention
Ventilation Knowledge Acquisition and Retention
Lead sponsor: Mbarara University of Science and Technology
Sponsor class: OTHER
Collaborators: name: University of Calgary
name: The ELMA Foundation
name: Alberta Children's Hospital Research Institute
name: Laerdal Foundation
name: International Development Research Centre, Canada
First posted: 2021-05-17
Enrollment: 400
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Allocation: NA
Intervention model: SINGLE_GROUP
Intervention model description: Before and after intervention comparison. The students will be trained in simulation enhanced HBB. Simulation enhanced HBB is a one-day course delivered using a format of Explain, Demonstrate and Facilitate practice. Compared to the standard HBB training, the simulation enhanced HBB course is designed with increased peer-to-peer feedback and scripted expert facilitator feedback at HBB practice exercises.
Primary purpose: OTHER

Brief summary: Babies born not breathing at birth require effective gentle ventilation to survive and avert organ damage if initial resuscitation steps such as drying, and stimulation are unsuccessful at facilitating breathing. Training of health workers to impart skills on ventilation is a way to prevent these adverse outcomes. Effective ventilation skills are typically acquired through training programs such as Helping Babies Breath (HBB). However, these ventilation skills quickly decay following training and current skills retention methods such as refresher courses are costly and there is a paucity of skilled human resources to effectively facilitate frequent HBB training courses. This raises the need to explore approaches that are independent of retraining for skills maintenance.

The investigators hypothesize that simulation enhanced HBB training followed by self-administered ventilation practice (SAVP) sessions with the Augmented Infant Resuscitator (AIR) as an electronic coach will result into ventilation skills retention over 12 months. SAVP allows participants to maintain practice and training to enhance skills retention.

Detailed description: The investigators will use a multi-methods approach. First, investigators will evaluate the effect of simulation enhanced HBB training and short self-administered practice with AIR device feedback on ventilation skills among undergraduate medical, nursing and midwifery students in Nigeria, Tanzania, and Uganda over a 12-month period. These short practice sessions will be conducted in skills labs. The investigators will equip each skills lab with at least 20 practice stations to enable increased number of students per unit time and reduce total required time in the skills labs for self-practice.

Second, the investigators will conduct focus group discussions with students before and after the intervention, to examine student experiences of simulation with SAVP vis-à-vis their expectations prior and post exposure.

Study design: This will be a 12-month cohort study among medical, nursing and midwifery students rotating in clinical disciplines. We will use a quasi-experimental design and measure ventilation skills before and after administration of a simulation enhanced HBB training plus SAVP with AIR as an intervention. The ventilation skills will also be measured prospectively every 4 months over a 12-month period in HBB scenario settings.

Eligibility criteria: Inclusion Criteria:

* Medicine students
* Nursing students
* Midwifery students
* Students at Mbarara University, Busitema University, Lira University, University of Jos

Exclusion Criteria:

* Students outside the participating institutions
* Students outside the Faculty of Medicine

Primary outcomes:
measure: Ventilation skills
timeFrame: 12 months from baseline, after the training program
measure: Time to effective ventilation
timeFrame: 12 months from baseline, after the training program
measure: Duration of effective ventilation
timeFrame: 12 months from baseline, after the training program
Secondary outcomes:
Other outcomes:
Locations:
Study officials:
affiliation: Mbarara University of Science and Technology
name: Data Santorino, MD
role: PRINCIPAL_INVESTIGATOR
References: