Clinical trial NCT03703622: Video-Debriefing for Improved Competence Among Skilled Birth Attendants in Lira District-Northern Uganda
Official title: The Effect of Standard Helping Babies Breathe Training With Video-debriefing on Health Workers Knowledge and Skills Attainment and Retention in Lira District Northern Uganda
Study type: INTERVENTIONAL
Overall status: UNKNOWN
Phase: NA
Conditions: Neonatal Encephalopathy
Helping Babies Breathe (HBB) Training
Keywords: HBB knowledge and skills attainment and retention
Video-debriefing
Skills, knowledge, Birth attendants
Lead sponsor: Makerere University
Sponsor class: OTHER
Collaborators: name: University of Bergen
First posted: 2018-10-12
Enrollment: 96
Sex: ALL
Minimum age (years): 18
Maximum age (years): 65
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: PARALLEL
Intervention model description: The AAP HBB curriculum will be used to train participants. Lectures will be delivered by the PI (Master Trainers), followed by demonstration of HBB skills using NeoNatali Mannequin. The participants will then be divided into two groups. One group for practical sessions with master trainers and the other group video-debriefing. The video-debriefing group will have their practical sessions filmed and then the film used for debriefing feedback. First the experiences of the team performing resuscitation will be obtained then positive feedback and learning points from other learners will be given in a respectful safe environment. All participants will be encouraged to contribute in the discussion. Pre- and Post-Test knowledge and skills will be assessed will be done using MCQs, and bag mask ventilation, OSCE A and B checklists from 2nd edition AAP HBB training manual.
Primary purpose: HEALTH_SERVICES_RESEARCH

Brief summary: Helping babies breathe (HBB) is a neonatal resuscitation training program for low-resource settings to health care workers to provide prompt respiratory support to save babies at birth. Despite massive roll-out, new-born mortality reduction has stagnated over the years. Innovative teaching methods with existing technology such as video-debriefing needs to be tested to promote competence (skills and knowledge) attainment and retention.

Detailed description: In this study we will randomize both public and private delivery facilities in Lira district northern Uganda to receive either standard HBB with video-debriefing (intervention) or standard training alone (control). We hope video-debriefing will improve competence among the health workers and promote skills and knowledge retention over time, hence reduction in neonatal mortality.

The result of the study may also contribute to shaping refresher training program policy in low-resource settings.

Eligibility criteria: Inclusion Criteria:

* All health care workers attending to delivery and new-born care in both public and private facilities in Lira district.

Exclusion Criteria:

* Those who turn up for training just for daily allowances, having been sent by their facility in-charges to fill gaps such as community vaccinators, Village Health Teams (VHTs), security officers, cleaners, and laboratory technicians

Primary outcomes:
measure: Health workers knowledge scores in percentage
timeFrame: 6 months
measure: Health workers skills scores in percentages
timeFrame: 6 months
Secondary outcomes:
measure: Knowledge and skills retention at 1, 3 and 6 months
timeFrame: 6 months
measure: Neonatal mortality at health facilities pre- and post training
timeFrame: 6 months
Other outcomes:
Locations:
city: Lira
country: Uganda
facility: All public and Private delivery facilities (hospitals, health centers, maternity homes, and clinics) in Lira district
state: Northern
Study officials:
References:
citation: Odongkara B, Tylleskar T, Pejovic N, Achora V, Mukunya D, Ndeezi G, Tumwine JK, Nankabirwa V. Adding video-debriefing to Helping-Babies-Breathe training enhanced retention of neonatal resuscitation knowledge and skills among health workers in Uganda: a cluster randomized trial. Glob Health Action. 2020 Dec 31;13(1):1743496. doi: 10.1080/16549716.2020.1743496.