Development of a Mobile Application Through User Centered Design to Improve Helping Babies Breath Skills Retention
试验速览
- 阶段
- 不适用
- 入组人数
- 20
- 试验地点
- 1
- 主要终点
- Helping Babies Breathe Objective Structured Clinical Exam (OSCE) B score
研究概览
简要总结
This study applies an iterative user-centred design approach involving frontline birth attendants to create a mobile application ("HBB Prompt") to improve skills retention after initial newborn stabilization training through the Helping Babies Breathe (HBB) program. HBB Prompt will then be piloted at one site after HBB training and skills retention will be compared with a control site without HBB Prompt after HBB training.
详细描述
Helping Babies Breathe (HBB) is a newborn stabilization course that has been shown to reduce neonatal mortality by up to 47%. Such mortality impact is however not sustained due to rapid skills deterioration.
The investigators propose to improve sustainability of HBB's impact by increasing skills retention with an innovative mobile application called HBB Prompt. HBB Prompt will be an interactive tool that guides frontline providers through the steps needed to save newborn babies at birth. HBB Prompt will facilitate individual and group training in health facilities using the Low Dose High Frequency model (LDHF) for resuscitation skills retention.
The investigators will robustly develop HBB Prompt by integrating human factors and user-centered design approaches. The investigators will engage end-users and HBB Master Trainers to iteratively collect feedback to develop HBB Prompt for both individual and small group resuscitation practice. The iterative approach will mitigate the common scenario of mobile health (mHealth) solutions unable to achieve sustained success at scale due to lack of comprehensive input from frontline users.
The investigators will pilot the app at a single centre and compare it to a control site for HBB skills retention at different time points after initial HBB training.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Other
- 盲法
- Single (Outcomes Assessor)
盲法说明
Outcomes assessor at analysis stage will be masked to allocation of participants
入排标准
- 年龄范围
- 18 Years 至 65 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Frontline birth attendants involved in the delivery or care of babies in the maternity ward, theater or pediatric wards with a possibility of involvement in newborn resuscitation.
排除标准
- •Health workers providing care in other wards other than maternity and pediatrics.
研究组 & 干预措施
HBB Prompt
The investigators will train frontline health providers in Helping Babies Breathe (HBB) 2.0 and Essential Care for Every Baby (ECEB). Providers will undergo ECEB training in addition to HBB as these training programs are recommended by the Uganda Ministry of Health to be offered together.
Providers at this hospital will have access to the most updated version of HBB Prompt (beta) after HBB training.
Participants in will be asked to achieve a minimum practice target of once per day (low-dose high frequency training). The recommended frequency to use the app will be once per shift.
干预措施: HBB Prompt (Behavioral)
HBB Prompt
The investigators will train frontline health providers in Helping Babies Breathe (HBB) 2.0 and Essential Care for Every Baby (ECEB). Providers will undergo ECEB training in addition to HBB as these training programs are recommended by the Uganda Ministry of Health to be offered together.
Providers at this hospital will have access to the most updated version of HBB Prompt (beta) after HBB training.
Participants in will be asked to achieve a minimum practice target of once per day (low-dose high frequency training). The recommended frequency to use the app will be once per shift.
干预措施: Low-Dose High Frequency training (Behavioral)
Control
The investigators will train frontline health providers in Helping Babies Breathe (HBB) 2.0 and Essential Care for Every Baby (ECEB). Providers will undergo ECEB training in addition to HBB as these training programs are recommended by the Uganda Ministry of Health to be offered together.
The control group will not have exposure to the HBB Prompt app post training. Participants in will be asked to achieve a minimum practice target of once per day (low-dose high frequency training).
干预措施: Low-Dose High Frequency training (Behavioral)
结局指标
主要结局
Helping Babies Breathe Objective Structured Clinical Exam (OSCE) B score
时间窗: 12 months from initial HBB training
standardized comprehensive evaluation of HBB skills, 17 out of 23 constitutes a pass score with 23 being the highest score. The OSCE B is a standard Helping Babies Breathe assessment tool that comprises the steps required in successfully assisting a neonate in its transition after birth
次要结局
- OSCE B score(6 months from initial HBB training)
- HBB 2.0 Knowledge Check(at unannounced visits within 12 months of training)
- Bag and mask ventilation skills check(at unannounced visits within 12 months of training)
- Bag and mask ventilation quality measures with AIR Device(at unannounced visits within 12 months of training)
- OSCE A(at unannounced visits within 12 months of training)
- App analytics - pattern of usage(during 12 months after initial training in intervention arm only)
- App analytics - frequency of usage(during 12 months after initial training in intervention arm only)
- App analytics - trends of performance(during 12 months after initial training in intervention arm only)
- Frequency of practice(during 12 months after initial training)
- Exit focus group feedback on barriers and facilitators to HBB training and skills maintenance(at end of study (12 months from the start))