Mobile Virtual Simulation Training in Essential Newborn Care for Healthcare Workers in Low and Middle Income Countries
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Resuscitation
- Sponsor
- University of Washington
- Enrollment
- 150
- Locations
- 1
- Primary Endpoint
- Number of participants with correct performance on essential newborn care objective structured clinical exam (OSCE) items at 6 months
- Status
- Enrolling By Invitation
- Last Updated
- 2 years ago
Overview
Brief Summary
Intrapartum asphyxia and prematurity are the leading causes of neonatal mortality in low and middle income countries. Neonatal resuscitation training reduces asphyxia-related newborn mortality and morbidity, but in the absence of continuing low-dose, high frequency practice, these initial gains rapidly decay. The investigators propose to develop and evaluate innovative mobile virtual simulations for refresher training on neonatal resuscitation and essential newborn care to support the retention of knowledge and skills among health care workers in low and middle income countries.
Detailed Description
The main goal of this study is to improve newborn mortality and morbidity by using affordable and accessible mobile virtual simulations to provide quality skills training and maintenance for healthcare workers in Low/Middle income countries (LMIC). The investigators hypothesize that mobile devices will provide a readily accessible, standardized alternative to in-person training to maintain skills. This study has the following Specific Aims: Specific Aim 1: Co-develop and pilot test the usability and efficacy of mobile virtual simulations on early newborn care skills among healthcare workers who attend deliveries in community and health facility-based settings. Specific Aim 2: Evaluate the impact of the mobile virtual essential newborn care (vENC) training on neonatal resuscitation and care educational indicators and performance outcomes among healthcare workers who provide newborn care in community and health facility-based settings. Specific Aim 3: Evaluate the impact of virtual simulation refresher training on the rates of neonatal mortality in primary, secondary and tertiary healthcare facilities in Nigeria.
Investigators
Rachel Umoren
Associate Professor, School of Medicine
University of Washington
Eligibility Criteria
Inclusion Criteria
- •Must have a direct clinical role related to newborn care
- •Is able and willing to attend and complete study-related engagements
Exclusion Criteria
- •Healthcare workers who have received essential newborn care course (ENCC) training within the past 12 months at time of recruitment
Outcomes
Primary Outcomes
Number of participants with correct performance on essential newborn care objective structured clinical exam (OSCE) items at 6 months
Time Frame: at 6 months after in-person training
Early neonatal mortality
Time Frame: within 7 days of birth
Defined as neonatal mortality within 7 days of birth
Secondary Outcomes
- Intrapartum-related mortality(on day 1)
- Number of newborns receiving recommended essential newborn care practices(within 7 days of birth)
- Number of participants with correct performance on essential newborn care objective structured clinical exam (OSCE) items by 12 months(at 12 months after in-person training)
- Number of non-breathing newborns receiving bag and mask ventilation(at delivery)
- Early neonatal mortality among babies requiring resuscitation(within 7 days of birth)