Self-directed Video Versus Instructor-based Neonatal Resuscitation Training of Novice Providers. A Controlled Blinded Randomized Non-inferiority Multicenter Study
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 134
- 试验地点
- 7
- 主要终点
- a pre-validated OSCE
研究概览
简要总结
The effect of a self directed video strategy will be compared to a face to face neonatal resuscitation training program. The hypothesis is that both strategies are equivalent.
详细描述
The NRP is becoming more and more a self learning program followed by a written test and practical hands-on evaluation; but the way the practical skills are taught and practiced has not been uniformly determined.
The current strategies for teaching involve resuscitation instructors. There are several difficulties in the developing world to achieve the objective of having a provider trained in neonatal resuscitation in every delivery. Part of this problem is due to the lack of instructors and-or budget constraint in addition to logistic difficulties.
Our Hypothesis is that a well developed self administered video complemented by a self practice using a mannequin will allow providers to reach at least similar performances on the initial steps and mask ventilation for neonatal resuscitation.
Objectives:
The aim of this study is to test the hypothesis that a self administrated video jointly with a mannequin give similar results than the current Neonatal Resuscitation Program (NRP), a pre-validated Objective Structured Clinical Examination (OSCE)hands-on course provided by a certified instructor.
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
- Double (Investigator, Outcomes Assessor)
入排标准
- 年龄范围
- 18 Years 至 70 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Medical Students from second year and above not previously trained in NRP (the Neonatal Resuscitation Program)
- •Nursing Students from second year and above not previously trained in NRP
- •Informed consent signed
排除标准
- •previous experience in NRP
研究组 & 干预措施
Self instructed video learning
A complete video lesson of neonatal resuscitation including initial resuscitative maneuvers and administration of ventilation with a SIB and a T-piece resuscitator presented in the primary language of the participating center or university (Spanish or English). A portable kit with a newborn mannequin will be provided for independent video guided practice during the session.
干预措施: Self instructed video learning (Other)
instructor training
A standard hands-on training with a face-to-face instructor following a pre-validated OSCE program guidelines.
干预措施: instructor training (Other)
结局指标
主要结局
a pre-validated OSCE
时间窗: approximately 15 minutes after having taken the course
proportion of students completing the mandatory fields of the a pre-validated OSCE evaluation grid
次要结局
- a pre-validated OSCE(at 3 months)
- Respiratory rate(approximately 15 minutes after having taken the course)
- a pre-validated OSCE(approximately 15 minutes after having taken the course)
研究者
Edgardo Szyld
Adjunct Professor
Icahn School of Medicine at Mount Sinai