Breastfeeding Education in the Time of COVID-19

Not Applicable

Completed

• Conditions: Breastfeeding Jaundice; Breastfeeding; Breastfeeding, Exclusive; Educational Problems
• Interventions: Behavioral: Telesimulation

• Registration Number: NCT04519216
• Lead Sponsor: University of California, Davis

Brief Summary

This project will establish that pediatric and family medicine residents who complete a hybrid breastfeeding medicine curriculum that includes an asynchronous unfolding case scenario along with telesimulation with a standardized patient (SP) will provide timely, skilled lactation support more frequently than residents randomized to an asynchronous unfolding case scenario followed by videoconference group discussion regarding care for the breastfeeding dyad.

Detailed Description

1. Establish that pediatric and family medicine residents who complete a novel breastfeeding medicine curriculum that includes an online unfolding case scenario along with telemedicine simulation with a standardized patient (SP) will provide timely, skilled lactation support more frequently than residents randomized to an online unfolding case scenario followed by traditional didactic breastfeeding case-presentation via videoconference.

2. Establish that online learning via unfolding case scenario and telemedicine simulation with a SP will be feasible for family medicine and pediatric residents to complete during their newborn nursery rotation.

Intern and third year residents completing their newborn nursery rotation at UC Davis Medical Center will be cluster-randomized by rotation month to receipt of breastfeeding education via telesimulation with standardized patient or traditional case-based learning via videoconferencing with pediatric faculty. The primary outcome of this study will be the translation of clinical lactation skills to the care of breastfeeding mothers and newborns. I hypothesize that pediatric and family medicine residents randomized to complete the telesimulation with SP will translate their acquired clinical lactation skills to the care of breastfeeding mothers and newborns at a greater rate than residents who complete a videoconference case-based traditional curriculum discussion with a newborn nursery pediatrician.

Study Timeline

• Study Start: 2020-07-31
• Study First Submitted: 2020-08-12
• Study First Submitted QC: 2020-08-18
• Study First Posted: 2020-08-19
• Primary Completion: 2021-10-30
• Study Completion: 2021-12-10
• Status Verified: 2025-04
• Last Update Submitted: 2025-04-21
• Last Update Posted: 2025-04-23

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 46

Inclusion Criteria

Pediatric and Family Medicine resident physicians at UC Davis Medical Center 2. Exclusion criteria: Individuals who are unable to communicate in English, Individuals who do not have access to videoconferencing via computer or phone.

Exclusion Criteria

Not provided

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Telesimulation	Telesimulation	Participants in the intervention group will complete an online unfolding case scenario. Then these participants will complete a telesimulation case with a standardized patient via video conferencing.
Traditional education	Telesimulation	Participants in the control group will complete an online unfolding case scenario. Then these same participants will participate in a videoconferencing case based lecture with the academic pediatric fellow

Primary Outcome Measures

Name	Time	Method
Change in practice patterns	at enrollment, 2 weeks and 3 months following intervention	Breastfeeding medicine practice patterns of physician residents will be assessed at enrollment and following the intervention/control. Physician resident participants will complete a survey querying the number of times they have counseled patients about breastfeeding, the number of breast examinations performed, the number of witnessed breastfeeding sessions, and any experience with counseling about manual expression of breast milk.

Secondary Outcome Measures

Name	Time	Method
Self efficacy	at enrollment, 2 weeks and 3 months following intervention	Physician residents (participants) will fill out a survey about their breastfeeding counseling self efficacy prior to and after the intervention.
Satisfaction with simulation	Immediately following the educational intervention	Physician residents (participants) will fill out a survey about their satisfaction with the breast feeding medicine curriculum after the educational intervention.

Trial Locations

Locations (1)

University of California - Davis; 🇺🇸 Sacramento, California, United States