Mobile Virtual Simulation Training in Essential Newborn Care for Healthcare Workers in Low and Middle Income Countries

Обзор

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.

Подробное описание

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.

Вмешательства

• Другое Virtual Essential Newborn Care (vENC) training
  Essential Newborn Care Mobile Virtual Reality Simulation

Первичные конечные точки

• Number of participants with correct performance on essential newborn care objective structured clinical exam (OSCE) items at 6 months [Срок оценки: at 6 months after in-person training]
• Early neonatal mortality [Срок оценки: within 7 days of birth]

Вторичные конечные точки (5)

• Number of participants with correct performance on essential newborn care objective structured clinical exam (OSCE) items by 12 months [Срок оценки: at 12 months after in-person training]
• Number of non-breathing newborns receiving bag and mask ventilation [Срок оценки: at delivery]
• Number of newborns receiving recommended essential newborn care practices [Срок оценки: within 7 days of birth]
• Intrapartum-related mortality [Срок оценки: on day 1]
• Early neonatal mortality among babies requiring resuscitation [Срок оценки: within 7 days of birth]

Критерии участия

Критерии включения

• Must have a direct clinical role related to newborn care
• Is able and willing to attend and complete study-related engagements

Критерии исключения

• Healthcare workers who have received essential newborn care course (ENCC) training within the past 12 months at time of recruitment

Критерии приведены из реестра в оригинале (на английском). Окончательную оценку соответствия проводит исследовательский центр.

Здоровые добровольцы: Нет

Дизайн исследования

Распределение

Рандомизированное

Модель

Перекрёстный дизайн

Маскирование

Простое слепое

Основная цель

Организация здравоохранения

Центры проведения

Nigeria · 1 центр

• University of Lagos — Lagos

Идентификаторы

NCT: NCT05551312 · STUDY00013179 · 1R21HD107984

Первоисточники (государственные реестры)

• ClinicalTrials.gov (NIH, США)

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