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| Name | Class |
|---|---|
| University of Calgary | OTHER |
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Helping Babies Breathe (HBB) implementation is associated with reduction in neonatal deaths and reduction in fresh stillbirths. HBB has successfully integrated some aspects of simulation into an educational curriculum that teach the management of neonatal emergencies in resource-constrained countries.
Simulation based training brings special advantages and may enhance HBB training. Critical elements of simulation such as enhanced realism and post-event debriefing may carry potential to strengthen HBB training to attain maximum impact. However, evidence for the effectiveness of this combined approach is limited.
Helping Babies Breathe (HBB) implementation is associated with reduction in neonatal deaths and reduction in fresh stillbirths. HBB has successfully integrated some aspects of simulation into an educational curriculum that teach the management of neonatal emergencies in resource-constrained countries.
High levels of physical, emotional and conceptual realism are important features of simulation-based learning that impact learning outcomes. Formal debriefing is characterized as the most important element of simulation based education. Structured feedback in a safe learning environment provides the opportunity for learning of clinically relevant material. Guided reflection transfers the responsibility for learning to the participants and solidifies knowledge, skills and behaviors for transfer to clinical practice.
Simulation based training brings special advantages and may enhance HBB training. Critical elements of simulation such as enhanced realism and post-event debriefing may carry potential to strengthen HBB training to attain maximum impact. However, evidence for the effectiveness of this combined approach is limited.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| HBB plus simulation training | Experimental | Participants receive training from facilitators for HBB training with simulation skills |
|
| Control | No Intervention | Participants receive training from facilitators for HBB training without simulation skills |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| HBB facilitators with simulation training | Other | HBB training from facilitators with simulation skills. Standard HBB facilitators do not have simulation skills |
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| Measure | Description | Time Frame |
|---|---|---|
| Knowledge | The primary outcome for this analysis is level of knowledge. For each course, learners will be assessed at baseline and at course-end to determine their knowledge via multiple choice test. Scores out of 100% will be computed | Change in knowledge scores at 6 months from Baseline |
| Measure | Description | Time Frame |
|---|---|---|
| Clinical skills | The clinical skills outcome (via short neonatal resuscitation simulation scenario - HBB OSCE B). HBB OSCE B assessment will be conducted by the facilitator. | Change in clinical skills at 6 months from baseline |
| Facilitator debriefing skills |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Santorini Data, MD | Contact | +256752214458 | sdata@must.ac.ug | |
| Francis Bajunirwe, PhD | Contact | +256772576396 | fbaj@must.ac.ug |
| Name | Affiliation | Role |
|---|---|---|
| Santorini Data, MD | Mbarara University of Science and Technology | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Kampala International University | Recruiting | Ishaka | Bushenyi | 256 | Uganda |
Data will be shared after appropriate permissions have been obtained.
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Investigators will conduct a prospective, randomized controlled trial to determine if the implementation of a simulation facilitator training program for HBB compared with no facilitator training in simulation is superior in terms of the acquisition of knowledge, acute care skills, and teamwork skills of pre-service medical students. Investigators will randomly randomly assign study participants to either intervention or control arm in a 1:1 ratio.
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No masking will be done
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Facilitator debriefing skills will be assessed using the OSAD. OSAD assessments will be conducted by a pre-trained rater who will rate facilitator performance in real time. |
| Change in facilitator skills at 6 months from baseline |