Helping Babies Breathe (HBB) is a program that teaches providers in low- and middle-income countries about neonatal resuscitation. Historically, HBB training was delivered in person. During the COVID-19 pandemic, many subject matter experts were unable to travel to conduct HBB courses. Innovative methods for teaching HBB are needed to promote the acquisition and retention of resuscitation skills and knowledge.
In this non-inferiority randomized controlled trial, medical students, nursing students, and midwifery students will be randomized to receive either standard in-person HBB training (control) or virtual telesimulation training (intervention). The hypothesis is that virtual delivery is as effective as in-person training of HBB content when teaching neonatal resuscitation skills and knowledge to medical, nursing, and midwifery students.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
HEALTH_SERVICES_RESEARCH
Masking
NONE
Enrollment
262
HBB Virtual Training (Intervention): The 2nd edition HBB training course focuses on preparation for birth, routine care for all babies, the Golden Minute, and continued ventilation with normal or slow heart rate. The one-day virtual training will be delivered remotely to participants via Zoom. Facilitators and training materials will be the same in both the control and intervention arms.
HBB In-Person Training (Control): The 2nd edition HBB training course focuses on preparation for birth, routine care for all babies, the Golden Minute, and continued ventilation with normal or slow heart rate. The one-day in-person training will be delivered in person. Facilitators and training materials will be the same in both the control and intervention arms.
Jimma University
Jimma, Ethiopia
Helping Babies Breathe Objective Structured Clinical Exam (OSCE) B
Compare skill retention between the virtual delivery of Helping Babies Breathe (HBB) with the in-person delivery of HBB. This is a standardized evaluation of HBB skills, a score of 17 out of 23 is required to pass. Score range: 0 to 23, higher scores indicate better HBB skills, and a score of 17 or higher is required to pass.
Time frame: Two months after HBB training (approximately 15 minutes to assess)
Helping Babies Breathe Objective Structured Clinical Exam (OSCE) B
Compare skill acquisition between the virtual delivery of Helping Babies Breathe (HBB) with the in-person delivery of HBB. This is a standardized evaluation of HBB skills, a score of 17 out of 23 is required to pass. Score range: 0 to 23, higher scores indicate better HBB skills, and a score of 17 or higher is required to pass.
Time frame: Immediately after HBB training (approximately 15 minutes to assess)
Helping Babies Breathe Objective Structured Clinical Exam (OSCE) A
Compare skill retention between the virtual delivery of Helping Babies Breathe (HBB) with the in-person delivery of HBB. This is a standardized evaluation of HBB skills, a score of 9 out of 12 is required to pass. Score range: 0 to 12, higher scores indicate better HBB skills, and a score of 9 or higher is required to pass.
Time frame: Two months after HBB training (approximately 10 minutes to assess)
Helping Babies Breathe Objective Structured Clinical Exam (OSCE) A
Compare skill acquisition between the virtual delivery of Helping Babies Breathe (HBB) with the in-person delivery of HBB. This is a standardized evaluation of HBB skills, a score of 9 out of 12 is required to pass. Score range: 0 to 12, higher scores indicate better HBB skills, and a score of 9 or higher is required to pass.
Time frame: Immediately after HBB training (approximately 10 minutes to assess)
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.
Helping Babies Breathe Bag and Mask Ventilation score
Compare skill acquisition between virtual delivery of Helping Babies Breathe (HBB) with the in-person delivery of HBB. This is a standardized evaluation of bag and mask ventilation, a score out of 14. Score range: 0 to 14, higher scores indicate better HBB skills, and a score of 14 is required to pass.
Time frame: Immediately after HBB training (approximately 10 minutes to assess)
Helping Babies Breathe Bag and Mask Ventilation score
Compare skill retention between virtual delivery of Helping Babies Breathe (HBB) with the in-person delivery of HBB. This is a standardized evaluation of bag and mask ventilation, a score out of 14. Score range: 0 to 14, higher scores indicate better HBB skills, and a score of 14 is required to pass.
Time frame: Two months after HBB training (approximately 10 minutes to assess)
Helping Babies Breathe Multiple Choice Questionnaire score
Determine baseline understanding of HBB material for each participant. This exam contains 18 questions pertaining to HBB curriculum. Score range: 0 to 18, higher scores indicate better HBB knowledge, and a score of 15 or higher is required to pass.
Time frame: Immediately before HBB training (approximately 20 minutes to assess)
Helping Babies Breathe Multiple Choice Questionnaire score
Determine knowledge acquisition of HBB material for each participant. This exam contains 18 questions pertaining to HBB curriculum. Score range: 0 to 18, higher scores indicate better HBB knowledge, and a score of 15 or higher is required to pass.
Time frame: Immediately after HBB training (approximately 20 minutes to assess)
Helping Babies Breathe Multiple Choice Questionnaire score
Determine knowledge retention of HBB material for each participant. This exam contains 18 questions pertaining to HBB curriculum. Score range: 0 to 18, higher scores indicate better HBB knowledge, and a score of 15 or higher is required to pass.
Time frame: Two months after HBB training (approximately 20 minutes to assess)
NeoNatalie Live Data: Heart rate
NeoNatalie Live is a mannequin that will provide data on bag-mask ventilation proficiency. During each simulation, the heart rate of the mannequin will be collected per participant.
Time frame: Immediately after HBB training (approximately 10 minutes to assess)
NeoNatalie Live Data: Ventilation pressure
NeoNatalie Live is a mannequin that will provide data on bag-mask ventilation proficiency. During each simulation, the ventilation pressure of the mannequin will be collected per participant.
Time frame: Immediately after HBB training (approximately 10 minutes to assess)
NeoNatalie Live Data: Time to spontaneous breathing
NeoNatalie Live is a mannequin that will provide data on bag-mask ventilation proficiency. Data about the amount of time it takes to reach a ventilation rate of 40-60 breaths per minute will be collected per participant.
Time frame: Immediately after HBB training (approximately 10 minutes to assess)
NeoNatalie Live Data: Ventilation attempts
NeoNatalie Live is a mannequin that will provide data on bag-mask ventilation proficiency. Data about the number of ventilation attempts will be collected per participant.
Time frame: Immediately after HBB training (approximately 10 minutes to assess)
NeoNatalie Live Data: Heart rate
NeoNatalie Live is a mannequin that will provide data on bag-mask ventilation proficiency. During each simulation, the heart rate of the mannequin will be collected per participant.
Time frame: Two months after HBB training (approximately 10 minutes to assess)
NeoNatalie Live Data: Ventilation pressure
NeoNatalie Live is a mannequin that will provide data on bag-mask ventilation proficiency. During each simulation, the ventilation pressure of the mannequin will be collected per participant.
Time frame: Two months after HBB training (approximately 10 minutes to assess)
NeoNatalie Live Data: Time to spontaneous breathing
NeoNatalie Live is a mannequin that will provide data on bag-mask ventilation proficiency. Data about the amount of time it takes to reach a ventilation rate of 40-60 breaths per minute will be collected per participant.
Time frame: Two months after HBB training (approximately 10 minutes to assess)
NeoNatalie Live Data: Ventilation attempts
NeoNatalie Live is a mannequin that will provide data on bag-mask ventilation proficiency. Data about the number of ventilation attempts will be collected per participant.
Time frame: Two months after HBB training (approximately 10 minutes to assess)
Attitude Questionnaire
5-point Likert scale designed to assess perceived confidence in performing HBB skills.
Time frame: Immediately before HBB training (approximately 5 minutes to assess)
Attitude Questionnaire
5-point Likert scale designed to assess perceived confidence in performing HBB skills as well as evaluation satisfaction with the course and its instructors.
Time frame: Immediately after HBB training (approximately 5 minutes to assess)
Attitude Questionnaire
5-point Likert scale designed to assess sustained perceived confidence in performing HBB skills as well as evaluation satisfaction with the course and its instructors.
Time frame: Two months after HBB training (approximately 5 minutes to assess)
Profile of perceived barriers and facilitators
Focus group discussions will be intended to understand differences in perceived barriers/facilitators of training. This will explore confidence in performing HBB techniques and attitudes toward virtual and in-person delivery of content. The objective of the focus groups will be to identify key themes around participants' perspectives of the HBB training to provide context around the outcomes listed above.
Time frame: Two months after HBB training (approximately 60 minutes to assess)