Breastfeeding Education in the Time of COVID-19

Breastfeeding Clinical Trial

Official title:

Breastfeeding Education in the Time of COVID-19. Hybrid Telesimulation With Standardized Patients for Pediatric and Family Medicine Trainees, a Randomized Trial

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT04519216
• Other study ID #: 1613611-2
• Status: Completed
• Phase: N/A
• Start date: July 31, 2020
• Est. completion date: December 10, 2021

Study information

• Verified date: December 2021
• Source: University of California, Davis
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial 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.

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.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 46
• Est. completion date: December 10, 2021
• Est. primary completion date: October 30, 2021
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: All
• Age group: 18 Years and older

Eligibility

1. 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.

Related Conditions & MeSH terms

• Breastfeeding
• Breastfeeding Jaundice
• Breastfeeding, Exclusive
• Educational Problems
• Jaundice

Intervention

Behavioral:
• Telesimulation
Telesimulation educational intervention

Locations

Country	Name	City	State
United States	University of California - Davis	Sacramento	California

Sponsors (1)

Lead Sponsor	Collaborator
University of California, Davis

Country where clinical trial is conducted

United States, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Change in practice patterns	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.	at enrollment, 2 weeks and 3 months following intervention
Secondary	Self efficacy	Physician residents (participants) will fill out a survey about their breastfeeding counseling self efficacy prior to and after the intervention.	at enrollment, 2 weeks and 3 months following intervention
Secondary	Satisfaction with simulation	Physician residents (participants) will fill out a survey about their satisfaction with the breast feeding medicine curriculum after the educational intervention.	Immediately following the educational intervention