Video-Debriefing for Improved Competence Among Skilled Birth Attendants in Lira District-Northern Uganda

Neonatal Encephalopathy Clinical Trial

— V-DICAS  

Official title:

The Effect of Standard Helping Babies Breathe Training With Video-debriefing on Health Workers Knowledge and Skills Attainment and Retention in Lira District Northern Uganda

Clinical Trial Details — Status: Recruiting

Administrative data

• NCT number: NCT03703622
• Other study ID #: REC REF 2015-085
• Status: Recruiting
• Phase: N/A
• Start date: June 4, 2018
• Est. completion date: December 31, 2018

Study information

• Verified date: October 2018
• Source: Makerere University
• Contact: Beatrice Odongkara, MBChB, MMed, Fellowship
• Phone: +256772896397
• Email: beachristo2003[@]gmail.com
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

Helping babies breathe (HBB) is a neonatal resuscitation training program for low-resource settings to health care workers to provide prompt respiratory support to save babies at birth. Despite massive roll-out, new-born mortality reduction has stagnated over the years. Innovative teaching methods with existing technology such as video-debriefing needs to be tested to promote competence (skills and knowledge) attainment and retention.

Description:

In this study we will randomize both public and private delivery facilities in Lira district northern Uganda to receive either standard HBB with video-debriefing (intervention) or standard training alone (control). We hope video-debriefing will improve competence among the health workers and promote skills and knowledge retention over time, hence reduction in neonatal mortality.

The result of the study may also contribute to shaping refresher training program policy in low-resource settings.

Recruitment information / eligibility

• Status: Recruiting
• Enrollment: 96
• Est. completion date: December 31, 2018
• Est. primary completion date: December 31, 2018
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: All
• Age group: 18 Years to 65 Years

Eligibility

Inclusion Criteria:

• All health care workers attending to delivery and new-born care in both public and private facilities in Lira district.

Exclusion Criteria:

• Those who turn up for training just for daily allowances, having been sent by their facility in-charges to fill gaps such as community vaccinators, Village Health Teams (VHTs), security officers, cleaners, and laboratory technicians

Related Conditions & MeSH terms

• Brain Diseases
• Helping Babies Breathe (HBB) Training
• Neonatal Encephalopathy

Intervention

Behavioral:
• Video-debriefing with standard HBB training compared with standard HBB training only
We will use the AAP training curriculum for the HBB 2nd edition through out the training and course assessments pre-and post- training and during follow-up period. Both intervention arms will a 2 days training consisting of: lectures, neonatal resuscitation demonstrations using NeoNatali mannequin, and practical skills s sessions. Pre- and post-tests knowledge (MCQs) and skills (bag mask ventilation, OSCE A, & OSCE B) will be given to all participants. In the intervention arm, in addition to standard training, participants will work in teams of three (birth attendant, mother, and an assistant) to perform different HBB case scenarios. These will be filmed and used for subsequent debriefing after each case scenarios. After all participants in the intervention have had the opportunity to participate in the debriefing, then a post test is done to assess performance. Analysis is done to compare the intervention and control arms performances.

Locations

Country	Name	City	State
Uganda	All public and Private delivery facilities (hospitals, health centers, maternity homes, and clinics) in Lira district	Lira	Northern

Sponsors (2)

Lead Sponsor	Collaborator
Makerere University	University of Bergen

Country where clinical trial is conducted

Uganda, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Health workers knowledge scores in percentage	The scores from HBB multiple choice questions (MCQs) will be used.	6 months
Primary	Health workers skills scores in percentages	The scores from bag mask ventilation, OSCE A and B skills sessions will be used.	6 months
Secondary	Knowledge and skills retention at 1, 3 and 6 months	The knowledge and skills scores as described above will be used to assess retention at different time points	6 months
Secondary	Neonatal mortality at health facilities pre- and post training	We will determine the mortality at all the birth facilities from maternity registers to determine the effect of our training on birth outcomes	6 months