Peer Learning and HBB in Managing Maternal Newborn and Child Health Emergencies in Rural Uganda (SimForLife)

Use of Simulation Based Education With Peer Learning to Enhance HBB Training for Managing Maternal Newborn and Child Health Emergencies in Rural Uganda: A Cluster-randomized Trial

The aim of this study is to test an intervention that has potential to improve acute care skills and confidence related to safe delivery and newborn care for mid-level health providers in Uganda by the development of a 'mobile' simulation package including scale-up materials based upon research evidence. In this randomized study investigators will compare the impact of a peer learning package on skills, knowledge and team work regarding newborn care among health workers in rural south western Uganda.

Study Overview

• Status: Unknown
• Conditions: Maternal, Newborn and Child Health Emergencies
• Intervention / Treatment: Other: Peer learning

Detailed Description

The aim of this study is to test an intervention that has potential to improve acute care skills and confidence related to safe delivery and newborn care for mid-level health providers in Uganda by the development of a 'mobile' simulation package including scale-up materials based upon research evidence. In this randomized study investigators will compare the impact of a peer learning package on skills, knowledge and team work regarding newborn care among health workers in rural south western Uganda.

The cluster randomized study will have two arms; intervention arm receives peer learning program. In this program, two health workers at the same health facility teach each other using case scenarios. The case scenarios will be based on common neonatal conditions such as neonatal sepsis, hypothermia and prematurity.

The two study arms will both receive training on HBB and Essential care for every baby (ECEB)

• Study Type: Interventional
• Enrollment (Anticipated): 77
• Phase: Not Applicable

Contacts and Locations

• Study Contact: Name: Santorini Data, MD; Phone Number: +256752214458; Email: sdata@must.ac.ug

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: Child; Adult; Older Adult
• Accepts Healthy Volunteers: No
• Genders Eligible for Study: All

Description

Inclusion Criteria:

• Health workers involved in performing deliveries of mothers at health center IVs and IIIs (i.e, county and subcounty level)

Exclusion Criteria:

• Health facilities based in municipalities, urban dwellings

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Other
• Allocation: Randomized
• Interventional Model: Parallel Assignment
• Masking: None (Open Label)

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Experimental: Intervention; Standard HBB and ECEB training with peer learning	Other: Peer learning; Peer learning plus HBB and ECEB
No Intervention: Control; Standard HBB and ECEB training only

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Skills on key maternal, newborn and child health emergency procedures	Ability to perform key maternal, new born and child health emergency procedures measured using Multiple choice questions (MCQs). A composite score with a maximum of 100% will be computed from these MCQs	Change in skills scores at 6 and 12 months from Baseline

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Clinical teamwork scores	Ability to work as a team through communication, sharing roles and completing tasks together measured using the Clinical Teamwork scale (CTS). A composite score will be computed by adding up all the items on the CTS scale. CTS has 15 items, each item with a maximum score of 10	Change in CTS scores at 6 and 12 months from Baseline

Collaborators and Investigators

• Sponsor: Mbarara University of Science and Technology
• Collaborators: University of Calgary

Publications and helpful links

General Publications

• Data S, Mirette D, Cherop M, Bajunirwe F, Kyakwera C, Robinson T, Josephine NN, Abesiga L, Namata T, Brenner JL, Singhal N, Twine M, Wishart I, McIntosh H, Cheng A. Peer Learning and Mentorship for Neonatal Management Skills: A Cluster-Randomized Trial. Pediatrics. 2022 Aug 1;150(2):e2021054471. doi: 10.1542/peds.2021-054471.

Study record dates

Study Major Dates

• Study Start (Anticipated): August 30, 2017
• Primary Completion (Anticipated): January 1, 2020
• Study Completion (Anticipated): June 1, 2021

Study Registration Dates

• First Submitted: August 9, 2017
• First Submitted That Met QC Criteria: August 14, 2017
• First Posted (Actual): August 17, 2017

Study Record Updates

• Last Update Posted (Actual): August 17, 2017
• Last Update Submitted That Met QC Criteria: August 14, 2017
• Last Verified: August 1, 2017

More Information

Terms related to this study

• Additional Relevant MeSH Terms: Pathologic Processes; Disease Attributes; Emergencies
• Other Study ID Numbers: MUST 21/06-16

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: UNDECIDED
• IPD Plan Description: Authorization to share data will be sought

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No