- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT05355519
Obstetric Life Support, a Curriculum to Effectively Resuscitate Pregnant Patients Experiencing Cardiac Arrest. (OBLS)
April 29, 2022 updated by: Andrea Shields, UConn Health
Advances in Patient Safety Through Simulation Research
The objective of the study is to determine if Obstetric Life Support Program (OBLS) has an effect on the confidence and skills knowledge in participants.
Study Overview
Status
Recruiting
Conditions
Detailed Description
Enrolled participants with healthcare experience will be randomized to intervention with an electronic curriculum and instructor-led course or placebo first and then will be crossed over to receive the intervention.
Participants will undergo assessments pre and post intervention, as well as repeat assessments after three washout periods separated by six months each.
Study Type
Interventional
Enrollment (Anticipated)
48
Phase
- Not Applicable
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Contact
- Name: Laurie Kavanagh, MPH
- Phone Number: 206-399-0531
- Email: kavanagh@uchc.edu
Study Contact Backup
- Name: Sheila Thurlow, MSN
- Phone Number: 860-679-4637
- Email: thurlow@uchc.edu
Study Locations
-
-
Connecticut
-
Farmington, Connecticut, United States, 06030
- Recruiting
- UConn Health
-
Principal Investigator:
- Andrea Shields, MD, MS
-
-
Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
18 years and older (Adult, Older Adult)
Accepts Healthy Volunteers
No
Genders Eligible for Study
All
Description
Inclusion Criteria:
PH
- All genders
- EMS healthcare providers of all levels including basic, advanced, paramedics; firefighters, law enforcement officers, and trainees in any of these programs.
- 18 years old or older
- Ability to read, write and speak in English
IH
- All genders
- Emergency medicine providers (ED, FP, ICU) surgeons (OB), anesthesiologists, trainees of GME, and nurses from ED, FP, ICU/NICU, or OB/L&D.
- 18 years or older
- Ability to read, write and speak in English
Exclusion Criteria:
- Participants included in the pilot-testing sessions
- Participants from other medical specialties not listed in the inclusion criteria.
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
- Primary Purpose: Other
- Allocation: Randomized
- Interventional Model: Crossover Assignment
- Masking: Single
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Active Comparator: Curriculum and Instructor-Led Course
Participants first complete an online cognitive assessment.
Once complete, staff email the electronic curriculum for participants to read.
On a specific day, participants will go to the designated center to participate in an instructor-led course and simulated medical scenarios and complete megapode and online cognitive assessment.
After a washout period of six months, participants return to the designated center to participate in simulated medical scenarios and complete the online cognitive assessment again.
After a second washout period of six months, participants will take the online cognitive assessment again.
|
Electronic curriculum and instructor-led course
|
Placebo Comparator: Placebo
On a specific day, participants will go to a designated center to complete an online cognitive assessment and participate in simulated medical scenarios.
Once complete, study staff will email the electronic curriculum for participants to read.
After a washout period of six months, participants will return to the designated center to participate in an instructor-led course and simulated medical scenarios and complete a megapode and online cognitive assessment.
After a second washout period of six months, participants will take an online cognitive assessment again.
|
Electronic curriculum and instructor-led course
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Change from Baseline in the Mean Participant Knowledge Assessment
Time Frame: From baseline to immediately upon completing training
|
Mean (standard deviation) of participant knowledge assessment scores post-training stratified by treatment arm.
Minimum value is zero and maximum value is 100.
A higher score means a better outcome.
|
From baseline to immediately upon completing training
|
Comparison of Scores Between Two Arms
Time Frame: Immediately upon completing training
|
Mean (standard deviation) of participant megacode checklist scores post-training stratified by treatment arm. Minimum value is zero and maximum value is 200. A higher score means a better outcome. |
Immediately upon completing training
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Self-Reported Confidence Level in Assessing and Managing Critical Care Scenarios in Pregnant Patients
Time Frame: From baseline to 6 months
|
Frequency (percent) of participants who self-report that they are confident or very confident in managing procedures in pregnant patients.
|
From baseline to 6 months
|
Self-Reported Confidence Level in Assessing and Managing Critical Care Scenarios in Pregnant Patients
Time Frame: From baseline to 12 months
|
Frequency (%) of participants who self-report that they are confident or very confident in managing procedures in pregnant patients.
|
From baseline to 12 months
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Collaborators
Investigators
- Principal Investigator: Andrea Shields, MD, UConn Health
Publications and helpful links
The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.
General Publications
- Collier AY, Molina RL. Maternal Mortality in the United States: Updates on Trends, Causes, and Solutions. Neoreviews. 2019 Oct;20(10):e561-e574. doi: 10.1542/neo.20-10-e561.
- Hameed AB, Lawton ES, McCain CL, Morton CH, Mitchell C, Main EK, Foster E. Pregnancy-related cardiovascular deaths in California: beyond peripartum cardiomyopathy. Am J Obstet Gynecol. 2015 Sep;213(3):379.e1-10. doi: 10.1016/j.ajog.2015.05.008. Epub 2015 May 13.
- Briller J, Koch AR, Geller SE; Illinois Department of Public Health Maternal Mortality Review Committee Working Group. Maternal Cardiovascular Mortality in Illinois, 2002-2011. Obstet Gynecol. 2017 May;129(5):819-826. doi: 10.1097/AOG.0000000000001981.
- Jeejeebhoy FM, Zelop CM, Lipman S, Carvalho B, Joglar J, Mhyre JM, Katz VL, Lapinsky SE, Einav S, Warnes CA, Page RL, Griffin RE, Jain A, Dainty KN, Arafeh J, Windrim R, Koren G, Callaway CW; American Heart Association Emergency Cardiovascular Care Committee, Council on Cardiopulmonary, Critical Care, Perioperative and Resuscitation, Council on Cardiovascular Diseases in the Young, and Council on Clinical Cardiology. Cardiac Arrest in Pregnancy: A Scientific Statement From the American Heart Association. Circulation. 2015 Nov 3;132(18):1747-73. doi: 10.1161/CIR.0000000000000300. Epub 2015 Oct 6.
- Goodwin AP, Pearce AJ. The human wedge. A manoeuvre to relieve aortocaval compression during resuscitation in late pregnancy. Anaesthesia. 1992 May;47(5):433-4. doi: 10.1111/j.1365-2044.1992.tb02228.x.
- Jeejeebhoy FM, Zelop CM, Windrim R, Carvalho JC, Dorian P, Morrison LJ. Management of cardiac arrest in pregnancy: a systematic review. Resuscitation. 2011 Jul;82(7):801-9. doi: 10.1016/j.resuscitation.2011.01.028. Epub 2011 May 6.
- Lipman S, Cohen S, Einav S, Jeejeebhoy F, Mhyre JM, Morrison LJ, Katz V, Tsen LC, Daniels K, Halamek LP, Suresh MS, Arafeh J, Gauthier D, Carvalho JC, Druzin M, Carvalho B; Society for Obstetric Anesthesia and Perinatology. The Society for Obstetric Anesthesia and Perinatology consensus statement on the management of cardiac arrest in pregnancy. Anesth Analg. 2014 May;118(5):1003-16. doi: 10.1213/ANE.0000000000000171.
- King SE, Gabbott DA. Maternal cardiac arrest--rarely occurs, rarely researched. Resuscitation. 2011 Jul;82(7):795-6. doi: 10.1016/j.resuscitation.2011.03.029. Epub 2011 Apr 6. No abstract available.
Helpful Links
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start (Actual)
October 21, 2021
Primary Completion (Anticipated)
January 1, 2023
Study Completion (Anticipated)
July 1, 2024
Study Registration Dates
First Submitted
April 21, 2022
First Submitted That Met QC Criteria
April 29, 2022
First Posted (Actual)
May 2, 2022
Study Record Updates
Last Update Posted (Actual)
May 2, 2022
Last Update Submitted That Met QC Criteria
April 29, 2022
Last Verified
April 1, 2022
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- 22X-137
- 5R18HS026169 (U.S. AHRQ Grant/Contract)
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
No
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
No
Studies a U.S. FDA-regulated device product
No
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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