Intubation and Ventilation Skill Training Using Modified Peyton's Four-Step Approach

Effectiveness of Endotracheal Intubation and Mask Ventilation Procedural Skills Training on Preclinical Student Using Modified Peyton's Four-Step Approach During COVID-19 Pandemic

Endotracheal intubation and mask ventilation procedural skills are basic skills which have to be learnt by medical student and have to be practiced directly. However, during COVID-19 pandemic, offline training was difficult to be conducted and new specific learning method has not established yet. The study aims to assess the effectiveness of modified Peyton's four-step approach, which can be implemented through online training, compared to the classic Peyton's four-step approach in learning endotracheal intubation and mask ventilation procedural skills.

Study Overview

• Status: Completed
• Conditions: Educational Problems
• Intervention / Treatment: Other: Classic Peyton's Four-Step Approach; Other: Modified Peyton's Four-Step Approach

• Study Type: Interventional
• Enrollment (Actual): 229
• Phase: Not Applicable

Contacts and Locations

Study Locations

• Indonesia
  • DKI Jakarta
    • Jakarta Pusat, DKI Jakarta, Indonesia, 10430
      • Cipto Mangunkusumo Central National Hospital

Participation Criteria

Eligibility Criteria

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

Description

Inclusion Criteria:

• Preclinical students of Faculty of Medicine Universitas Indonesia agreed to participate and signed the consent
• Preclinical students of Faculty of Medicine Universitas Indonesia registered to attend every training session of endotracheal intubation and mask ventilation under Basic Clinical Skills module
• 100% attendance in every session

Exclusion Criteria:

• Students who have attended endotracheal intubation and mask ventilation training beforehand
• Students who have learnt endotracheal intubation and mask ventilation under Basic Clinical Skills module beforehand

Drop out Criteria:

• Preclinical students of Faculty of Medicine Universitas Indonesia who quit from Basic Clinical Skills module during research
• Students who have never attended the training session

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: Classic Peyton's Four-Step Approach; Students followed offline training session of endotracheal intubation and mask ventilation procedural skills	Other: Classic Peyton's Four-Step Approach; Instructor demonstrated endotracheal intubation and mask ventilation procedural skills directly to the preclinical students, followed by direct hands-on practice using manequin, ended with giving feedback to the students
Experimental: Modified Peyton's Four-Step Approach; Students followed online training session of endotracheal intubation and mask ventilation procedural skills	Other: Modified Peyton's Four-Step Approach; Video tutorial of endotracheal intubation and mask ventilation were given to the students without explanation, followed by video tutorial making using manequin (without instructor) by the students which will be uploaded to Youtube

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Global rating	numeric score	by the end of Basic Clinical Skill module, approximately 1-3 months after training
Actual mark	numeric score	by the end of Basic Clinical Skill module, approximately 1-3 months after training

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Satisfaction score	using Likert scale	by the end of Basic Clinical Skill module, approximately 1-3 months after training

Collaborators and Investigators

• Sponsor: Indonesia University
• Investigators: Principal Investigator: Aldy Heriwardito, Doctor, Indonesia University

Study record dates

Study Major Dates

• Study Start (Actual): March 1, 2022
• Primary Completion (Actual): June 30, 2022
• Study Completion (Actual): June 30, 2022

Study Registration Dates

• First Submitted: August 19, 2022
• First Submitted That Met QC Criteria: August 19, 2022
• First Posted (Actual): August 22, 2022

Study Record Updates

• Last Update Posted (Actual): August 22, 2022
• Last Update Submitted That Met QC Criteria: August 19, 2022
• Last Verified: August 1, 2022

More Information

Terms related to this study

• Other Study ID Numbers: IndonesiaUAnes396

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: Undecided

Drug and device information, study documents

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