A Randomized Trial of Instructor-Led Training Versus Video Lesson in Training Health Care Providers in Proper Donning and Doffing of Personal Protective Equipment
Liva Christensen, Charlotte Schang Rasmussen, Thomas Benfield, Jeffrey Michael Franc, Liva Christensen, Charlotte Schang Rasmussen, Thomas Benfield, Jeffrey Michael Franc
Abstract
Objective: This study compared live instructor-led training with video-based instruction in personal protective equipment (PPE) donning and doffing. It assessed the difference in performance between (1) attending 1 instructor-led training session in donning and doffing PPE at 1 month prior to assessment, and (2) watching training videos for 1 month.
Methods: This randomized controlled trial pilot study divided 21 medical students and junior doctors into 2 groups. Control group participants attended 1 instructor-led training session. Video group participants watched training videos demonstrating the same procedures, which they could freely watch again at home. After 1 month, a doctor performed a blind evaluation of performance using checklists.
Results: Nineteen participants were assessed after 1 month. The mean donning score was 84.8/100 for the instructor-led group and 88/100 for the video group; mean effect size was 3.2 (95% CI: -7.5 to 9.5). The mean doffing score was 79.1/100 for the instructor-led group and 73.9/100 for the video group; mean effect size was 5.2 (95% CI: -7.6 to 18).
Conclusion: Our study found no significant difference in donning and doffing scores between instructor-led and video lessons. Video training could be a fast and resource-efficient method of training in PPE donning and doffing in responding to the COVID-19 pandemic.
Keywords: coronavirus; personal protective equipment; randomized trial; video training.
Figures
References
- Anderson RM, Heesterbeek H, Klinkenberg D, et al. How will country-based mitigation measures influence the course of the COVID-19 epidemic? Lancet. 2020;395:931–934.
- World Health Organization. Rational use of personal protective equipment for coronavirus disease 2019 (COVID-19). Published February 27, 2020. . Accessed March 18, 2020.
- Association for Professionals in Infection Control and Epidemiology. Donning and doffing PPE Competency Validation Checklist. 2014. . Accessed March 18, 2020.
- Jones D, Stoler G, Suyama J, et al. Effectiveness of three just-in-time training modalities for N-95 mask fit testing. Am J Disaster Med. 2013;8:283–286.
- World Health Organization. GO pre-deployment training: participant handbook. Geneva: WHO;2015.
Source: PubMed