Teaching Helping Babies Breathe via Telehealth: A New Application in Rural Guatemala
Caitlin Jones-Bamman, Susan Niermeyer, Kelly McConnell, John F Thomas, Christina Olson, Caitlin Jones-Bamman, Susan Niermeyer, Kelly McConnell, John F Thomas, Christina Olson
Abstract
Background: Helping Babies Breathe (HBB) is a neonatal resuscitation curriculum that teaches life-saving interventions utilized in the first minutes after birth, reducing morbidity and mortality. Traditionally, it requires in-person facilitators for didactic and hands-on training.
Objectives: The aim of this study was to offer HBB to nurses and nursing students in Guatemala, with the lead facilitator presenting concepts via telehealth and in-person facilitators providing hands-on demonstration.
Methods: Learners completed pre- and post-tests that included the standard HBB knowledge check, as well as an assessment of the course teaching model. Learners also completed the standard Objective Structured Clinical Evaluations (OSCEs).
Results: Eighteen learners were included in the analysis. All but one learner (94%) passed the course, and the average percent improvement from the pre- to post-test was 12%. All learners achieved passing scores on the OSCEs. Learners responded positively to questions regarding the technology, connection with the instructor, and ability to ask questions. Ninety-four percent of the learners agreed with the statement "this lecture was as good via telehealth as in person." A cost analysis demonstrated approximately USD 3,979.00 in savings using telehealth compared to a standard in-person course.
Conclusions: The telehealth model was successful in delivering course material to the learners and was well received. This model represents a cost-effective way to improve access to HBB. This study may not be generalizable to other populations, and the ability to use telehealth requires reliable internet connectivity, which may not be available in all settings. Further study and expansion of this pilot are needed to assess success in other settings.
Keywords: Education; Global health; Helping Babies Breathe; Neonatal resuscitation; Telehealth.
Conflict of interest statement
The authors have no conflicts of interest to declare.
Copyright © 2019 by S. Karger AG, Basel.
References
- Liu L, Oza S, Hogan D, Chu Y, Perin J, Zhu J, et al. Global, regional, and national causes of under-5 mortality in 2000-15: an updated systematic analysis with implications for the Sustainable Development Goals. Lancet. 2016 Dec;388((10063)):3027–35.
- Blencowe H, Cousens S, Jassir FB, Say L, Chou D, Mathers C, et al. Lancet Stillbirth Epidemiology Investigator Group National, regional, and worldwide estimates of stillbirth rates in 2015, with trends from 2000: a systematic analysis. Lancet Glob Health. 2016 Feb;4((2)):e98–108.
- Lee AC, Cousens S, Wall SN, Niermeyer S, Darmstadt GL, Carlo WA, et al. Neonatal resuscitation and immediate newborn assessment and stimulation for the prevention of neonatal deaths: a systematic review, meta-analysis and Delphi estimation of mortality effect. BMC Public Health. 2011 Apr;11(Suppl 3):S12.
- Singhal N, Lockyer J, Fidler H, Keenan W, Little G, Bucher S, et al. Helping Babies Breathe: global neonatal resuscitation program development and formative educational evaluation. Resuscitation. 2012 Jan;83((1)):90–6.
- Seto TL, Tabangin ME, Josyula S, Taylor KK, Vasquez JC, Kamath-Rayne BD. Educational outcomes of Helping Babies Breathe training at a community hospital in Honduras. Perspect Med Educ. 2015 Oct;4((5)):225–32.
- Tomlinson J, Shaw T, Munro A, Johnson R, Madden DL, Phillips R, et al. How does tele-learning compare with other forms of education delivery? A systematic review of tele-learning educational outcomes for health professionals. N S W Public Health Bull. 2013 Nov;24((2)):70–5.
- Flodgren G, Rachas A, Farmer AJ, Inzitari M, Shepperd S. Interactive telemedicine: effects on professional practice and health care outcomes. Cochrane Database Syst Rev. 2015 Sep;((9)):CD002098.
- Loewen L, Seshia MM, Fraser Askin D, Cronin C, Roberts S. Effective delivery of neonatal stabilization education using videoconferencing in Manitoba. J Telemed Telecare. 2003;9((6)):334–8.
- Jain A, Agarwal R, Chawla D, Paul V, Deorari A. Tele-education vs classroom training of neonatal resuscitation: a randomized trial. J Perinatol. 2010 Dec;30((12)):773–9.
- Vossius C, Lotto E, Lyanga S, Mduma E, Msemo G, Perlman J, et al. Cost-effectiveness of the “helping babies breathe” program in a missionary hospital in rural Tanzania. PLoS One. 2014 Jul;9((7)):e102080.
Source: PubMed