Self-directed video versus instructor-based neonatal resuscitation training: a randomized controlled blinded non-inferiority multicenter international study

Edgardo G Szyld, Adriana Aguilar, Santiago Perez Lloret, Amorina Pardo, Jorge Fabres, Adriana Castro, Douglas Dannaway, Purnahamsi V Desai, Carola Capelli, Clara H Song, Diego Enriquez, Demian Szyld, EdM on behalf of the SAVER Study Group, Edgardo G Szyld, Adriana Aguilar, Santiago Perez Lloret, Amorina Pardo, Jorge Fabres, Adriana Castro, Douglas Dannaway, Purnahamsi V Desai, Carola Capelli, Clara H Song, Diego Enriquez, Demian Szyld, EdM on behalf of the SAVER Study Group

Abstract

Objective: To compare the efficacy of video-assisted self-directed neonatal resuscitation skills course with video-assisted facilitator-led course.

Methods: This multicenter, randomized, blinded, non-inferiority-controlled trial compared two methods of teaching basic neonatal resuscitation skills using mask ventilation. Groups of novice providers watched an instructional video. One group received instructor facilitation (Ins-Video). The other group did not (Self-Video). An Objective Structured Clinical Exam (OSCE) measured skills performance, and a written test gauged knowledge.

Results: One hundred and thirty-four students completed the study. Sixty-three of 68 in the Self-Video Group (92.6%) and 59 of 66 in the Ins-Video Group (89.4%) achieved post-training competency in positive pressure ventilation (primary outcome). OSCE passing rates were low in both groups. Knowledge survey scores were comparable between groups and non-inferior.

Conclusions: Video self-instruction taught novice providers positive pressure ventilation skills and theoretical knowledge, but it was insufficient for mastery of basic neonatal resuscitation in simulation environment.

Conflict of interest statement

The authors declare no competing interests.

© 2021. The Author(s), under exclusive licence to Springer Nature America, Inc. part of Springer Nature.

Figures

Fig. 1. Proportion of students meeting the…
Fig. 1. Proportion of students meeting the study outcomes.
PPV Competency was the primary outcome of the trial. Non-inferiority was concluded for students demonstrating PPV competency and for students passing knowledge test, as the lower boundary of the confidence interval did not cross the tolerance limit (dashed line), but not for students passing OSCE. Non-inferiority was confirmed by the Dunnett–Gent Chi-square test.

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