Simulation-based Low-dose High Frequency (LDHF) Plus Mobile Mentoring (m-Mentoring) Study in Nigeria

NCT03269240 | Completed

• 1 other identifier: IRB00007196
• Study Type: interventional
• Target: 299
• Locations: 0 countries
• Sites: N/A

Brief Summary

The aim of this study is to compare the effectiveness and cost of a simulation-based low dose high frequency (LDHF) plus m-Mentoring training versus the traditional group-based training approaches in improving knowledge and skill in maternal and newborn care and to determine trainees' satisfaction with the approaches in Ebonyi and Kogi states. The specific objectives are to:

1. 1.Compare knowledge and skill learning outcomes between the two groups of birth attendants trained through the simulation-based LDHF/m-Mentoring versus group-based training approaches in Kogi and Ebonyi states over 12-months.
2. 2.Assess the trainees' satisfaction with a simulation-based LDHF/m-Mentoring and group-based training approaches in improving skills of birth attendants in the selected facilities in Kogi and Ebonyi state over 12-months.
3. 3.Determine the cost and cost-effectiveness of LDHF/m-Mentoring and group-based training approaches in improving skills of birth attendants in the selected facilities in Kogi and Ebonyi state over 12-months.

Conditions

Training; Capacity Building; Satisfaction

Outcome Measures

Primary Outcomes (1)

• Percent change in competency in basic obstetric and emergency care between the groups

  Proportion of competent providers who retain clinical competency skills 3 months post-training

  3 months

Secondary Outcomes (3)

• Comparison of retention of skills between the two study arms

  12 months

• Level of satisfaction of service providers

  12 months

• Comparison of cost-effectiveness of the two approaches

  12 months

Study Arms (2)

LDHF plus m-Mentoring

EXPERIMENTAL

Participants will undergo pre-training assessment comprising multiple-choice questions and objective structured clinical examination (OSCE) using manikins. Training is divided into two 4-day "low-dose" sessions at the health facility or onsite training. Pre-training and immediate post-training assessments results will be compared. A score of ≥80% is acceptable competence (pass). During the one-month intervals between training sessions, participants practice using manikins to reinforce their competencies through simulation-based practices, facilitated by facility-based trained Peer Practice Coordinators (PPCs). The PPCs will also receive structured, monthly half-hour mentoring calls that will provide remote support, answering questions, providing guidance and reinforcing key messages. Acquisition of knowledge and clinical skills is measured.

Behavioral: Acquisition of Knowledge and clinical skills; Other: Onsite training

Traditional training

ACTIVE COMPARATOR

The health providers will receive the same content of training in eight days, Off-site training, the way it's currently done in Nigeria. Both theoretical and practical through use of manikins - simulation. No reinforcement and further practice will take place once the participants are back in their work stations. Acquisition of knowledge and clinical skills is measured.

Behavioral: Acquisition of Knowledge and clinical skills; Other: Off-site training

Interventions

Acquisition of Knowledge and clinical skills BEHAVIORAL

LDHF is a novel training approach that is being compared to the traditional training approach

LDHF plus m-Mentoring; Traditional training

Onsite training OTHER

Participants are training at their health facilities

LDHF plus m-Mentoring

Off-site training OTHER

Participants from different health facilities are gathered together in a central location for training, away from their workplaces

Traditional training

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Must give informed consent to participate in the study;
• Must have spent at least six months in maternal and/or newborn care services;
• Must be providing services related to maternal and newborn health in selected health facilities at the time of the interview;
• Must be available to participate in the training from the beginning to the end; and
• Must have had pre-service training not incorporating simulation-based LDHF approach from accredited medical schools, schools of nursing/midwifery or health technology.

You may not qualify if:

• Decides to opt out / declines to participate.
• Has had prior training using the simulation-based LDHF approach.
• Provides services related to maternal and newborn health more than one health facility selected as part of intervention or comparison group.

Sponsors & Collaborators

• Jhpiego: lead

Related Publications (2)

• Ugwa E, Kabue M, Otolorin E, Yenokyan G, Oniyire A, Orji B, Okoli U, Enne J, Alobo G, Olisaekee G, Oluwatobi A, Oduenyi C, Aledare A, Onwe B, Ishola G. Simulation-based low-dose, high-frequency plus mobile mentoring versus traditional group-based trainings among health workers on day of birth care in Nigeria; a cluster randomized controlled trial. BMC Health Serv Res. 2020 Jun 26;20(1):586. doi: 10.1186/s12913-020-05450-9.

  PMID: 32590979 DERIVED

• Ugwa E, Otolorin E, Kabue M, Ishola G, Evans C, Oniyire A, Olisaekee G, Onwe B, LeFevre AE, Bluestone J, Orji B, Yenokyan G, Okoli U. Simulation-based low-dose, high-frequency plus mobile mentoring versus traditional group-based training approaches on day of birth care among maternal and newborn healthcare providers in Ebonyi and Kogi States, Nigeria; a randomized controlled trial. BMC Health Serv Res. 2018 Aug 13;18(1):630. doi: 10.1186/s12913-018-3405-2.

  PMID: 30103761 DERIVED

MeSH Terms

Conditions

Personal Satisfaction

Interventions

Clinical Competence

Condition Hierarchy (Ancestors)

Behavior

Intervention Hierarchy (Ancestors)

Quality of Health Care; Health Services Administration; Health Care Quality, Access, and Evaluation

Study Officials

• Emmanuel Otolorin

  Jhpiego

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Masking Details: The assessors will blinded with respect to which study arm the participants (health care workers) were assigned to.
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Model Details: Cluster randomized control trial

Study Record Dates

• First Submitted: August 24, 2017
• First Posted: August 31, 2017
• Study Start: September 17, 2016
• Primary Completion: March 24, 2017
• Study Completion: November 29, 2017
• Last Updated: August 10, 2018

Record last verified: 2018-08