Evaluation of Online Training Tools in Pediatric Resuscitation

NCT03640520 | Completed

• 1 other identifier: 17-014752
• Study Type: interventional
• Target: 547
• Locations: 1 country
• Sites: 2

Brief Summary

The primary objective is to conduct a randomized controlled trial (RCT) to assess the impact of an online skills training module on 1) individual providers' self-rated confidence and comfort with and current practice of family centered care (FCC) skills; and 2) assess team performance of FCC and resuscitative care skills during simulated pediatric resuscitation scenarios.

Conditions

Family-centered Care in Pediatric Resuscitation

Outcome Measures

Primary Outcomes (2)

• Pre- to post-training changes in individual providers' self-rated confidence in providing FCC in pediatric resuscitation

  Pre-training to post-training change in scores on the adapted Family Presence Self-Confidence Scale (FPSCS). The FPSCS is a 29-item scale assessing health care providers' confidence in assisting patients and family members during a resuscitation, and in continuing to provide consistent high quality care while family members are present. It is on 1 to 5 scale, with 1 = not at all confident, 3 = somewhat confident, and 5 = very confident. The FPSCS total score has a potential range of 29 to 145, with higher score indicating greater confidence.

  Pre-training survey up to 4 weeks prior to training, Post-training survey up to 6 weeks after training

• Pre- to post-training changes in self-reported use of FCC skills in practice

  Pre-training survey up to 4 weeks prior to training, Post-training survey up to 6 weeks after training. The Use of FCC Practices survey is a 29 item questionnaire assessing for past practice of FCC skills (pre-survey) and intention to use those skills in the future (post-survey), via items adapted from the FPSCS measure described above. Responses are on a 1 to 7 scale, with 1 = never did this and 7 = did this every time. The Use of FCC Practices total score has a potential range of 29 to 203, with higher scores indicating greater use of, or intention to use, family-centered care skills in practice.

  Pre-training survey up to 4 weeks prior to training, Post-training survey up to 6 weeks after training

Secondary Outcomes (1)

• Pre- to post-training changes in team performance of FCC

  In situ simulations conducted immediately before and after training.

Other Outcomes (2)

• Pre- to post-training changes in resuscitative care

  In situ simulations conducted immediately before and after training.

• Pre- to post-training changes in resuscitative care and in teamwork / team performance

  In situ simulations conducted immediately before and after training.

Study Arms (2)

Intervention

EXPERIMENTAL

Family-centered \& Trauma-informed Support in Pediatric Resuscitation (FACETS: Pediatric Resuscitation) is an online skills training module for health care professionals involved in pediatric resuscitation in general EDs. The module combines didactic information and scenario-based learning with opportunities for the learner to practice applying their knowledge of Family Centered Care (FCC) practices at key choice points in realistic pediatric resuscitation case scenarios. Training content is guided by evidence regarding FCC practices that are effective in reducing concurrent and ongoing emotional distress in children and family members, and in promoting child and family involvement and satisfaction with care.

Other: FACETS: Pediatric Resuscitation

Control

ACTIVE COMPARATOR

An online training module in which participants will receive information and policy education about national pediatric readiness standards for all EDs, including a brief mention of FCC as one of these standards, with no specific skills training in FCC. The module provides practice-relevant knowledge related to pediatric differences and pediatric readiness.

Other: Control

Interventions

FACETS: Pediatric Resuscitation OTHER

Family-centered \& Trauma-informed Support in Pediatric Resuscitation (FACETS: Pediatric Resuscitation) is an online skills training module for health care professionals involved in pediatric resuscitation in general EDs. The module combines didactic information and scenario-based learning with opportunities for the learner to practice applying their knowledge of FCC practices at key choice points in realistic pediatric resuscitation case scenarios. Training content is guided by evidence regarding FCC practices that are effective in reducing concurrent and ongoing emotional distress in children and family members, and in promoting child and family involvement and satisfaction with care.

Intervention

Control OTHER

An online training module in which participants will receive information and policy education about national pediatric readiness standards for all EDs (including a brief mention of family-centered care as one of these standards), with no specific skills training in FCC. The module provides practice-relevant knowledge related to pediatric differences and pediatric readiness

Control

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Males or females age 18 years and up.
• Healthcare providers at one of the six to eight general ED sites taking part in resuscitations as part of their usual work-related duties

Sponsors & Collaborators

• Children's Hospital of Philadelphia: lead
• Yale University: collaborator

Study Sites (2)

Yale School of Medicine

New Haven, Connecticut, 06511, United States

Location

Children's Hospital of Philadelphia

Philadelphia, Pennsylvania, 19104, United States

Location

Study Officials

• Sage Myers, MD, MSCE

  Children's Hospital of Philadelphia

  PRINCIPAL INVESTIGATOR

• Nancy Kassam-Adams, PhD

  Children's Hospital of Philadelphia

  PRINCIPAL INVESTIGATOR

• Marc Auerbach, MD, FAAP, MSc

  Yale University

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: PARTICIPANT, OUTCOMES ASSESSOR
• Masking Details: All participants on each team at each site will be blinded as to treatment condition and to the study goal of evaluating family centered care. Study staff who rate team performance of FCC from videotaped simulated pediatric resuscitations will also be blinded as to treatment condition.
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Model Details: Investigators will conduct an RCT of the FACETS online skills training module (intervention) vs. an online training module reviewing pediatric readiness standards for all EDs (control).

Study Record Dates

• First Submitted: August 13, 2018
• First Posted: August 21, 2018
• Study Start: January 31, 2019
• Primary Completion: May 13, 2025
• Study Completion: May 13, 2025
• Last Updated: May 29, 2025

Record last verified: 2025-05

Data Sharing

• IPD Sharing: Will not share

Locations

US (2)