The Effect of Simulation-based Training on Confidence and Competence in Obtaining Vitals in a Child With Autism

NCT05288868 | Completed

• 1 other identifier: 21-05023509
• Study Type: interventional
• Target: 84
• Locations: 1 country
• Sites: 1

Brief Summary

The objective is to evaluate the efficacy of an online learning module combined with high fidelity simulation-based training in improving medical assistants' and registered nurses' self-confidence and competence scores in taking vital signs in a child with Autism Spectrum Disorder in clinic. The study will explore the efficacy of high-fidelity simulation which has not been studied to date as a training modality for teaching healthcare workers about Autism Spectrum Disorder. The investigators will also evaluate patient encounter data to provide insight into trainees' transformation of knowledge into clinical practice. The hypothesis is that nurses and medical assistants who participate in an online learning module combined with simulation-based training will demonstrate improved self-confidence and competence scores in evaluating children with Autism.

Conditions

Autism Spectrum Disorder

Outcome Measures

Primary Outcomes (2)

• Mean change from baseline in confidence scores on the employee questionnaire at weeks 10 and 16

  Minimum score = 3 (least confident). Maximum score = 15 (most confident).

  0 weeks = baseline; 10 weeks = interim survey; 16 weeks = final survey

• Mean change from baseline in competency scores on the employee questionnaire at weeks 10 and 16

  Minimum score = 8 (least competent). Maximum score = 40 (most competent).

  0 weeks = baseline; 10 weeks = interim survey; 16 weeks = final survey

Secondary Outcomes (3)

• Mean change from baseline in knowledge scores on the employee questionnaire at weeks 10 and 16

  0 weeks = baseline; 10 weeks = interim survey; 16 weeks = final survey

• Mean change from baseline in caregiver satisfaction score on the caregiver survey between weeks 6-10 and 12-16

  0 weeks = baseline; 6-10 weeks = interim survey; 12-16 weeks = final survey

• Mean change in the number of times vital signs obtained between weeks 0-4, weeks 6-10, and weeks 12-16

  0 weeks = baseline; 6-10 weeks = interim survey; 12-16 weeks = final survey

Study Arms (2)

Educational Intervention: online didactic lecture and educational simulation activity

EXPERIMENTAL

The didactic was created by the research team and provides information on Autism Spectrum Disorder (ASD) and an approach to taking vital signs in these children. The didactic will be pre-recorded and sent by email to employee study participants. The didactic will last about 10 minutes. The simulation activity will have the premise of a child with ASD and their caregiver at clinic visit. The employee participant will be asked to take vital signs on the patient. The caregiver will be played by an actor and the child will be played by a mannequin. An iterative script will be used by the actor during the scenario. The simulation will last about 20 minutes and will be followed by a 10 minute debrief.

Other: Educational Intervention: online didactic lecture and educational simulation activity

Caregiver Satisfaction

NO INTERVENTION

Caregivers who accompany their children with autism to the clinic will be surveyed for their comfort scores before and after the study participants' educational intervention

Interventions

Educational Intervention: online didactic lecture and educational simulation activity OTHER

The didactic was created by the research team and provides information on Autism Spectrum Disorder (ASD) and an approach to taking vital signs in these children. The didactic will be pre-recorded and sent by email to employee study participants. The didactic will last about 10 minutes. The simulation activity will have the premise of a child with ASD and their caregiver at clinic visit. The employee participant will be asked to take vital signs on the patient. The caregiver will be played by an actor and the child will be played by a mannequin. An iterative script will be used by the actor during the scenario. The simulation will last about 20 minutes and will be followed by a 10 minute debrief.

Educational Intervention: online didactic lecture and educational simulation activity

Eligibility Criteria

• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

• \[Primary study participants\] any nurses and medical assistants employed in the pediatric clinics of HT3 and HT5.
• \[Secondary study participants\] pediatric patients ages 1-17 years in HT3 and HT5 clinics with autism spectrum disorder who need vital signs obtained, accompanied by a parent or guardian who can read, write and understand written English.

You may not qualify if:

• \[Primary study participants\] persons who are not nurses or medical assistants employed in the pediatric clinics of HT3 and HT5.
• \[Secondary study participants\] any patients who do not have a diagnosis of Autism Spectrum Disorder documented in the medical record, are not between the ages of 1 and 17, do not need vital signs obtained at their visit, or are not accompanied by a parent/guardian who can read, write and understand written English.

Sponsors & Collaborators

• Weill Medical College of Cornell University: lead

Study Sites (1)

Weill Cornell Medicine

New York, New York, 10065, United States

Location

MeSH Terms

Conditions

Autism Spectrum Disorder

Condition Hierarchy (Ancestors)

Child Development Disorders, Pervasive; Neurodevelopmental Disorders; Mental Disorders

Study Officials

• Kevin Ching

  Weill Medical College of Cornell University

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NON RANDOMIZED
• Masking: NONE
• Purpose: OTHER
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: March 11, 2022
• First Posted: March 21, 2022
• Study Start: June 7, 2022
• Primary Completion: May 8, 2024
• Study Completion: May 8, 2024
• Last Updated: November 5, 2024

Record last verified: 2024-11

Data Sharing

• IPD Sharing: Will not share

Locations

US (1)