Deploying Emergency Bystander Internet Training

NCT05909917 | Completed

• 1 other identifier: HUM00228774
• Study Type: interventional
• Target: 658
• Locations: 4 countries
• Sites: 4

Brief Summary

The primary aim of this study is to evaluate the efficacy of a massive open online course (MOOC) for training lay first responders in sub-Saharan Africa. The research team will assess educational outcomes of first responder training implemented at program locations in Nigeria, Sierra Leone, Uganda, and Kenya, through previously validated pre- and post-course survey instruments, standardized patient assessments, and incident reporting. The research team will investigate efficacy of MOOC training amongst diverse populations with variable technology literacy and utilize data gathered to develop more efficient means of disseminating basic first aid training information.

Conditions

Trauma Injury; Trauma

Keywords

Pre-Hospital; First Responder; First Aid; Education

Outcome Measures

Primary Outcomes (3)

• Knowledge Acquisition

  Acquisition will be measured using a 23-question test administered prior to the intervention and then immediately following training. Scores for the test range from 0 (no knowledge acquired) to 23 (all knowledge acquired).

  3 months

• Clinical Skills Performance Checklist - Airway Management

  Performance will be assessed using a direct-observation checklist evaluating first-responder interventions on standardized patients. Participants will be assessed on one of two clinical scenarios: airway management and fracture management. The airway management checklist will have a total of 8 points with higher score indicating better performance (0-8, with 0 meaning failed performance and 8 meaning perfect performance).

  3 months

• Clinical Skills Performance Checklist - Fracture Management

  Performance will be assessed using a direct-observation checklist evaluating first-responder interventions on standardized patients. Participants will be assessed on one of two clinical scenarios: airway management and fracture management. The fracture management checklist will have a total of 12 points with higher score indicating better performance (0-12, with 0 meaning failed performance and 12 meaning perfect performance).

  3 months

Secondary Outcomes (2)

• Knowledge Retention

  9 months

• Skill Usage

  6 months

Study Arms (2)

In-Person

ACTIVE COMPARATOR

Participants will undergo a previously validated, half-day first responder training course, taught live in-person by local instructors in each study location. Participant knowledge acquisition will be measured via a 23-question pre/post-training assessment, administered in person. Participant skill performance will be measured via direct observation grading of a standardized patient encounter, performed in person.

Other: Half-Day First Responder Training

Virtual

EXPERIMENTAL

In a controlled computer laboratory setting, participants will undergo an experimental first responder training course consisting of a half-day of pre-recorded video, lecture notes, and illustrations. Participant knowledge acquisition will be measured via a 23-question pre/post-training assessment, administered in person. Participant skill performance will be measured via direct observation grading of a standardized patient encounter, performed in person.

Other: Half-Day First Responder Training

Interventions

Half-Day First Responder Training OTHER

Participants in both study arms will undergo a half-day first responder training course designed for laypeople. The course will consist of five curricular categories: scene management, airway and breathing, hemorrhage control, fracture management, and victim transport. Course material will not differ between in-person and virtual arms, however the method of information dissemination will vary.

In-Person; Virtual

Eligibility Criteria

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

You may qualify if:

• \- Commercial transportation providers

You may not qualify if:

• \- Does not possess means of transportation

Sponsors & Collaborators

• University of Michigan: lead
• LFR International: collaborator

Study Sites (4)

Masinde Muliro University of Science and Technology

Kakamega, Kakamega County, Kenya

Location

Health Emergency Initiative

Lagos, Lagos, Nigeria

Location

School of Clinical Sciences

Makeni, Northern Province, Sierra Leone

Location

Vision for Trauma Care in Africa

Mukono, Central Region, Uganda

Location

MeSH Terms

Conditions

Wounds and Injuries; Accidental Injuries

Study Officials

• Zachary Eisner, BS

  University of Michigan

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Masking Details: Outcomes assessors will be blinded to intervention arm randomization of participants.
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Principal Investigator

Study Record Dates

• First Submitted: June 9, 2023
• First Posted: June 18, 2023
• Study Start: July 15, 2023
• Primary Completion: August 31, 2024
• Study Completion: August 31, 2024
• Last Updated: December 31, 2025

Record last verified: 2025-12

Data Sharing

• IPD Sharing: Will not share

Locations

UG (1); SI (1); KE (1); NG (1)