POV Video and Mental Practice Training for Neonatal LMA Insertion

NCT07678424 | Completed

• 1 other identifier: KSUEK-2026/18
• Study Type: interventional
• Target: 52
• Locations: 1 country
• Sites: 1

Brief Summary

This prospective, randomized, single-blind simulation study aims to evaluate and compare the educational efficacy of a hybrid instructional modality-combining point-of-view (POV) video training and structured mental practice (MP)-against standard instructor-led live demonstration for neonatal laryngeal mask airway (LMA) insertion training among novice healthcare professionals. Learning neonatal airway management skills presents unique educational and cognitive challenges, especially for non-physician providers who are frequently required to perform these high-stakes interventions during the Neonatal Resuscitation Program (NRP) curricula. A total of 52 eligible healthcare professionals (including physicians, midwives, nurses, paramedics, and emergency medical technicians) with no prior neonatal LMA insertion experience will be prospectively enrolled and randomly allocated into two equal parallel groups (n=26 per group). Group A (Control) will receive a standard, step-by-step 5-minute live instructor demonstration on a high-fidelity term neonatal simulator. Group B (Intervention) will view a 3-minute standardized POV video captured from a first-person perspective via a head-mounted action camera worn by an expert instructor, immediately followed by a 1-minute structured mental rehearsal, with no live demonstration provided. Following the respective educational interventions, all participants will individually perform the neonatal LMA insertion on the simulator in a separate room. A trained evaluator, who remains strictly blinded to the group assignments, will record the performance outcomes. The primary outcome measures are the objective total OSCE score (evaluated via a 22-item standardized checklist) and the physical procedural completion time in seconds. Secondary outcomes include first-attempt success rates, critical error rates, instances of excessive force application, airway trauma or procedural failure, and subjective cognitive workload dimensions assessed via the NASA Task Load Index (NASA-TLX) questionnaire. The findings will provide insights into scalable, cost-effective, and cognitively optimized learning models for integration into neonatal resuscitation training frameworks.

Conditions

Neonatal Resuscitation; Clinical Competence; Simulation Training; Airway Management

Outcome Measures

Primary Outcomes (2)

• Objective Structured Clinical Examination (OSCE) Score

  A 22-item standardized checklist specifically developed based on the Neonatal Resuscitation Program (NRP) guidelines to evaluate the technical proficiency of neonatal laryngeal mask airway (LMA) insertion. Each step is scored, and higher total scores indicate superior clinical performance.

  Immediately after the educational intervention (Day 1).

• Procedural Completion Time

  The total physical time measured in seconds from the moment the participant picks up the laryngeal mask airway (LMA) device until the successful placement and initial ventilation on the high-fidelity neonatal simulator.

  Immediately after the educational intervention (Day 1).

Secondary Outcomes (1)

• Subjective Workload (NASA-TLX Score)

  Immediately after the clinical performance assessment (Day 1).

Study Arms (2)

Group A - Standard Demonstration

ACTIVE COMPARATOR

Participants receive a standardized, step-by-step 5-minute live instructor demonstration of neonatal laryngeal mask airway (LMA) insertion on a high-fidelity term neonatal simulator, adhering to current Neonatal Resuscitation Program (NRP) guidelines.

Other: Standard Instructor Demonstration

Group B - POV Video + Mental Practice

EXPERIMENTAL

Participants view a 3-minute standardized point-of-view (POV) video captured by a head-mounted action camera worn by an experienced instructor, displaying the LMA insertion from a first-person perspective with expert narration. Immediately after, participants perform a 1-minute structured mental rehearsal.

Other: POV Video and Mental Practice

Interventions

Standard Instructor Demonstration OTHER

A 5-minute, step-by-step live instructor demonstration of neonatal LMA insertion on a simulator.

Group A - Standard Demonstration

POV Video and Mental Practice OTHER

A 3-minute first-person point-of-view video combined with 1 minute of structured mental rehearsal.

Group B - POV Video + Mental Practice

Eligibility Criteria

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

You may qualify if:

• Being a licensed healthcare professional (physicians, midwives, nurses, paramedics, or emergency medical technicians) currently participating in or eligible for the Neonatal Resuscitation Program (NRP) training.
• Having no prior practical, clinical, or simulator-based experience with neonatal laryngeal mask airway (LMA) insertion.
• Voluntarily consenting to participate in the study and complete all evaluation procedures (OSCE and NASA-TLX).

You may not qualify if:

• Having previous hands-on experience or formal advanced training specifically in neonatal LMA stabilization or insertion.
• Declining to participate or failing to complete any phase of the allocated educational intervention or subsequent assessment.
• Having visual, auditory, or cognitive impairments that would interfere with viewing the point-of-view (POV) video or performing the structured mental practice.

Sponsors & Collaborators

• Kahramanmaras Sutcu Imam University: lead

Study Sites (1)

Kahramanmaraş Sütçü İmam University, Faculty of Medicine

Kahramanmaraş, 46100, Turkey (Türkiye)

Location

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Assistant Professor of Anesthesiology and Reanimation

Study Record Dates

• First Submitted: June 25, 2026
• First Posted: July 1, 2026
• Study Start: June 15, 2026
• Primary Completion: June 19, 2026
• Study Completion: June 19, 2026
• Last Updated: July 1, 2026

Record last verified: 2026-06

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)