Helping Babies Breathe (HBB) training: What happens to knowledge and skills over time?. Issue 1 (December 2016)
- Record Type:
- Journal Article
- Title:
- Helping Babies Breathe (HBB) training: What happens to knowledge and skills over time?. Issue 1 (December 2016)
- Main Title:
- Helping Babies Breathe (HBB) training: What happens to knowledge and skills over time?
- Authors:
- Bang, Akash
Patel, Archana
Bellad, Roopa
Gisore, Peter
Goudar, Shivaprasad
Esamai, Fabian
Liechty, Edward
Meleth, Sreelatha
Goco, Norman
Niermeyer, Susan
Keenan, William
Kamath-Rayne, Beena
Little, George
Clarke, Susan
Flanagan, Victoria
Bucher, Sherri
Jain, Manish
Mujawar, Nilofer
Jain, Vinita
Rukunga, Janet
Mahantshetti, Niranjana
Dhaded, Sangappa
Bhandankar, Manisha
McClure, Elizabeth
Carlo, Waldemar
Wright, Linda
Hibberd, Patricia - Abstract:
- Abstract Background The first minutes after birth are critical to reducing neonatal mortality. Helping Babies Breathe (HBB) is a simulation-based neonatal resuscitation program for low resource settings. We studied the impact of initial HBB training followed by refresher training on the knowledge and skills of the birth attendants in facilities. Methods We conducted HBB trainings in 71 facilities in the NICHD Global Network research sites (Nagpur and Belgaum, India and Eldoret, Kenya), with a 6:1 ratio of facility trainees to Master Trainers (MT). Because of staff turnover, some birth attendants (BA) were trained as they joined the delivery room staff, after the initial training was completed (catch-up initial training). We compared pass rates for skills and knowledge pre- and post- initial HBB training and following refresher training among active BAs. An Objective Structured Clinical Examination (OSCE) B tested resuscitation skill retention by comparing post-initial training performance with pre-refresher training performance. We identified factors associated with loss of skills in pre-refresher training performance using multivariable logistic regression analysis. Daily bag and mask ventilation practice, equipment checks and supportive supervision were stressed as part of training. Results One hundred five MT (1.6 MT per facility) conducted initial and refresher HBB trainings for 835 BAs; 76% had no prior resuscitation training. Initial training improved knowledge andAbstract Background The first minutes after birth are critical to reducing neonatal mortality. Helping Babies Breathe (HBB) is a simulation-based neonatal resuscitation program for low resource settings. We studied the impact of initial HBB training followed by refresher training on the knowledge and skills of the birth attendants in facilities. Methods We conducted HBB trainings in 71 facilities in the NICHD Global Network research sites (Nagpur and Belgaum, India and Eldoret, Kenya), with a 6:1 ratio of facility trainees to Master Trainers (MT). Because of staff turnover, some birth attendants (BA) were trained as they joined the delivery room staff, after the initial training was completed (catch-up initial training). We compared pass rates for skills and knowledge pre- and post- initial HBB training and following refresher training among active BAs. An Objective Structured Clinical Examination (OSCE) B tested resuscitation skill retention by comparing post-initial training performance with pre-refresher training performance. We identified factors associated with loss of skills in pre-refresher training performance using multivariable logistic regression analysis. Daily bag and mask ventilation practice, equipment checks and supportive supervision were stressed as part of training. Results One hundred five MT (1.6 MT per facility) conducted initial and refresher HBB trainings for 835 BAs; 76% had no prior resuscitation training. Initial training improved knowledge and skills: the pass percentage for knowledge tests improved from 74 to 99% (p < 0.001). Only 5% could ventilate a newborn mannequin correctly before initial training but 97% passed the post-initial ventilation training test (p < 0.0001) and 99% passed the OSCE B resuscitation evaluation. During pre-refresher training evaluation, a mean of 6.7 (SD 2.49) months after the initial training, 99% passed the knowledge test, but the successful completion rate fell to 81% for the OSCE B resuscitation skills test. Characteristics associated with deterioration of resuscitation skills were BAs from tertiary care facilities, no prior resuscitation training, and the timing of training (initial vs. catch-up training). Conclusions HBB training significantly improved neonatal resuscitation knowledge and skills. However, skills declined more than knowledge over time. Ongoing skills practice and monitoring, more frequent retesting, and refresher trainings are needed to maintain neonatal resuscitation skills. Trial registration ClinicalTrials.gov Identifier:NCT01681017 ; 04 September 2012, retrospectively registered. … (more)
- Is Part Of:
- BMC pregnancy and childbirth. Volume 16:Issue 1(2016)
- Journal:
- BMC pregnancy and childbirth
- Issue:
- Volume 16:Issue 1(2016)
- Issue Display:
- Volume 16, Issue 1 (2016)
- Year:
- 2016
- Volume:
- 16
- Issue:
- 1
- Issue Sort Value:
- 2016-0016-0001-0000
- Page Start:
- 1
- Page End:
- 12
- Publication Date:
- 2016-12
- Subjects:
- Helping Babies Breathe -- Resuscitation -- Bag and mask ventilation -- Perinatal mortality -- Asphyxia -- Stillbirth -- Training
Pregnancy -- Periodicals
Childbirth -- Periodicals
Obstetrics -- Periodicals
618.2005 - Journal URLs:
- http://www.biomedcentral.com/bmcpregnancychildbirth/ ↗
http://www.pubmedcentral.nih.gov/tocrender.fcgi?journal=61 ↗
http://link.springer.com/ ↗ - DOI:
- 10.1186/s12884-016-1141-3 ↗
- Languages:
- English
- ISSNs:
- 1471-2393
- Deposit Type:
- Legaldeposit
- View Content:
- Available online (eLD content is only available in our Reading Rooms) ↗
- Physical Locations:
- British Library DSC - BLDSS-3PM
British Library STI - ELD Digital store - Ingest File:
- 9962.xml