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Self-directed video versus instructor-based neonatal resuscitation training: a randomized controlled blinded non-inferiority multicenter international study

Journal of Perinatology volume 41, pages 1583–1589 (2021)Cite this article

Subjects

Abstract

Objective

To compare the efficacy of video-assisted self-directed neonatal resuscitation skills course with video-assisted facilitator-led course.

Methods

This multicenter, randomized, blinded, non-inferiority-controlled trial compared two methods of teaching basic neonatal resuscitation skills using mask ventilation. Groups of novice providers watched an instructional video. One group received instructor facilitation (Ins-Video). The other group did not (Self-Video). An Objective Structured Clinical Exam (OSCE) measured skills performance, and a written test gauged knowledge.

Results

One hundred and thirty-four students completed the study. Sixty-three of 68 in the Self-Video Group (92.6%) and 59 of 66 in the Ins-Video Group (89.4%) achieved post-training competency in positive pressure ventilation (primary outcome). OSCE passing rates were low in both groups. Knowledge survey scores were comparable between groups and non-inferior.

Conclusions

Video self-instruction taught novice providers positive pressure ventilation skills and theoretical knowledge, but it was insufficient for mastery of basic neonatal resuscitation in simulation environment.

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Fig. 1: Proportion of students meeting the study outcomes.

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Acknowledgements

Prof. Jorge Frascara and Dr. Guillermina Noël for advising during the video design phase. Fernando Althabe, MD for collaborating on the protocol design and Casey Hester, MD, Lise DeShea, PhD, and Gary Weiner, MD for reviewing the manuscript.

Funding

Study partially funded by an unrestricted small research grant from Fisher & Paykel Healthcare and a small grant from Fundación Delfina Baratelli, Buenos Aires, Argentina. In addition, each institution offered their simulation centers with no charge, and each investigator is working voluntarily.

Author information

Authors and Affiliations

  1. The University of Oklahoma Health Sciences Center, Oklahoma City, OK, USA

    Edgardo G. Szyld, Douglas Dannaway & Clara H. Song

  2. Icahn School of Medicine at Mount Sinai, New York, NY, USA

    Edgardo G. Szyld

  3. Sociedad Argentina de Pediatria, Buenos Aires, Argentina

    Adriana Aguilar

  4. Universidad Abierta Interamericana-Centro de Altos Estudios en Ciencias Humanas y de la Salud, Consejo Nacional de Investigaciones Cientificas y Tencnicas. (UAI-CAECICHS.CONICET), Buenos Aires, Argentina

    Santiago Perez Lloret

  5. Hospital Italiano de Buenos Aires, Buenos Aires, Argentina

    Amorina Pardo

  6. Department of Neonatology, School of Medicine, Pontificia Universidad Católica de Chile, Santiago de Chile, Chile

    Jorge Fabres

  7. Hospital Interzonal De Agudos Evita, Lanus, Buenos Aires, Argentina

    Adriana Castro

  8. New York University School of Medicine, New York, NY, USA

    Purnahamsi V. Desai

  9. Hospital Universitario Austral, Pilar, Buenos Aires, Argentina

    Carola Capelli

  10. Simulacion Medica Roemmers, Olivos, Buenos Aires, Argentina

    Diego Enriquez

  11. Center for Medical Simulation, Boston, MA, USA

    Demian Szyld

  12. Harvard Medical School, Boston, MA, USA

    Demian Szyld

Authors
  1. Edgardo G. Szyld
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Consortia

EdM on behalf of the SAVER Study Group

Contributions

EGS, AA, and DS conceptualized and designed the study, drafted the initial manuscript, and reviewed and revised the manuscript. SPL, AC, DE, and JF designed the data collection instruments, collected data, carried out the initial analyses, and reviewed and revised the manuscript. AP, DD, PVD, CC, and CS participated in the protocol design, collaborated in the data collection, participated in the interpretation of the data, reviewed and revised the manuscript. All authors reviewed and approved the final manuscript as submitted and agree to be accountable for all aspects of the work.

Data sharing and declaration

De-identified individual participant data will not be made available.

Corresponding author

Correspondence to Edgardo G. Szyld.

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Conflict of interest

The authors declare no competing interests.

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Publisher’s note Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Members of the EdM, on behalf of the SAVER Study Group are listed in Appendix 1 in Supplementary information.

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Szyld, E.G., Aguilar, A., Lloret, S.P. et al. Self-directed video versus instructor-based neonatal resuscitation training: a randomized controlled blinded non-inferiority multicenter international study. J Perinatol 41, 1583–1589 (2021). https://doi.org/10.1038/s41372-021-00941-x

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