Evidence map›Paper›PMID 30103761›Full record

Trial reportBMC health services research2018

Simulation-based low-dose, high-frequency plus mobile mentoring versus traditional group-based training approaches on day of birth care among maternal and newborn healthcare providers in Ebonyi and Kogi States, Nigeria; a randomized controlled trial.

Emmanuel Ugwa, Emmanuel Otolorin, Mark Kabue, Gbenga Ishola, Cherrie Evans, Adetiloye Oniyire, Gladys Olisaekee, Boniface Onwe, Amnesty E LeFevre, Julia Bluestone and 3 more

2 registry-linked trialsOpen access · goldAbstract readComparative StudyRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in BMC health services research, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.0field-weighted citation impact, top 25% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03269240 nacompletednot on this map

A Comparative Study of Simulation-based Low-dose High Frequency (LDHF) Plus Mobile Mentoring (m-Mentoring) Versus Traditional Group-based Training Approaches Among Maternal and Newborn Healthcare Providers in Ebonyi and Kogi States, Nigeria

TypeinterventionalSponsorJhpiegoRan2016 to 2017Enrolled299ConditionsTraining, Capacity Building, SatisfactionArmsAcquisition of Knowledge and clinical skills, Onsite training, Off-site training
NCT06577922 narecruitingnot on this mapstarted 2024, after this paper: background citation

Evaluation of Maternal & Newborn Health Simulation Lab Centers of Excellence in Seven Referral Hospitals of Nepal

TypeinterventionalSponsorOne Heart WorldwideRan2024 to 2026Enrolled1,464ConditionsPost Partum Hemorrhage, Asphyxia, Fetal, Maternal-Fetal RelationsArmsEstablishment of a simulation lab and provision of simulation based trainings
3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 9 citations in OpenAlex.

  1. Trial
  2. Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors at 2 institutions in 2 countries.

Emmanuel UgwaJhpiego-an affiliate of Johns Hopkins University, 971 Reuben Okoya Crescent, Wuye District, Abuja, Nigeria. Emmanuel.Ugwa@jhpiego.org.
Emmanuel OtolorinJhpiego-an affiliate of Johns Hopkins University, 971 Reuben Okoya Crescent, Wuye District, Abuja, Nigeria.
Mark KabueJhpiego-an affiliate of Johns Hopkins University, 1615 Thames St # 200, Baltimore, MD, 21231, USA.
Gbenga IsholaJhpiego-an affiliate of Johns Hopkins University, 971 Reuben Okoya Crescent, Wuye District, Abuja, Nigeria.
Cherrie EvansJhpiego-an affiliate of Johns Hopkins University, 1615 Thames St # 200, Baltimore, MD, 21231, USA.
Adetiloye OniyireJhpiego-an affiliate of Johns Hopkins University, 971 Reuben Okoya Crescent, Wuye District, Abuja, Nigeria.
Gladys OlisaekeeJhpiego-an affiliate of Johns Hopkins University, 971 Reuben Okoya Crescent, Wuye District, Abuja, Nigeria.
Boniface OnweDepartment of Public Health, State Ministry of Health, Centenary City, Abakiliki, Ebonyi State, Nigeria.
Amnesty E LeFevreDepartment of International Health, Johns Hopkins Bloomberg School of Public Health, 615 N. Wolfe Street, Baltimore, MD, 21205, USA.
Julia BluestoneJhpiego-an affiliate of Johns Hopkins University, 1615 Thames St # 200, Baltimore, MD, 21231, USA.
Bright OrjiJhpiego-an affiliate of Johns Hopkins University, 971 Reuben Okoya Crescent, Wuye District, Abuja, Nigeria.
Gayane YenokyanThe Johns Hopkins Biostatistics Center, Johns Hopkins Bloomberg School of Public Health, 615 N. Wolfe Street, Baltimore, MD, 21205, USA.
Ugo OkoliJhpiego-an affiliate of Johns Hopkins University, 971 Reuben Okoya Crescent, Wuye District, Abuja, Nigeria.
Johns Hopkins University · USWestern Cape Department of Health · ZA

Funding

USAID AID-OAA-A-14-00028
6 · The paper itself

Abstract

backgroundThere is limited information from low and middle-income countries on learning outcomes, provider satisfaction and cost-effectiveness on the day of birth care among maternal and newborn health workers trained using onsite simulation-based low-dose high frequency (LDHF) plus mentoring approach compared to the commonly employed offsite traditional group-based training (TRAD). The LDHF approach uses in-service learning updates to deliver information based on local needs during short, structured, onsite, interactive learning activities that involve the entire team and are spaced over time to optimize learning. The aim of this study will be to compare the effectiveness and cost of LDHF versus TRAD approaches in improving knowledge and skill in maternal and newborn care and to determine trainees' satisfaction with the approaches in Ebonyi and Kogi states, Nigeria.

methodsThis will be a prospective cluster randomized control trial. Sixty health facilities will be randomly assigned for day of birth care health providers training through either LDHF plus mobile mentoring (intervention arm) or TRAD (control arm). There will be 150 trainees in each arm. Multiple choices questionnaires (MCQs), objective structured clinical examinations (OSCEs), cost and satisfaction surveys will be administered before and after the trainings. Quantitative data collection will be done at months 0 (baseline), 3 and 12. Qualitative data will also be collected at 12-month from the LDHF arm only. Descriptive and inferential statistics will be used as appropriate. Composite scores will be computed for selected variables to determine areas where service providers have good skills as against areas where their skills are poor and to compare skills and knowledge outcomes between the two groups at 0.05 level of statistical significance. DISCUSSION: There is some evidence that LDHF, simulation and practice-based training approach plus mobile mentoring results in improved skills and health outcomes and is cost-effective. By comparing intervention and control arms the authors hope to replicate similar results, evaluate the approach in Nigeria and provide evidence to Ministry of Health on how and which training approach, frequency and setting will result in the greatest return on investment.

trial registrationThe trial was retrospectively registered on 24th August, 2017 at ClinicalTrials.Gov: NCT03269240 .

Indexed as

Infant CareMentoringSimulation TrainingCost-Benefit AnalysisFemaleHealth PersonnelHumansInfant HealthInfant, NewbornInservice TrainingNigeriaProspective StudiesResearch DesignHealth workersHigh-frequencyLow-doseMaternalM-mentoringNewborn healthNigeriaSimulationTraditionalTraining

Identifiers

PMID30103761
PMCPMC6090683
OpenAlexW2887314689

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.