Evidence map›Paper›PMID 37155596›Full record

ArticlePLOS global public health2023

Utilization of a novel mobile application, "HBB Prompt", to reduce Helping Babies Breathe skills decay.

Natalie Hoi-Man Chan, Hasan S Merali, Niraj Mistry, Ryan Kealey, Douglas M Campbell, Shaun K Morris, Santorino Data

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in PLOS global public health, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03577054 (Development of a Mobile Application Through User Centered Design to Improve Helping Babies Breath Skills Retention), which is not on this map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
0.5field-weighted citation impact, top 30% 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.

NCT03577054 naunknown statusnot on this map

Development of a Mobile Application Through User Centered Design to Improve Helping Babies Breath Skills Retention

TypeinterventionalSponsorMbarara University of Science and TechnologyRan2018 to 2019Enrolled20ConditionsBirth Asphyxia, Neonatal DeathArmsHBB Prompt, Low-Dose High Frequency training
3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 1 synthesis or guideline pooled it, 2 citations in OpenAlex.

  1. Pooled it
  2. Review
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

7 authors at 4 institutions in 3 countries.

Natalie Hoi-Man ChanDivision of Neonatology, Department of Pediatrics, University of California, San Francisco School of Medicine, San Francisco, California, United States of America.ORCID https://orcid.org/0000-0002-5813-4779
Hasan S MeraliDepartment of Pediatrics, Temerty Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada.ORCID https://orcid.org/0000-0002-0486-0425
Niraj MistryDepartment of Pediatrics, Temerty Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada.ORCID https://orcid.org/0000-0001-7340-9120
Ryan KealeyInteractive Media Lab, University of Toronto, Toronto, Ontario, Canada.
Douglas M CampbellDepartment of Pediatrics, Temerty Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada.ORCID https://orcid.org/0000-0001-7046-0959
Shaun K MorrisDepartment of Pediatrics, Temerty Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada.ORCID https://orcid.org/0000-0001-9809-0822
Santorino DataDepartment of Pediatrics and Child Health, Mbarara University of Science and Technology, Uganda.ORCID https://orcid.org/0000-0001-8453-7099
University of Toronto · CAMbarara University of Science and Technology · UGSt. Michael's Hospital · CAUniversity of California, San Francisco · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHelping Babies Breathe (HBB) is a newborn resuscitation training program designed to reduce neonatal mortality in low- and middle-income countries. However, skills decay after initial training is a significant barrier to sustained impact.

objectiveTo test whether a mobile app, HBB Prompt, developed with user-centred design, helps improve skills and knowledge retention after HBB training.

methodsHBB Prompt was created during Phase 1 of this study with input from HBB facilitators and providers from Southwestern Uganda recruited from a national HBB provider registry. During Phase 2, healthcare workers (HCWs) in two community hospitals received HBB training. One hospital was randomly assigned as the intervention hospital, where trained HCWs had access to HBB Prompt, and the other served as control without HBB Prompt (NCT03577054). Participants were evaluated using the HBB 2.0 knowledge check and Objective Structured Clinical Exam, version B (OSCE B) immediately before and after training, and 6 months post-training. The primary outcome was difference in OSCE B scores immediately after training and 6 months post-training.

resultsTwenty-nine HCWs were trained in HBB (17 in intervention, 12 in control). At 6 months, 10 HCW were evaluated in intervention and 7 in control. In intervention and control respectively, the median OSCE B scores were: 7 vs. 9 immediately before training, 17 vs. 21 immediately after training, and 12 vs. 13 at 6 months after training. Six months after training, the median difference in OSCE B scores was -3 (IQR -5 to -1) in intervention and -8 (IQR -11 to -6) in control (p = 0.02).

conclusionHBB Prompt, a mobile app created by user-centred design, improved retention of HBB skills at 6 months. However, skills decay remained high 6 months after training. Continued adaptation of HBB Prompt may further improve maintenance of HBB skills.

Identifiers

PMID37155596
PMCPMC10166562
OpenAlexW4375954670

What OpenQuestion holds

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LicenceCC BY
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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.