Evidence map›Paper›PMID 37157855›Full record

ArticleDisaster medicine and public health preparedness2023

Evaluation of Chemical, Biological, Radiological, Nuclear, Explosives (CBRNE) Knowledge Change and Skills Confidence Among Frontline-Line Providers During the Russia-Ukraine War.

Timothy B Erickson, Donell Harvin, Alexis Schmid, Gideon Loevinsohn, Anna Poriechna, Oleg Martyshyn, Kryrylo Kliukach, Meaghan Sydlowski, Jonathan Strong, Sean M Kivlehan

Abstract read
In one paragraph

Article in Disaster medicine and public health preparedness, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

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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

10 authors.

Timothy B EricksonDivision of Medical Toxicology, Department of Emergency Medicine, Mass General Brigham, Harvard Medical School, Boston, Massachusetts, USA.
Donell HarvinRand Corporation, Homeland Security Operational Analysis Center and Georgetown University, Applied Intelligence and Emergency and Disaster Management Program, Washington, DC, USA.
Alexis SchmidBoston Children's Hospital, Department of Pediatrics, Division of Emergency Medicine, Global Health Program, Boston, Massachusetts, USA.
Gideon LoevinsohnDivision of Global Emergency Care and Humanitarian Studies, Department of Emergency Medicine, Mass General Brigham, Harvard Medical School, Boston, Massachusetts, USA.
Anna PoriechnaInternational Medical Corps (IMC), Kyiv, Ukraine.
Oleg MartyshynInternational Medical Corps (IMC), Kyiv, Ukraine.
Kryrylo KliukachInternational Medical Corps (IMC), Kyiv, Ukraine.
Meaghan SydlowskiInternational Medical Corps (IMC), Los Angeles, California, USA.
Jonathan StrongHarvard Humanitarian Initiative, Harvard University, Cambridge, Massachusetts, USA.ORCID 0000-0002-6299-8297
Sean M KivlehanHarvard Humanitarian Initiative, Harvard University, Cambridge, Massachusetts, USA.ORCID 0000-0002-4857-4316

Funding

A novel robotic wastewater analysis system to quantify opioid exposure and treatment in residential communitiesR44DA051106 · NIDA · BIOBOT ANALYTICS, INC. · PI CHAI, PETER R, MATUS GARCIA, MARIANA G · 2020 to 2022
$1.5M
NIDA NIH HHS R44 DA051106
6 · The paper itself

Abstract

objectiveThe aim of this study was to evaluate the change in knowledge and skill confidence after implementation of a chemical, biological, radiological, nuclear, and explosive (CBRNE) training course during the Russia-Ukraine War.

methodsPre/post-test study in the Ukrainian cities of Kyiv, Dnipro, Zaporizhzhia, and Odesa. Fifteen CBRNE courses were conducted over a 3-mo period, August to October 2022. Change in knowledge and skills confidence were evaluated with pre/post-course written exams and practical skill assessments that were observed during the training exercises. Changes were analyzed based on nonparametric Wilcoxon matched-pairs signed-rank testing. Pre/post self-efficacy surveys were analyzed with McNemar's test for paired data. Course evaluations were conducted with standardized questions which assessed instruction quality, teaching relevance, knowledge gained, and post-course skills confidence.

resultsA total of 523 participants registered and completed 1 of the 15 courses. Overall mean pre-course test score: 57.8% (SD 20.7%); mean post-course test score: 81.4% (SD 11.3%); participants with increasing test scores: 90.7%; mean difference in score (95% confidence interval) 23.6% (21.2%-25.9%), P < 0.0001. Pre/post self-efficacy surveys (4-point Likert scale) noted participants recognized signs and symptoms of a CBRNE incident, and necessary skills to manage CBRNE exposures, P < 0.0001.

conclusionsThe implementation of this CBRNE course for front-line providers in Ukraine was successful. To our knowledge, it was the first implementation of a field course during the current Russian-Ukraine war. Future research should evaluate knowledge retention and impact of our innovative Train-the-Trainer model. Further iterations should emphasize expanding the quantity of training equipment and practical skill sessions.

Indexed as

Disaster PlanningExplosive AgentsHumansRussiaSurveys and QuestionnairesUkraineExplosive Agents

Identifiers

PMID37157855
PMCPMC10171778

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Registered trials

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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.