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Simulation-based and Problem-based Learning for Difficult Airway Management

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ClinicalTrials.gov Identifier: NCT02718794
Recruitment Status : Unknown
Verified March 2016 by Mrs.Parichad Apidechakul, Siriraj Hospital.
Recruitment status was:  Recruiting
First Posted : March 24, 2016
Last Update Posted : March 24, 2016
Sponsor:
Information provided by (Responsible Party):
Mrs.Parichad Apidechakul, Siriraj Hospital

Brief Summary:

Teaching and learning of difficult airway management are considered to be an essential skill in anesthesiology. As a result, doctors and nurses in anesthesia have to be vigilant in every step including airway assessment, equipment preparation and strategic planning of the process.

During the one-year training program, nurse anesthetist students intensively study theories and practical skills in anesthesia, using manikins to living patients. Difficult airway management has become a distinguished means in the training curriculum. In addition, the educational tool in the anesthesia curriculum is typically simulation-based learning (SBL) and problem-based learning (PBL) courses. As a result, we designed a cross-over study to determine the learning achievement of nurse anesthetist students in difficult airway management. The objectives were to study the learning achievement and relative growth of knowledge of the two learning techniques: SBL and PBL.

Thirty-six nurse anesthetist students in Academic Year 2015, volunteered to join the study project. After signing the consent form, they were randomly put into two groups: A (n = 17) and B (n = 19). As designed by the cross-over study, students in group A attended SBL and after 6 weeks, they focused on PBL, and vice versa for group B.

The 40-item, multiple choices exam was developed in regard to difficult airway management guidelines. The correctness and appropriateness of the test (content validity) were determined by three board-certified anesthesiologists. The try out of the test was performed by 10 novice nurse anesthetists. The index of item objective congruence was 0.82 with Kuder Richardson 21 of 0.8. The assessed criterion-referenced item difficulty and discrimination index were 0.4-0.6 and 0.6-0.8 respectively.

The pretest (X1, X2) were post-test ((Y1, Y2) were performed in the consequence. The relative growth of knowledge (G1, G2) was calculated as follows:

G1 = 100 (Y1 - X1) / (F - X1) % G2 = 100 (Y2 - X2) / (F - X2) %

Where F was the full scores of the learning course

Statistics analysis The test scores and relative growth of knowledge between the two groups were expressed as mean and standard deviation. Comparison between the two groups was performed by repeated measure ANOVA. Statistically significant differences were considered when there was a p value of < 0.05 with a 95% confidence interval.


Condition or disease Intervention/treatment Phase
Education Procedure: Simulation training Procedure: Problem-based learning Not Applicable

  Show Detailed Description

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Study Type : Interventional  (Clinical Trial)
Estimated Enrollment : 36 participants
Allocation: Randomized
Intervention Model: Crossover Assignment
Masking: Triple (Participant, Investigator, Outcomes Assessor)
Primary Purpose: Health Services Research
Official Title: Crossover Study in Simulation-based and Problem-based Learning in Practice Guideline for Difficult Airway Management
Study Start Date : August 2015
Estimated Primary Completion Date : May 2016
Estimated Study Completion Date : June 2016

Arm Intervention/treatment
Experimental: Simulation training first
A highly customized interactive medium or program that allows individuals to learn and practice real world activities in an accurate, realistic, safe and secure environment.
Procedure: Simulation training
spend 3 hours for each of 10 nurse anesthetist students with 4 scenarios

Procedure: Problem-based learning
spend 3 hours for PBL steps with each of 10 nurse anesthetist students

Experimental: Problem-based learning first
Instructional use of examples or cases to teach using problem-solving skills and critical thinking.
Procedure: Simulation training
spend 3 hours for each of 10 nurse anesthetist students with 4 scenarios

Procedure: Problem-based learning
spend 3 hours for PBL steps with each of 10 nurse anesthetist students




Primary Outcome Measures :
  1. Learning achievement [ Time Frame: 3 months ]
    student achievement scores from pretest 1( X1), post-test 1 (Y1) and pretest 2 (X2) , post-test2 (Y2)


Other Outcome Measures:
  1. Relative growth of knowledge [ Time Frame: 3 months ]

    The difference between the scores : The relative growth of knowledge (G1, G2) was calculated as follows

    G1 = 100 (Y1 - X1) / (F - X1) % G2 = 100 (Y2 - X2) / (F - X2) % Where F was the full scores of the learning course




Information from the National Library of Medicine

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Ages Eligible for Study:   24 Years to 37 Years   (Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   Yes
Criteria

Inclusion Criteria:

  • Nurse anesthetist students in the academic year of 2015

Exclusion Criteria:

  • The unwilling nurse anesthetist students in the academic year of 2015

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT02718794


Contacts
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Contact: Parichad Apidechakul, B.Ns, M.P.A. +66897942082 dao_pari@yahoo.com
Contact: Phongthara Vichitvejpaisal, M.D Ph.D +66818384393 phongthara@gmail.com

Locations
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Thailand
Parichad Apidechakul Recruiting
Nonthaburi, Thailand, 10700
Contact: Parichad Apidechakul, B.Ns.M.P. A.    +66897942082    dao_pari@yahoo.com   
Contact: Phongthara Vijitvejpaisal, M.D.Ph.D.    +66818384393    phongthara@gmail.com   
Sponsors and Collaborators
Siriraj Hospital
Investigators
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Principal Investigator: Parichad Apidechakul, B.Ns, M.P.A. Department of Anesthesiology, Faculty of Medicine, Siriraj hospital

Publications of Results:

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Responsible Party: Mrs.Parichad Apidechakul, Faculty of Medicine Siriraj Hospital, Siriraj Hospital
ClinicalTrials.gov Identifier: NCT02718794     History of Changes
Other Study ID Numbers: 233/2558(EC4)
First Posted: March 24, 2016    Key Record Dates
Last Update Posted: March 24, 2016
Last Verified: March 2016
Individual Participant Data (IPD) Sharing Statement:
Plan to Share IPD: Yes
Keywords provided by Mrs.Parichad Apidechakul, Siriraj Hospital:
Simulation Training [I02.903.847]
Problem-Based Learning [F02.463.425.720]
Airway Management [E02.041]