Multicentre study protocol comparing standard NRP to deveLoped Educational Modules for Resuscitation of Neonates in the Delivery Room with Congenital Heart Disease (LEARN-CHD)

• Type of Material: Article
• Authors: Philip Levy, Harvard Medical School; Alyssa R Thomas, Harvard Medical School; Brenda Hiu Yan Law, Royal Alexandra Hospital; Chloe Joynt, University of Alberta; Ruby Gupta, Childrens Wisconsin; Summer Elshenawy, Emory University; Danielle Reed, Children’s Mercy-Kansas City; Leeann R Pavlek, Ohio State University; Jennifer Shepherd, University of Southern California; Sharada Gowda, Baylor College of Medicine; Beth Ann Johnson, University of Cincinnati; Molly Ball, Ohio State University; Noorjahan Ali, University of Texas Southwestern Medical Center, Dallas
• Language: English
• Date: 2023-04-01
• Publisher: BMJ PUBLISHING GROUP
• Publication Version: Final Published Version
• Copyright Statement: © Author(s) (or their employer(s)) 2023. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.
• License: Creative Commons Attribution-NonCommercial 4.0 International
• Final Published Version (URL): http://dx.doi.org/10.1136/bmjopen-2022-067391
• Title of Journal or Parent Work: BMJ OPEN
• Volume: 13
• Issue: 4
• Start Page: e067391
• End Page: e067391
• Grant/Funding Information: This work was supported by the Canadian NRP Resuscitation Science Committee (funding reference number N/A).
• Keywords: Medicine, General & Internal; General & Internal Medicine; Neonatal intensive & critical care; Life Sciences & Biomedicine; Paediatric cardiology; Science & Technology; NEONATOLOGY
• Research Categories: Health Sciences, Medicine and Surgery; Health Sciences, Oncology

Abstract

Introduction Infants born with critical congenital heart defects (CCHDs) have unique transitional pathophysiology that often requires special resuscitation and management considerations in the delivery room (DR). While much is known about neonatal resuscitation of infants with CCHDs, current neonatal resuscitation guidelines such as the neonatal resuscitation programme (NRP) do not include algorithm modifications or education specific to CCHDs. The implementation of CCHD specific neonatal resuscitation education is further hampered by the large number of healthcare providers (HCPs) that need to be reached. Online learning modules (eLearning) may provide a solution but have not been designed or tested for this specific learning need. Our objective in this study is to design targeted eLearning modules for DR resuscitation of infants with specific CCHDs and compare HCP knowledge and team performance in simulated resuscitations among HCPs exposed to these modules compared with directed CCHD readings. Methods and analysis In a prospective multicentre trial, HCP proficient in standard NRP education curriculum are randomised to either (a) directed CCHD readings or (b) CCHD eLearning modules developed by the study team. The efficacy of these modules will be evaluated using (a) individual preknowledge/postknowledge testing and (b) team-based resuscitation simulations. Ethics and dissemination This study protocol is approved by nine participating sites: the Boston Children's Hospital Institutional Review Board (IRB-P00042003), University of Alberta Research Ethics Board (Pro00114424), the Children's Wisconsin IRB (1760009-1), Nationwide Children's Hospital IRB (STUDY00001518), Milwaukee Children's IRB (1760009-1) and University of Texas Southwestern IRB (STU-2021-0457) and is under review at following sites: University of Cincinnati, Children's Healthcare of Atlanta, Children's Hospital of Los Angeles and Children's Mercy-Kansas City. Study results will be disseminated to participating individuals in a lay format and presented to the scientific community at paediatric and critical care conferences and published in relevant peer-reviewed journals.