Sim-II: Scale-up the Introduction of Simulation Into Four New Health Professional Training Institutions in East and West Africa

Sponsor

Mbarara University of Science and Technology (Other)

Overall Status

Recruiting

CT.gov ID

NCT04872972

Collaborator

University of Calgary (Other), The ELMA Foundation (Other), Alberta Children's Hospital Research Institute (Other), Laerdal Foundation (Other)

Enrollment

Location

Arm

Anticipated Duration (Months)

0.1

Patients Per Site Per Month

Study Details

Study Description

Brief Summary

Simulation based learning practice is limited in Sub-Saharan Africa. Experiences gained from our prior implementation in Phase I of this program show that simulation is feasible and significantly contributes to learning. However, the growth and sustainability of simulation methodologies in health training and service delivery institutions is subject to variability and institution specific factors. These factors may include but are not limited to ease of adoption of new technologies, human resources, space and institutional culture. These factors are likely to vary widely in Sub-Saharan Africa across countries and institutions.

It's not known how institutional factors will influence the introduction, adoption and sustainability of simulation methodologies in East and West African health training and service delivery institutions. We have partnered with four institutions in East and West Africa (in Uganda, Tanzania, and Nigeria) to learn about the process of introduction and scaling of simulation based learning in new frontiers.

Condition or Disease	Intervention/Treatment	Phase
Simulation-based Learning	Other: Simulation based learning	N/A

Detailed Description

The investigators in this proposal have partnered and propose to expand Simulation Based Learning to Lira University in northern Uganda, Busitema University in Eastern Uganda, the Catholic University of Health and Allied Sciences (CUHAS), Tanzania and University of Jos in Nigeria. All these health training and service institutions serve large rural and peri-urban populations with poor access to health care.

The investigators will engage the partners in the co-design of implementation plans to design solutions for the barriers to implementation that are anticipated, and ensure appropriate tailoring to the local context. The investigators will use a Train of trainers (ToT) Faculty development model and this will include web-based debrief mentorship using recorded debriefing sessions from real simulations at partner sites. These videos will be loaded onto a centralization server to facilitate peer-to-peer feedback using a quality of debriefing framework.

Based on the investigators' learning experience from Phase I of implementation, the team aims to develop two categories of simulation facilitators: 1) Simulation implementation faculty (SiF) and 2) Lead simulation faculty. Lead simulation faculty (LsF) will be trained at the Mbarara University of Science and Technology (MUST) simulation center of excellence and will receive support in assessing their sites' barriers and facilitators regarding the Sim intervention. The faculty trainees will undergo an intensive 1.5-day faculty development course followed by a 2-day placement at MUST sim center for mentored scenario execution practice.

Study Design

Study Type:

Interventional

Anticipated Enrollment :

4 participants

Allocation:

N/A

Intervention Model:

Single Group Assignment

Intervention Model Description:

Before and After approachBefore and After approach

Masking:

None (Open Label)

Primary Purpose:

Other

Official Title:

Scale-up and Introduction of Simulation Into Four New Health Professional Training Institutions in East and West Africa and the Factors That Influence Simulation Adoption at These Sites

Actual Study Start Date :

Jun 1, 2019

Anticipated Primary Completion Date :

Dec 30, 2021

Anticipated Study Completion Date :

Dec 30, 2022

Arms and Interventions

Arm	Intervention/Treatment
Other: Before/After Before and after simulation; Institutional faculty and facilities	Other: Simulation based learning Faculty development courses on simulation based learning

Arm

Intervention/Treatment

Other: Before/After

Before and after simulation; Institutional faculty and facilities

Other: Simulation based learning

Faculty development courses on simulation based learning

Outcome Measures

Primary Outcome Measures

Adoption of simulation based learning [Change from baseline to 12 months after introduction of simulation based techniques]
Adoption of simulation based learning
Barriers to simulation [Change from baseline to 12 months after introduction of simulation based techniques]
Barriers to simulation based learning

Secondary Outcome Measures

Facilitators [Change from baseline to 12 months after introduction of simulation based techniques]
Facilitators of simulation based learning
Institutional readiness [Change from baseline to 12 months after introduction of simulation based learning]
Institutional readiness to adopt simulation based learning

Eligibility Criteria

Criteria

Ages Eligible for Study:

N/A and Older

Sexes Eligible for Study:

All

Accepts Healthy Volunteers:

Yes

Inclusion Criteria:

Health professions Institutions in East and West Africa in the Sim for life program
Institutional commitment to adopt simulation based learning Faculty at these health professions institutions

Exclusion Criteria: Institutions outside East and West Africa Sim for life program

Contacts and Locations

Locations

	Site	City	State	Country	Postal Code
1	Mbarara University of Science and Technology	Mbarara		Uganda	256

Sponsors and Collaborators

Mbarara University of Science and Technology
University of Calgary
The ELMA Foundation
Alberta Children's Hospital Research Institute
Laerdal Foundation

Investigators

None specified.

Study Documents (Full-Text)

None provided.

More Information

Publications

None provided.

Responsible Party:

Mbarara University of Science and Technology

ClinicalTrials.gov Identifier:

NCT04872972

Other Study ID Numbers:

2020/MUST-2/SIM-II

First Posted:

May 5, 2021

Last Update Posted:

May 5, 2021

Last Verified:

Apr 1, 2021

Individual Participant Data (IPD) Sharing Statement:

Plan to Share IPD:

Studies a U.S. FDA-regulated Drug Product:

Studies a U.S. FDA-regulated Device Product:

Keywords provided by Mbarara University of Science and Technology

Simulation based learning

Study Results

No Results Posted as of May 5, 2021