Can VAST Improve ACLS in Rwanda

NCT ID: NCT05278884

Last Updated: 2022-11-17

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

47 participants

Study Classification

INTERVENTIONAL

Study Start Date

2022-05-01

Study Completion Date

2022-10-01

Brief Summary

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Aim The purpose of this study is to determine if the addition of the VAST Course to technical resuscitation skills training enhances healthcare providers' resuscitation performance in a resource-limited setting.

Objectives

The aims of this research will be achieved by meeting the following objectives:

1. Quantitative evaluation of study participants' resuscitation performance during a simulation scenario before ACLS course, immediately following ACLS course, immediately following VAST course, and at 4 months post training.
2. Qualitative exploration of the barriers and supports identified by course participants to implementing resuscitation in the workplace after resuscitation skills training through focus groups.

New knowledge Lessons learned from this study will help inform the design and the implementation of resuscitation training programs in resource-limited settings. This has potential to improve resuscitation capacity in resource-limited settings leading to higher quality of care for patients.

Detailed Description

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Conditions

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Global Health Education Resuscitation

Study Design

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Allocation Method

NA

Intervention Model

SEQUENTIAL

For each hospital, the intervention will be to pair a 2-day technical resuscitation skills training adapted from the ACLS/AHA and a 3-day VAST course for a multidisciplinary team of 20 participants (i.e., nurses, doctors, non-physician anesthesia providers). Participants' resuscitation skills will be tested at 4 time points: immediately before the ACLS course, immediately after the ACLS course, immediately after the VAST Course, and at 4 months post training.
Primary Study Purpose

HEALTH_SERVICES_RESEARCH

Blinding Strategy

NONE

Study Groups

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ACLS and then VAST teaching intervention

For each hospital, the intervention will be to pair a 2-day technical resuscitation skills training adapted from the ACLS/AHA and a 3-day VAST course for a multidisciplinary team of 20 participants (i.e., nurses, doctors, non-physician anesthesia providers). Participants' resuscitation skills will be tested at 4 time points: immediately before the ACLS course, immediately after the ACLS course, immediately after the VAST Course, and at 4 months post training.

Group Type EXPERIMENTAL

Advanced Cardiac Life Support Training

Intervention Type BEHAVIORAL

Advanced Cardiovascular Life Support (ACLS) is a resuscitation course to teach recognition and treatment of cardiopulmonary arrest in patients.

Vital Anesthesia Simulation Training

Intervention Type BEHAVIORAL

The Vital Anesthesia Simulation Training (VAST) Course focuses on core clinical practices and non-technical skills needed to respond to the most common urgent and emergent clinical challenges found in hospitals in resource-limited settings like Rwanda.

Interventions

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Advanced Cardiac Life Support Training

Advanced Cardiovascular Life Support (ACLS) is a resuscitation course to teach recognition and treatment of cardiopulmonary arrest in patients.

Intervention Type BEHAVIORAL

Vital Anesthesia Simulation Training

The Vital Anesthesia Simulation Training (VAST) Course focuses on core clinical practices and non-technical skills needed to respond to the most common urgent and emergent clinical challenges found in hospitals in resource-limited settings like Rwanda.

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* Full course participation
* Available for focus group interviews

Exclusion Criteria

* Refusal to provide informed consent
* Participated in VAST or ACLS training in the four months prior to study
Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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University of Rwanda

OTHER

Sponsor Role collaborator

ANZCA Health Equity Project

UNKNOWN

Sponsor Role collaborator

University of Toronto

OTHER

Sponsor Role lead

Responsible Party

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Teresa Skelton

Anesthesiologist, Assistant Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Teresa Skelton, MD, FRCPC

Role: PRINCIPAL_INVESTIGATOR

University of Toronto

Locations

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University of Rwanda

Kigali, , Rwanda

Site Status

Countries

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Rwanda

References

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Tuyishime E, Mossenson A, Livingston P, Irakoze A, Seneza C, Ndekezi JK, Skelton T. Resuscitation team training in Rwanda: A mixed method study exploring the combination of the VAST course with Advanced Cardiac Life Support training. Resusc Plus. 2023 Jun 16;15:100415. doi: 10.1016/j.resplu.2023.100415. eCollection 2023 Sep.

Reference Type DERIVED
PMID: 37363124 (View on PubMed)

Other Identifiers

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TSkelton

Identifier Type: -

Identifier Source: org_study_id

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