Senarath 2007.
Methods | Randomised controlled trial Country: Sri Lanka Setting: delivery room Type of targeted behaviour: general management/preparation and conduct of delivery care for newborn |
|
Participants | Doctors, nurses, midwives 110 participants (59 intervention, 61 control) |
|
Interventions | Essential newborn care course Duration of training: 4 days Co‐interventions: none Control: usual/standard practice |
|
Outcomes | Assessment of breathing, preparedness for resuscitation (i.e. "suction device prepared, neonatal ambu bag and mask prepared, neonatal emergency tray prepared, breathing of newborn checked") | |
Notes | Reported data restricted to results of direct observations of delivery practices made on a subsample consisting of 96 health providers (48 before and 48 after the intervention) Postintervention data collection period: 3 months 'Unit of analysis error present': The unit of randomisation was hospitals, while the unit of analysis was observed delivery room care practices. Effects in training and control groups were not directly compared in the analysis Overall risk of bias assessment: high risk of bias |
|
Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Random sequence generation (selection bias) | Unclear risk | The method used to generate allocation sequence was not reported |
Allocation concealment (selection bias) | Unclear risk | The method used to conceal allocation sequence was not reported |
Incomplete outcome data (attrition bias) All outcomes | Low risk | No loss to follow‐up was reported |
Selective reporting (reporting bias) | Low risk | Prespecified outcomes were reported |
Blinding All outcomes | High risk | The principal investigator made observations in the labour room |
Contamination All outcomes | Low risk | It is unlikely that the control group received the training intervention |