Opiyo 2008.
| Methods | Randomised trial | |
| Participants |
Who: Nursing/midwifery staff in 1 hospital Number: 35 met inclusion criteria, all included in early training, late training to 55. Proportion of eligible staff participating: Not reported |
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| Interventions |
Intervention description: ABC approach to neonatal resuscitation, a day of focused lectures and simulated scenarios, with a course book provided 2 weeks prior Control: No intervention, received late training Location: Conducted in the local setting Delivered by: Course instructors who had completed Advanced Life Support training Length: 1 day Duration: Single intervention delivered as early or late training |
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| Outcomes |
Outcomes: Appropriate resuscitation steps, mean resuscitation scores, inappropriate/dangerous practices, neonatal mortality Follow‐up: Baseline 6 months, then 3 months after early training and 3 months after late training |
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| Population studied |
Description: Resuscitations of newborns taking place in a public hospital in Kenya Number: 212 resuscitations observed, 97 in the intervention group and 115 in the control group. |
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| Funding Source | Laerdal Foundation of Acute Medicine, Wellcome Trust Senior research fellowship | |
| Study Setting | Pumwani Maternity Hospital in Nairobi, Kenya, the main maternity facility with 17,000 deliveries per year | |
| Notes | ||
| Risk of bias | ||
| Bias | Authors' judgement | Support for judgement |
| Random sequence generation (selection bias) | High risk | Unable to randomise as planned, exclusion criteria meant staff could not be randomised to intervention group |
| Allocation concealment (selection bias) | High risk | As above |
| Blinding of participants and personnel (performance bias) All outcomes | High risk | Not possible to blind |
| Blinding of outcome assessment (detection bias) All outcomes | High risk | Outcomes assessed by unblinded data collectors. |
| Incomplete outcome data (attrition bias) All outcomes | Unclear risk | Not discussed |
| Selective reporting (reporting bias) | Low risk | All outcomes mentioned in methods were reported. |
| Other bias | High risk | Possible contamination between the early‐ and late‐training groups |