Pilot test of an online training module on near-infrared spectroscopy monitoring for the randomised clinical trial SafeBoosC-III

Abstract

Background: SafeBoosC-III is an international randomised clinical trial to evaluate the effect of treatment of extremely preterm infants during the first 3 days of life based on cerebral near-infrared spectroscopy (NIRS) monitoring versus treatment and monitoring as usual. To ensure high quality of the trial intervention as well as of patient care, we have developed a multilingual web-based training program to train relevant staff and test their competence. As we enter an under-explored area of e-learning, we have conducted a pilot study on the first of the five modules comprising the web-based training program to test the feasibility of developing such a program for an international trial with limited resources. Methods:The module in this study focuses on the principles and practice of NIRS monitoring. The pedagogical idea was to integrate training and certification. One-hundred doctors and nurses from five Neonatal Intensive Care Units across China, Spain and Denmark were invited to participate in the pilot study. Upon completion of the NIRS module, participants were invited to evaluate their experience by completing an online survey. Data from closedended questions were analysed using descriptive statistics while data from open-ended questions underwent thematic analysis.Results: In total, 81 of 100 invited staff members entered the training module and completed the online survey. The median time and the number of questions to pass the module was 15 minutes and seven questions, respectively. Most staff found the academic level of the learning material and quiz appropriate (85% and 93% of all staff members, respectively), as well as agreeing that the module was relevant to prepare them to 'use the NIRS device' (90%). Thematic analysis revealed issues such as a discrepancy between learning material and quiz questions, lack of clarity, and technical issues. Conclusion:We provide evidence of the feasibility of developing a multilingual web-based training program for an international trial, despite challenges such as low budget, language barriers and possibly differences in the clinical training of staff. Exploring the integration of training and certification for international trials, the positive results of this study motivate further developments.(Continued on next page)

Cognitive Effort during Visuospatial Problem Solving in Physical Real World, on Computer Screen, and in Virtual Reality

“…Neuroergonomic approaches provide perspectives for enhancing the efficacy and configuration of interrelations between humans and systems focusing on everyday life situations [96][97][98]. Investigations into assessing cognitive workload serve as a driving force behind research on neuroergonomic professional training in critical settings [27], such as surgeons operating in a VR environment (see [99,100] for review), pilots, and air traffic controllers [39,101]. Similarly, we applied the neuroergonomics method to provide insights into the relationship between brain function and behavioral outcomes.…”

The SafeBoosC-III trial and the future of cerebral oximetry-guided interventions in preterm infants—time to pause and reset?

“…Achieving consistency in practice across 70 centers spanning seventeen countries presents a formidable challenge. To address this problem, the authors developed and implemented a multilingual web-based training program covering various aspects, including an introduction to SafeBoosC-III and its protocol, cerebral NIRS monitoring, treatment guidelines, cranial ultrasound imaging, brain injury diagnosis, and monitoring of good clinical practices ( 24 ). Despite their efforts, only 24% of nurses and 29% of neonatologists were certified by the start of randomization ( 9 ) ( Fig .…”