Enhancing Traditional Birth Attendant Training in Guatemala.
BACKGROUND: This article describes the follow-up study to Simulation Learning Among Low Literacy Guatemalan Traditional Birth Attendants , published in the International Journal of Childbirth in 2017. This current study had two purposes: (a) to implement and evaluate the use of enhanced training mod...
| Published in: | International Journal of Childbirth Vol. 11; no. 1; pp. 27 - 37 |
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| Main Authors: | , |
| Format: | research tables/charts Journal Article |
| Published: |
Springer Publishing Company, Inc.
2021
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| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=149879756&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 149879756 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 21565287 EUWA jtl: International Journal of Childbirth issn: 21565287 maglogo: N pubinfo: dt: 2021 vid: 11 iid: 1 pid: 8953 pub: Springer Publishing Company, Inc. place: New York, New York artinfo: ui: 149879756 149879756 149879756 10.1891/IJCBIRTH-D-20-00028 149879756 ppf: 27 ppct: 10 formats: tig: atl: Enhancing Traditional Birth Attendant Training in Guatemala. aug: au: Roberts, Lisa R. Anderson, Barbara A. sug: subj: Lay Midwives Education Simulations Educational Technology Learning Methods Professional Knowledge Evaluation Midwife Attitudes Evaluation Program Implementation Course Evaluation Quality Improvement Human Guatemala Focus Groups Pilot Studies Pretest-Posttest Design Content Analysis Prenatal Care Health Promotion Data Analysis Software T-Tests Descriptive Statistics Clinical Competence Open-Ended Questionnaires Role Playing Decision Making, Clinical Outcomes of Education ab: BACKGROUND: This article describes the follow-up study to Simulation Learning Among Low Literacy Guatemalan Traditional Birth Attendants , published in the International Journal of Childbirth in 2017. This current study had two purposes: (a) to implement and evaluate the use of enhanced training modalities (active-learning strategies and use of technology in a remote area), and (b) to pilot training-of-trainer (ToT) methods. The current study builds upon the previous study in which we conducted and evaluated a simulation-based training among low-literacy Guatemala traditional birth attendants (TBAs). MATERIALS AND METHODS: In the current study, we conducted a focus group with experienced TBAs (n = 8) to elicit concepts and issues important to address in the training. The 60-hour training designed for low-resource settings, was enhanced with active-learning strategies, technology, and ToT modules. We assessed pre–posttest knowledge and attitudes by paper-pencil format, and pre–post skills by demonstration using simulation. RESULTS: Training participants (N = 31) included the eight experienced TBAs from the focus group. Knowledge, skills, and attitudes all improved, with statistical significance achieved in many parameters. Evaluation of the training was positive and enhancement strategies were noted as particularly helpful. Two participants participated in the additional ToT modules and are now collaborating to provide short educational programs to other TBAs in their regions. CONCLUSION: Training enhancement strategies have the potential to increase safe practice among TBAs where skilled birth attendants are lacking. Adding ToT modules enhances sustainability and exemplifies the importance of locally prepared trainers in a time when global interaction is severely limited. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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