![]() ISRCTN registry, trial ID ISRCTN95998973, retrospectively registered on October 13th, 2020. Video-based instruction resulted in better adherence to the ABCDE approach during NALS training than lecturing. Overall adherence to the ABCDE algorithm was rather low. Neonatal ward clinicians (39.9% (18.2)) showed better adherence than nurses (25.0% (15.2)), independent of the study group ( p = 0.010). The difference in adherence between both groups could mainly be attributed to differences in the adherence to domain B ( p = 0.023) and C ( p = 0.007). The video-based instruction group (28 participants) adhered better to the ABCDE approach than the lecture group (44 participants), with mean (SD) scores of 38.8% (18.7) and 27.8% (18.2), respectively ( p = 0.026). Secondary outcomes were: 1) the scores of each profession category (nurses, neonatal ward clinicians, fellows/neonatologists) and 2) the scores for the separate domains (A, B, C, D, and E) of the algorithm. The primary outcomes were: 1) the overall adherence and 2) the between-group difference in individual adherence to the ABCDE approach, both expressed as a percentage score. One blinded researcher evaluated the adherence to the ABCDE approach on video with an assessment tool specifically designed and tested for this study. ![]() They were randomly assigned to a video-based instruction (intervention group) or a conventional lecture (control group) as the method of instruction. Between June 2017 and January 2018, neonatal healthcare providers routinely participated in simulated neonatal advanced life support (NALS) scenarios, using a high-fidelity manikin. Randomized controlled trial in which simulation was used as investigational method. This study assessed the adherence to the ABCDE algorithm and whether this was affected by the instruction method used to teach this approach. The Airway, Breathing, Circulation, Disability, and Exposure (ABCDE) approach is widely recommended and taught in many resuscitation courses.
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