BACKGROUND Clinical knowledge and skills acquired during training programs like Helping Babies Breathe (HBB) and Essential Care for Every Baby (ECEB) decay within weeks or months. We assessed the effect of a peer learning intervention paired with mentorship on retention of HBB and ECEB skills, knowledge, and teamwork in 5 districts of Uganda. METHODS We randomized participants from 36 Ugandan health centers to control and intervention arms. Intervention participants received HBB and ECEB training, a 1 day peer learning course, peer practice scenarios for facility-based practice, and mentorship visits at 2 to 3 and 6 to 7 months. Control arm participants received HBB and ECEB training alone. We assessed clinical skills, knowledge, and teamwork immediately before and after HBB/ECEB training and at 12 months. RESULTS Peer learning (intervention) participants demonstrated higher HBB and ECEB skills scores at 12 months compared with control (HBB: intervention, 57.9%, control, 48.5%, P = .007; ECEB: intervention, 61.7%, control, 49.9%, P = .004). Knowledge scores decayed in both arms (intervention after course 91.1%, at 12 months 84%, P = .0001; control after course 90.9%, at 12 months 82.9%, P = .0001). This decay at 12 months was not significantly different (intervention 84%, control 82.9%, P = .24). Teamwork skills were similar in both arms immediately after training and at 12 months (intervention after course 72.9%, control after course 67.2%, P = .02; intervention at 12 months 70.7%, control at 12 months 67.9%, P = .19). CONCLUSIONS A peer learning intervention resulted in improved HBB and ECEB skills retention after 12 months compared with HBB and ECEB training alone.

中文翻译：

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新生儿管理技能的同伴学习和指导：一项集群随机试验。

背景 在诸如帮助婴儿呼吸 (HBB) 和每个婴儿的基本护理 (ECEB) 等培训计划中获得的临床知识和技能会在数周或数月内衰退。我们在乌干达的 5 个地区评估了同伴学习干预与指导对保留 HBB 和 ECEB 技能、知识和团队合作的影响。方法 我们将来自 36 个乌干达卫生中心的参与者随机分配到控制和干预组。干预参与者在 2 至 3 个月和 6 至 7 个月时接受了 HBB 和 ECEB 培训、为期 1 天的同伴学习课程、基于设施的实践的同伴实践场景以及指导访问。对照组参与者单独接受 HBB 和 ECEB 培训。我们在 HBB/ECEB 培训前后以及 12 个月时评估了临床技能、知识和团队合作。结果 与对照组相比，同伴学习（干预）参与者在 12 个月时表现出更高的 HBB 和 ECEB 技能得分（HBB：干预，57.9%，控制，48.5%，P = .007；ECEB：干预，61.7%，控制，49.9%， P = .004）。两组的知识分数都下降了（课程后干预 91.1%，12 个月时 84%，P = .0001；课程后控制 90.9%，12 个月时 82.9%，P = .0001）。12 个月时的衰减没有显着差异（干预 84%，控制 82.9%，P = .24）。训练后立即和 12 个月时双臂的团队合作技能相似（课程后干预 72.9%，课程后控制 67.2%，P = .02；12 个月干预 70.7%，12 个月控制 67.9%，P = .19 ）。