Assessing the improvement in performing cricothyroidotomy (a surgical difficult airway management method) following self video feedback (trainees review their performance by themselves) and expert-assisted video feedback (trainees review their performance while an emergency physician provides additional feedback)
| ISRCTN | ISRCTN35998024 |
|---|---|
| DOI | https://doi.org/10.1186/ISRCTN35998024 |
| Secondary identifying numbers | ATADEK-2019/14 |
- Submission date
- 11/05/2022
- Registration date
- 16/05/2022
- Last edited
- 13/06/2023
- Recruitment status
- No longer recruiting
- Overall study status
- Completed
- Condition category
- Other
Plain English Summary
Background and study aims
Cricothyrodiotomy is a life-saving, invasive, rarely required, time-sensitive procedure. In patients who cannot be ventilated adequately, it may be required as a last-choice life-saving procedure. It involves an incision being made through the skin and cricothyroid membrane to establish a patent airway during certain life-threatening situations. Most cricothyroidotomy training is simulation-oriented and traditionally done on models. One of the critical components of the training is the feedback section. An expert gives this feedback, which is usually accompanied by video playback. In recent years, video-assisted learning materials have been included in clinical skills training. Self-evaluating and blended learning methods are also frequently investigated. The self-video feedback method may have the potential to provide a low-cost alternative to physician-driven simulation-based training. This study compares the performance of two groups in which the instructor provides feedback and the student self-assesses without the instructor in teaching internship students about the cricothyroidotomy procedure.
Who can participate?
Final-year medical students at the Acıbadem Mehmet Ali Aydınlar University who had no previous training in performing cricothyroidotomy
What does the study involve?
The trainees are randomly allocated into two groups after seeing the educational presentation and the best practice video. One of these groups performs the cricothyroidotomy twice and reviews their own performance with a video recording for 15 minutes between two attempts. This group is the ‘self video feedback group’ (SVFG). The second group, after the first attempt, reviews their performance together with an emergency medicine specialist who provides additional feedback about the mistakes made, the causes for the mistakes, and the ways to prevent them the next time they perform the procedure. This second group of trainees makes up the ‘expert-assisted video feedback group’ (EVFG). The best practice video is not used during the feedback sessions for any of the two groups. In order to assess the impact of review and feedback sessions which take place between two attempts on the trainees’ performance, each attempt is scored by two emergency medicine specialists, one who watches the procedure live and the other from the video recording. As mentioned above, following the review/feedback sessions (SVFG or EVFG), trainees perform the procedure for a second time and it is recorded and scored by the two scorers. One of the scorers watches the procedures live being in the same room with the trainees, however, the other scorer watches the procedures from the video recordings. This second scorer is not able to see the faces of the trainees and can watch the recordings as many times as they want. The second scorer, who makes the assessment via the video recording, is able to make a more blinded/objective assessment due to the fact that they cannot see the face of the participant.
What are the possible benefits and risks of participating?
Participants will have theoretical and practical knowledge about cricothyroidotomy and will contribute to the development of the education model. Participation in the study does not involve any risk.
Where is the study run from?
Acibadem Mehmet Ali Aydınlar University Simulation Center (Turkey)
When is the study starting and how long is it expected to run for?
July 2019 to November 2019
Who is funding the study?
Investigator initiated and funded
Who is the main contact?
Hasan Aldinc
hasan.aldinc@acibadem.edu.tr
Contact information
Scientific
Halkali merkez mah. Turgut ozal bulv. no:16 Kucukcekmece
Istanbul
34290
Türkiye
 ORCID ID |
0000-0002-4734-5319 |
|---|---|
| Phone | +90 (0)5063976727 |
| hasan.aldinc@acibadem.edu.tr |
Study information
| Study design | Single-center randomized educational intervention study |
|---|---|
| Primary study design | Interventional |
| Secondary study design | Randomised controlled trial |
| Study setting(s) | Hospital |
| Study type | Other |
| Participant information sheet | Not available in web format, please use contact details to request a participant information sheet |
| Scientific title | Assessing the utility of two video feedback methods by comparing the improvement in performing cricothyroidotomy following self-video feedback and expert-assisted video feedback |
| Study hypothesis | This study aimed to assess the utility of two video feedback methods by comparing the improvement in performing cricothyroidotomy procedure following self video feedback (trainees review their performance by themselves) and expert-assissted video feedback (trainees review their performance while an emergency physician provides additional feedback). |
| Ethics approval(s) | Approved 12/09/2019, the Acıbadem Mehmet Ali Aydinlar University Medical Research Ethical Committee Istanbul/Turkey (Department Kayışdağı Cad. No:32 Ataşehir/Istanbul; +90 (0)216 500 44 44; atadek@acibadem.edu.tr), ref: ATADEK-2019/14 |
| Condition | Emergency cricothyroidotomy |
| Intervention | The trainees are randomized by simple randomisation into two groups after seeing the educational presentation and the best practice video. One of these groups performs the cricothyroidotomy twice and reviews their own performance via a video recording for 15 minutes between two attempts. This group is the ‘self video feedback group’ (SVFG). The second group, after the first attempt, reviews their performance together with an emergency medicine specialist who provides additional feedback about the mistakes made, the causes for the mistakes, and the ways to prevent them the next time they perform the procedure. This second group of trainees makes up the ‘expert-assisted video feedback group’ (EVFG). The best practice video is not used during the feedback sessions for any of the two groups. In order to assess the impact of review and feedback sessions which take place between two attempts on the trainees’ performance, each attempt is scored by two emergency medicine specialists, one who watches the procedure live and the other from the video recording. As mentioned above, following the review/feedback sessions (SVFG or EVFG), trainees perform the procedure for a second time and it is recorded and scored by the two scorers. One of the scorers watches the procedures live being in the same room with the trainees, however, the other scorer watches the procedures from the video recordings. This second scorer is not able to see the faces of the trainees and can watch the recordings as many times as they want. The second scorer, who makes the assessment via the video recording, is able to make a more blinded/objective assessment due to the fact that they cannot see the face of the participant. |
| Intervention type | Procedure/Surgery |
| Primary outcome measure | Improvement of scores measured with a checklist between the pre-feedback and post feedback attempts |
| Secondary outcome measures | Mean scores given for the two critical steps (Steps 1 and 4) of the procedure compared between the two groups, measured with a checklist at the pre-feedback and post feedback attempts |
| Overall study start date | 10/07/2019 |
| Overall study end date | 28/11/2019 |
Eligibility
| Participant type(s) | Learner/student |
|---|---|
| Age group | Adult |
| Sex | Both |
| Target number of participants | 89 |
| Total final enrolment | 80 |
| Participant inclusion criteria | 1. Final-year medical students at the Acıbadem Mehmet Ali Aydınlar University were invited to participate in the study as trainees 2. The trainees had no previous training in performing cricothyroidotomy 3. The written informed consent was obtained from the participants before the practice |
| Participant exclusion criteria | 1. Students who had cricothroidotomy practice before 2. Students who didn't sign the informed consent form |
| Recruitment start date | 14/09/2019 |
| Recruitment end date | 28/11/2019 |
Locations
Countries of recruitment
- Türkiye
Study participating centre
Istanbul
34750
Türkiye
Sponsor information
University/education
İçerenköy, Kayışdağı Cd. No:32, 34684 Ataşehir
Istanbul
34684
Türkiye
| Phone | +90 (0)216 500 44 44 |
|---|---|
| acuigs@acibadem.edu.tr | |
| Website | http://www.acibadem.edu.tr/en-en/SitePages/AnaSayfa.aspx |
"ROR" |
https://ror.org/01rp2a061 |
Funders
Funder type
Other
No information available
Results and Publications
| Intention to publish date | 30/05/2022 |
|---|---|
| Individual participant data (IPD) Intention to share | Yes |
| IPD sharing plan summary | Published as a supplement to the results publication |
| Publication and dissemination plan | Planned publication in a high-impact peer-reviewed journal |
| IPD sharing plan | The datasets generated and/or analysed during the current study will be published as a supplement to the results publication. |
Study outputs
| Output type | Details | Date created | Date added | Peer reviewed? | Patient-facing? |
|---|---|---|---|---|---|
| Results article | 14/06/2022 | 13/06/2023 | Yes | No |
Editorial Notes
13/06/2023: Publication reference added.
16/05/2022: Trial's existence confirmed by the Acıbadem Mehmet Ali Aydinlar University Medical Research Ethical Committee Istanbul/Turkey.
