{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,3]],"date-time":"2026-04-03T02:36:08Z","timestamp":1775183768752,"version":"3.50.1"},"reference-count":17,"publisher":"MDPI AG","issue":"11","license":[{"start":{"date-parts":[[2023,11,4]],"date-time":"2023-11-04T00:00:00Z","timestamp":1699056000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100004102","name":"Laerdal Foundation","doi-asserted-by":"publisher","award":["AWD00000598"],"award-info":[{"award-number":["AWD00000598"]}],"id":[{"id":"10.13039\/501100004102","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Children"],"abstract":"<jats:p>Helping Babies Breathe (HBB) is an evidence-based neonatal resuscitation program designed for implementation in low-resource settings. While HBB reduces rates of early neonatal mortality and stillbirth, maintenance of knowledge and skills remains a challenge. The extent to which the inclusion of educational clinical videos impacts learners\u2019 knowledge and skills acquisition, and retention is largely unknown. We conducted a cluster-randomized controlled trial at two public teaching hospitals in Addis Ababa, Ethiopia. We randomized small training group clusters of 84 midwives to standard HBB vs. standard HBB training supplemented with exposure to an educational clinical video on newborn resuscitation. Midwives were followed over a 7-month time period and assessed on their knowledge and skills using standard HBB tools. When comparing the intervention to the control group, there was no difference in outcomes across all assessments, indicating that the addition of the video did not influence skill retention. Pass rates for both the control and intervention group on bag and mask skills remained low at 7 months despite frequent assessments. There is more to learn about the use of educational videos along with low-dose, high-frequency training and how it relates to retention of knowledge and skills in learners.<\/jats:p>","DOI":"10.3390\/children10111782","type":"journal-article","created":{"date-parts":[[2023,11,4]],"date-time":"2023-11-04T14:51:01Z","timestamp":1699109461000},"page":"1782","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Impact of an Educational Clinical Video Combined with Standard Helping Babies Breathe Training on Acquisition and Retention of Knowledge and Skills among Ethiopian Midwives"],"prefix":"10.3390","volume":"10","author":[{"given":"Amara J.","family":"Heard Stittum","sequence":"first","affiliation":[{"name":"Department of Pediatrics, Larner College of Medicine, University of Vermont, Burlington, VT 05401, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6611-1502","authenticated-orcid":false,"given":"Erika M.","family":"Edwards","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Larner College of Medicine, University of Vermont, Burlington, VT 05401, USA"},{"name":"Department of Mathematics and Statistics, College of Engineering and Mathematical Sciences, University of Vermont, Burlington, VT 05401, USA"},{"name":"Vermont Oxford Network, Burlington, VT 05401, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mahlet","family":"Abayneh","sequence":"additional","affiliation":[{"name":"Department of Pediatrics and Child Health, St. Paul\u2019s Hospital Millennium Medical College, Addis Ababa 1165, Ethiopia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Asrat Demtse","family":"Gebremedhin","sequence":"additional","affiliation":[{"name":"Department of Pediatrics and Child Health, Addis Ababa University, Addis Ababa 1165, Ethiopia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Delia","family":"Horn","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Larner College of Medicine, University of Vermont, Burlington, VT 05401, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8301-2290","authenticated-orcid":false,"given":"Sara K.","family":"Berkelhamer","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, University of Washington, Seattle, WA 98195, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Danielle E. Y.","family":"Ehret","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Larner College of Medicine, University of Vermont, Burlington, VT 05401, USA"},{"name":"Vermont Oxford Network, Burlington, VT 05401, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2023,11,4]]},"reference":[{"key":"ref_1","unstructured":"(2023, May 15). Newborn Mortality. Available online: https:\/\/www.who.int\/news-room\/fact-sheets\/detail\/levels-and-trends-in-child-mortality-report-2021."},{"key":"ref_2","unstructured":"(2023, May 15). The 2019 Ethiopia Mini Demographic and Health Survey|UNICEF Ethiopia. Available online: https:\/\/www.unicef.org\/ethiopia\/reports\/2019-ethiopia-mini-demographic-and-health-survey."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"S101","DOI":"10.1542\/peds.2020-016915C","article-title":"A Short History of Helping Babies Breathe: Why and How, Then and Now","volume":"146","author":"Niermeyer","year":"2020","journal-title":"Pediatrics"},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"S194","DOI":"10.1542\/peds.2020-016915K","article-title":"Achieving Country-Wide Scale for Helping Babies Breathe and Helping Babies Survive","volume":"146","author":"Perlman","year":"2020","journal-title":"Pediatrics"},{"key":"ref_5","doi-asserted-by":"crossref","unstructured":"(2023, May 15). Development and Impact of Helping Babies Breathe Educational Methodology|Pediatrics|American Academy of Pediatrics. 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Dis. Child."},{"key":"ref_10","doi-asserted-by":"crossref","unstructured":"Bang, A., Patel, A., Bellad, R., Gisore, P., Goudar, S.S., Esamai, F., Liechty, E.A., Meleth, S., Goco, N., and Niermeyer, S. (2016). Helping Babies Breathe (HBB) Training: What Happens to Knowledge and Skills over Time?. BMC Pregnancy Childbirth, 16.","DOI":"10.1186\/s12884-016-1141-3"},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"e048506","DOI":"10.1136\/bmjopen-2020-048506","article-title":"EHBB: A Randomised Controlled Trial of Virtual Reality or Video for Neonatal Resuscitation Refresher Training in Healthcare Workers in Resource-Scarce Settings","volume":"11","author":"Umoren","year":"2021","journal-title":"BMJ Open"},{"key":"ref_12","doi-asserted-by":"crossref","unstructured":"Kc, A., Ewald, U., Basnet, O., Gurung, A., Pyakuryal, S.N., Jha, B.K., Bergstr\u00f6m, A., Eriksson, L., Paudel, P., and Karki, S. (2019). Effect of a Scaled-up Neonatal Resuscitation Quality Improvement Package on Intrapartum-Related Mortality in Nepal: A Stepped-Wedge Cluster Randomized Controlled Trial. PLoS Med., 16.","DOI":"10.1371\/journal.pmed.1002900"},{"key":"ref_13","unstructured":"(2023, July 06). International Resources. Available online: https:\/\/www.aap.org\/en\/aap-global\/international-resources\/."},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"891266","DOI":"10.3389\/fped.2022.891266","article-title":"What Helping Babies Breathe Knowledge and Skills Are Formidable for Healthcare Workers?","volume":"10","author":"Patel","year":"2023","journal-title":"Front. Pediatr."},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"1743496","DOI":"10.1080\/16549716.2020.1743496","article-title":"Adding Video-Debriefing to Helping-Babies-Breathe Training Enhanced Retention of Neonatal Resuscitation Knowledge and Skills among Health Workers in Uganda: A Cluster Randomized Trial","volume":"13","author":"Odongkara","year":"2020","journal-title":"Glob. Health Action"},{"key":"ref_16","first-page":"701","article-title":"The Impact of the Helping Babies Survive Program on Neonatal Outcomes and Health Provider Skills: A Systematic Review","volume":"16","author":"Dol","year":"2018","journal-title":"JBI Evid. Synth."},{"key":"ref_17","unstructured":"(2023, July 09). Essential Newborn Care Training Course. Available online: https:\/\/www.who.int\/tools\/essential-newborn-care-training-course."}],"container-title":["Children"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2227-9067\/10\/11\/1782\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T21:17:36Z","timestamp":1760131056000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2227-9067\/10\/11\/1782"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,11,4]]},"references-count":17,"journal-issue":{"issue":"11","published-online":{"date-parts":[[2023,11]]}},"alternative-id":["children10111782"],"URL":"https:\/\/doi.org\/10.3390\/children10111782","relation":{},"ISSN":["2227-9067"],"issn-type":[{"value":"2227-9067","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,11,4]]}}}