Abstract
This study compared live instructor-led training with video-based instruction in personal protective equipment (PPE) donning and doffing. It assessed the difference in performance between (1) attending 1 instructor-led training session in donning and doffing PPE at 1 month prior to assessment, and (2) watching training videos for 1 month. This randomized controlled trial pilot study divided 21 medical students and junior doctors into 2 groups. Control group participants attended 1 instructor-led training session. Video group participants watched training videos demonstrating the same procedures, which they could freely watch again at home. After 1 month, a doctor performed a blind evaluation of performance using checklists. Nineteen participants were assessed after 1 month. The mean donning score was 84.8/100 for the instructor-led group and 88/100 for the video group; mean effect size was 3.2 (95% CI: -7.5 to 9.5). The mean doffing score was 79.1/100 for the instructor-led group and 73.9/100 for the video group; mean effect size was 5.2 (95% CI: -7.6 to 18). Our study found no significant difference in donning and doffing scores between instructor-led and video lessons. Video training could be a fast and resource-efficient method of training in PPE donning and doffing in responding to the COVID-19 pandemic.
Highlights
IntroductionIn the current COVID-19 pandemic of 2020, with an urgent need to train large numbers of staff in how to don and doff protective equipment (PPE), the use of traditional face-to-face training with an instructor poses a number of challenges
When working with infectious diseases with high consequences, such as Ebola and COVID-19, the simple act of donning and doffing personal protective equipment (PPE) becomes a lifesaving procedure for the medical staff, and for the thousands of people who depend on them.In the current COVID-19 pandemic of 2020, with an urgent need to train large numbers of staff in how to don and doff PPE, the use of traditional face-to-face training with an instructor poses a number of challenges
The West Africa Ebola outbreak (2014–2016) showed how training material can be developed quickly during an emergency response and made available for personnel being deployed to the response,[5] and this study suggests that the rapid development of video materials to provide training in donning and doffing of PPE is worthy of consideration in the case of the COVID-19 outbreak
Summary
In the current COVID-19 pandemic of 2020, with an urgent need to train large numbers of staff in how to don and doff PPE, the use of traditional face-to-face training with an instructor poses a number of challenges. It is time-consuming for both trainees and instructors. Gathering people together to be trained in person increases the risk of exposing staff to infection.[1] Third, the rapid growth in numbers of cases of infection and disruptions in the global supply chain of PPE presents a real risk of shortages of this equipment.[2] alternative training methods should be considered
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