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document
Aftermath of a clinical trial : evaluating the sustainability of a medical device intervention in Ghana . A randomized controlled trial recently demonstrated that continuous positive airway pressure ( CPAP ) effectively decreases respiratory rate in children presenting to Ghanaian district hospitals with respiratory distress . A follow-up study 16 months later evaluated the extent to which the skills and equipment necessary for CPAP use have been maintained . Seven of eight CPAP machines were functional , but five of eight oxygen concentrators and three of four electric generators were non-functional . Nurses trained by US study personnel ( first-generation ) and nurses trained by Ghanaian nurses after the study ( second-generation ) were evaluated on CPAP knowledge and skills . Twenty-eight nurses participated in the study , 9 first-generation and 19 second-generation . First-generation trainees scored significantly higher than second-generation trainees on both skills and knowledge assessments ( p = 0.003 ) . Appropriate technical support and training must be ensured to address equipment maintenance . Protocolization of the training program , in conjunction with skills and knowledge assessment , may improve acquisition and retention among second- and future-generation trainees .
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Intervention_Physical
medical device intervention
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Intervention_Physical
continuous positive airway pressure
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Outcome_Physical
respiratory rate
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Outcome_Mental
skills and knowledge assessments
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Outcome_Mental
acquisition and retention
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Participant_Age
children
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Participant_Condition
respiratory distress
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Participant_Sample-size
Twenty-eight
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Participant_Sample-size
9
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Participant_Sample-size
19