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Related Experiment Video

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Author Spotlight: Implications of Non-Nutritive Sucking on Speech Emergence and Infant Development
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Telesimulation for Training in Infant Feeding: A Randomized Controlled Trial.

Jeanne Marshall1,2, Charis Shiu3, Madeline Raatz4,3,5

  • 1Queensland Children's Hospital, Children's Health Queensland Hospital and Health Service, Brisbane, Australia. j.marshall@uq.edu.au.

Dysphagia
|August 12, 2024
PubMed
Summary

Telesimulation and in-person simulation training for infant feeding skills yielded comparable improvements in clinical reasoning, confidence, and anxiety for speech pathologists. Novice clinicians showed greater gains in confidence and reduced anxiety compared to experienced peers.

Keywords:
Bottle feedingPatient simulationPediatric feeding disorderSpeech–language pathologyTelepracticeTraining

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Area of Science:

  • Medical Education
  • Health Professions Education
  • Clinical Skills Training

Background:

  • Simulation is crucial for clinical skill development but faces accessibility challenges.
  • Telesimulation has emerged as a potential solution, yet its effectiveness compared to in-person simulation is not well-established.
  • Infant feeding is a critical area where simulation training is beneficial.

Purpose of the Study:

  • To compare learner outcomes between in-person simulation and telesimulation for infant feeding.
  • To assess the impact of participant experience (novice vs. experienced) on simulation outcomes.

Main Methods:

  • A pragmatic randomized controlled trial involving speech pathologists.
  • Participants were randomized into in-person or telesimulation groups, matched by infant feeding experience (<6 months vs. >6 months).
  • Outcomes measured included clinical reasoning, confidence, anxiety, and satisfaction, assessed pre-, post-, and 4-weeks post-simulation.

Main Results:

  • Both in-person and telesimulation groups showed significant improvements in clinical reasoning, confidence, and anxiety.
  • Improvements in clinical reasoning, confidence, and anxiety were comparable between telesimulation and in-person groups.
  • Novice participants reported greater improvements in confidence and anxiety than experienced participants.
  • Satisfaction was high across all participants, regardless of modality or experience.

Conclusions:

  • Telesimulation is an effective alternative to in-person simulation for infant feeding training, yielding similar outcomes.
  • Telesimulation can enhance access to simulation-based education for clinicians.
  • Novice clinicians benefit significantly from simulation training, particularly in building confidence and managing anxiety.