Data_Sheet_1_RETAIN: A Board Game That Improves Neonatal Resuscitation Knowledge Retention.docx

Background: The current resuscitation guidelines recommend frequent simulation based medical education (SBME). However, the current SBME approach is expensive, time-intensive, and requires a specialized lab and trained instructors. Hence, it is not offered routinely at all hospitals. We designed the board game “RETAIN” to train healthcare providers (HCPs) in neonatal resuscitation in a cost-friendly and accessible way.
Objectives: To examine if a board game-based training simulator improves knowledge retention in HCPs.
Methods: “RETAIN” consists of a board using an image of a baby, visual objects, adjustable timer, monitors, and action cards. Neonatal HCPs at the Royal Alexandra Hospital were invited to participate. Participants completed a written pre-test (resuscitation of a 24-week infant), then played the board game (starting with a tutorial followed by free playing of three evidence-based neonatal resuscitation scenarios). Afterwards, a post-test with the same resuscitation scenario and an opinion survey was completed. The answers from the pre- and post-test were compared to assess HCPs' knowledge retention.
Results: Thirty HCPs (four doctors, 12 nurses, and 14 respiratory therapist) participated in the study. Overall, we observed a 10% increase in knowledge retention between the pre- and post-test (49–59%, respectively). Temperature management showed the most knowledge gain between the pre- and post-test (14–46%, respectively). Placement of a hat (10–43%), plastic wrap (27–67%), and temperature probe (7–30%) improved between the pre- and post-test.
Conclusion: Knowledge retention increased by 12% between pre- and post-test (49–61%, respectively). The improvement in performance and knowledge supports the use of board game simulations for clinical training.

研究背景：当前复苏指南推荐开展高频次的基于模拟的医学教育（Simulation-Based Medical Education, SBME）。然而，现有SBME模式存在成本高昂、耗时冗长的缺陷，且需要专用实验室与经过培训的带教人员，因此并非所有医院均可常规开展此项培训。为此，本研究设计了桌游"RETAIN"，旨在以经济便捷的方式培训医疗保健提供者（Healthcare Providers, HCPs）掌握新生儿复苏技能。
研究目标：评估基于桌游的训练模拟器能否提升医疗保健提供者的知识留存率。
研究方法：桌游"RETAIN"包含印有婴儿图像的游戏板、可视化教具、可调计时器、监护模拟装置及行动卡牌。本研究邀请皇家亚历山德拉医院的新生儿科医疗保健提供者参与。参与者首先完成书面预测试（测试场景为24周早产儿复苏），随后参与桌游训练：先接受操作指导，再自主完成3个基于循证医学的新生儿复苏场景模拟。训练结束后，参与者完成与预测试场景一致的后测试及意见调查问卷。通过对比预测试与后测试的作答结果，评估医疗保健提供者的知识留存情况。
研究结果：共计30名医疗保健参与者参与本研究，其中医师4名、护士12名、呼吸治疗师14名。整体而言，预测试与后测试的知识留存率提升了10%（分别为49%与59%）。其中体温管理相关知识的提升幅度最大，预测试与后测试得分从14%提升至46%。婴儿帽佩戴（10%→43%）、保鲜膜使用（27%→67%）及体温探头放置（7%→30%）相关知识均有显著改善。
研究结论：预测试与后测试的知识留存率提升了12%（分别为49%与61%）。参与者的操作表现与知识水平均得到提升，证实基于桌游的模拟训练可应用于临床培训。