Being Prepared During the Evolving COVID-19 Pandemic: A Neonatal Experience in Training and Simulation

10.3389/fped.2021.785524Frontiers in Pediatrics978552

Evaluation of the Hanen it Takes Two to Talk Intervention Programme

Introduction: It Takes Two to Talk (ITTT) – The Hanen Programme is a family-focused programme for parents of young children with speech and language delays (SLD). It aims to equip parents with the skills to help their child learn to communicate and use language. This programme is widely used overseas, but there is little evidence about its effect on the Singapore population. The aim of this study was to investigate the effectiveness of ITTT in improving a child's speech and language abilities, and in equipping parents with the skills necessary to teach their children. Methods: Parents of four children aged 26–41 months with a diagnosis of SLD participated in the study. The child's language was evaluated pre- and post-ITTT by a parent report communicative development inventory. Parental perceptions were evaluated with a knowledge, attitudes and perceptions questionnaire. Results: Improvement was seen post-program in expressive vocabulary for all participating children, with an increase in the median vocabulary age-equivalence of the child, beyond that of the chronological time that had elapsed. All parents achieved a pass rate in scores on knowledge-based questions. While 2/3 of parents felt ill-equipped to handle their child's SLD, all were interested to attend training in this area as they saw a need to implement changes in the way they helped their children. Conclusion: Results suggest that ITTT may be a useful tool in helping children with SLD. However, more research needs to be done on a larger population locally to determine the effectiveness of the programme

Singapore Neonatal Resuscitation Guidelines 2016

10.11622/smedj.2017066SINGAPORE MEDICAL JOURNAL587391-40

Guidance for the clinical management of infants born to mothers with suspected/confirmed COVID-19 in Singapore.

10.11622/smedj.2021045SINGAPORE MEDICAL JOURNA

Use of web-based game in neonatal resuscitation - is it effective?

Background: Knowledge and skills decline within months post simulation-based training in neonatal resuscitation. To empower ‘Millennial’ learners to take control of their own learning, a single-player, unguided web-based Neonatal Resuscitation Game was designed. The present study investigates the effectiveness of the game on retention of resuscitation knowledge and skills. Methods: The study evaluated 162 healthcare professionals who attended simulation-based training in neonatal resuscitation. Following standard simulation-based training, participants were assigned to either a gaming group (Gamers) with access to the web-based Neonatal Resuscitation Game or a control group (Controls) with no access to the game. Although Gamers were given access, game utilization was completely voluntary and at will. Some Gamers chose to utilize the web-based game (Players) and others did not (Non-players). Knowledge and skills in neonatal resuscitation were assessed upon completion of training and 6 months post-training using a multiple-choice question test and a manikin-based skills test. Changes in scores were compared statistically between Gamers vs Controls, Players vs Controls, and Players vs Controls + Non-players using two-sample t-tests. Results: At the final assessment, declines in knowledge scores were seen in all groups. Mean change from baseline in knowledge and skill performance scores at 6 months, adjusted for baseline skill performance and MCQ test scores, did not differ significantly between Players vs Controls and Players vs Controls + Non-players. Conclusion: The web-based game in its current format may not be effective in facilitating retention of knowledge and technical skills in neonatal resuscitation.Published versio