Effectiveness of a video-based intervention to improve the interpersonal communication skills of public health midwives in a district of Sri Lanka: a cluster randomised trial.

S A S Prasanna, H T C S Abeysena, M A A P Alagiyawanna
Author Information
  1. S A S Prasanna: Health Promotion Bureau, Ministry of Health Sri Lanka, Colombo, Sri Lanka. ORCID
  2. H T C S Abeysena: University of Kelaniya Faculty of Medicine, Ragama, Sri Lanka.
  3. M A A P Alagiyawanna: Health Promotion Bureau, Colombo, Sri Lanka.

Abstract

Objective: To determine the effectiveness of a video-based intervention, the V-BIS, in improving the interpersonal communication skills (IPCS) of public health midwives (PHMs).
Design: A cluster randomised trial.
Setting: The setting is a Medical Officer of Health (MOH) area, the district's basic administrative unit in public health. The study was conducted at six MOH areas/clusters in a district of Sri Lanka between February and July 2020.
Participants: PHMs who completed 6���months of working in the same setting were recruited.
Intervention: The V-BIS intervention is a video-based intervention designed to improve the IPCS of PHMs.
Main outcome measures: The primary outcome was the proportion of PHMs having good IPCS 1���month after the intervention. The secondary outcomes were (1) the proportion of PHMs having 'good IPCS' 3���months after the intervention and (2) the proportion of PHMs having 'good knowledge of complementary feeding (CF)' practices 1���month after the intervention.
Results: Compared with the control group, the intervention group improved their IPCS by 33.0% at 1���month and 18.3% at 3���months after the intervention. The observed differences in skills between the groups were statistically significant at 1���month (adjusted OR=14.00, 95% CI 4.9 to 40.1) and 3���months (adjusted OR=5.52, 95% CI 1.81 to 16.9). Compared with the control group, the intervention group did not significantly improve good knowledge of CF practices 1���month after the intervention (OR=2.61, 95% CI 0.65 to 10.53).
Conclusions: The V-BIS intervention effectively improves the IPCS of PHMs and can be used as a training intervention.
Trial registration number: SLCTR/2020/006.

Keywords

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Word Cloud

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