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Randomized Controlled Trial
. 2025 Feb;45(2):249-255.
doi: 10.1038/s41372-024-02100-4. Epub 2024 Aug 28.

Impact of virtual simulation vs. Video refresher training on NRP simulation performance: a randomized controlled trial

R A Umoren  1 , M M Gray  2 , R Chitkara  3 , J Josephsen  4 , H C Lee  5 , M L Strand  4 , T L Sawyer  2 , S Ramachandran  6 , G Weiner  7 , J G Zaichkin  8 , P Kan  3 , G Pantone  9 , A Ades  10
Affiliations
Randomized Controlled Trial

Impact of virtual simulation vs. Video refresher training on NRP simulation performance: a randomized controlled trial

R A Umoren et al. J Perinatol. 2025 Feb.

Abstract

Objective: To assess the impact of NRP virtual simulations (eSim™), video or no refresher training, on simulation performance, six months after a provider course; and to evaluate eSim™ acceptability.

Study design: In this multi-site randomized controlled trial, NRP providers from four U.S. institutions were randomized to receive refreshers every two months with NRP eSim™, NRP resuscitation video, or no refresher (control). Simulation performance was assessed immediately after an NRP course and six months later.

Result: 248 participants completed the baseline simulation and 148 completed the six-month follow-up simulation. The majority (71%) of subjects had a decline in resuscitation skills at 6 months. There were no differences in performance between the study groups, but participants who reported using either the video or eSim™ had less decline in performance at the 6-month follow-up (p < 0.05).

Conclusion: NRP refreshers with either eSim™ or NRP video may mitigate the decline in resuscitation skills after training.

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Conflict of interest statement

Competing interests: The authors declare no competing interests. Ethics approval and consent to participate: All methods were performed in accordance with the relevant guidelines and regulations for Human Subjects Research. Ethics approval for this study was obtained from Seattle Children’s Hospital Institutional Review Board (IRB) STUDY00000298, Stanford University IRB, University of Texas Southwestern IRB 062017-002 and St Louis University IRB #27094. Informed consent was obtained from all study participants.

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