%0 Journal Article
%T Educating caregivers of persons with cerebral palsy in night-time postural care: A randomized trial comparing two online training programs.
%A Hutson JA
%A Hodges JS
%A Snow L
%J Clin Rehabil
%V 35
%N 9
%D Sep 2021
%M 33858230
%F 2.884
%R 10.1177/02692155211009484
%X <B>UNASSIGNED: </B>Compare effectiveness of two differently formatted training programs in educating night-time postural care implementers.<BR><B>UNASSIGNED: </B>Mixed-methods parallel-group double-blind design with random assignment.<BR><B>UNASSIGNED: </B>United States academic institution.<BR><B>UNASSIGNED: </B>Thirty-eight adult caregivers/providers of children with cerebral palsy.<BR><B>UNASSIGNED: </B>Both 2-hour online programs included content on night-time postural care evidence, risk-factor monitoring, sleep-system types, positioning methods, and assessments. Group A used interactive videos, Group B summary information with web-links.<BR><B>UNASSIGNED: </B>We measured self-perceived competence via questionnaires (baseline, post-training, post-simulation) containing 4-point rating-scales of knowledge, ability, and confidence and measured positioning ability via a simulation observation instrument comprising 16 positioning-task ratings with space for describing performance. We recorded participant actions/statements using fieldnotes.<BR><B>UNASSIGNED: </B>Thirty-eight completed training (19 per group). Group A (vs B) showed significantly greater self-perceived competence changes post-training (0.46 points (SE 0.17), P = 0.008). Thirty-seven positioned a standardized "client," with groups not differing significantly on total tasks completed correctly (F(1, 92.32) = 1.91, P = 0.17) averaging 11.85 (SE 0.83) and 12.60 (SE 0.84) of 16 tasks correct. Group A's post-positioning/simulation self-ratings were significantly associated with actual ability (r = 0.53, P = 0.019). In both groups ⩾47% of caregivers incorrectly completed the tasks of placing head and neck in neutral and snugging up all [positioning] parts.<BR><B>UNASSIGNED: </B>The sleep care positioning training program (interactive video-based format) is effective in building caregivers' self-perceived competence for night-time postural care. While the lesson was well-received by caregivers and considered a "match [to their] learning style," the lesson did not lead to greater improvement in actual ability to position the "client" compared to control training.