Evaluation of an animated instructional video as a training tool for manual perineum support during vaginal delivery.
OBJECTIVE
To explore attitudes to an animation-based bimanual perineum-support technique (bPST) training video, and to investigate factors affecting the acceptability of the animation as a teaching modality.


METHODS
A quantitative study conducted between November 1, 2014, and January 1, 2015, included obstetricians and midwives of any age and experience from relevant Norwegian professional organizations, and obstetrics and gynecology experts selected by the authors. Participants completed an anonymous online-survey evaluating the accuracy and clarity of the animation, and assessing knowledge of bPST and clinical practice. Factor and reliability analyses were conducted and the survey results were stratified based on the profession of the participants.


RESULTS
The online survey was completed by 124 participants. There were 6 (5.4%) participants who reported using bPST before the study and 102 (92%) who described themselves as willing to use it afterwards, a significant increase (Z=-9.42; P<0.001). Having prior knowledge of bPST was associated with having a positive opinion of the video (t=6.43; P<0.001) and with intending to learn the technique (t=11.6; P<0.001). Participants who provided comments were more likely to evaluate the video negatively (t=-2.88; P<0.001) and to report not intending to learn the technique (t=-3.71; P<0.001).


CONCLUSIONS
Animation-based training for bPST was feasible. The prior provision of information regarding the effectiveness of bPST could potentially increase user satisfaction with the animation.
Department of Obstetrics, Palestine Medical Complex, Ramallah, Palestine.|Intervention Center, Oslo University Hospital, Rikshospitalet, Oslo, Norway.|Faculty of Medicine, University of Oslo, Oslo, Norway.
Hadil Y
HY
Ali
Intervention Center, Oslo University Hospital, Rikshospitalet, Oslo, Norway.
Åse
Å
Vikanes
Inland Norway University and Applied Science, Oslo, Norway.
Marit
M
Anti
Institute of Community and Public Health, Birzeit University, Ramallah, Palestine.|Faculty of Pharmacy, Nursing and Health Professions, Birzeit University, Ramallah, Palestine.
Sahar
S
Hassan
Institute of Metabolism and Systems Research, College of Medical and Dental Sciences, University of Birmingham, Birmingham, UK.
Khaled M
KM
Ismail
Intervention Center, Oslo University Hospital, Rikshospitalet, Oslo, Norway.|Faculty of Medicine, University of Oslo, Oslo, Norway.|Department of Obstetrics, Al Aqsa Martyrs Hospital, Gaza, Palestine.
Kaled
K
Zimmo
Intervention Center, Oslo University Hospital, Rikshospitalet, Oslo, Norway.|Faculty of Medicine, University of Oslo, Oslo, Norway.|Department of Obstetrics, Al Shifa Hospital, Gaza, Palestine.
Mohammed
M
Zimmo
Intervention Center, Oslo University Hospital, Rikshospitalet, Oslo, Norway.|Faculty of Medicine, University of Oslo, Oslo, Norway.
Erik
E
Fosse
Department of Obstetrics, Oslo University Hospital, Ullevål, Oslo, Norway.
Katariina
K
Laine
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002983:Clinical Competence; D036861:Delivery, Obstetric; D004841:Episiotomy / Q000193:education*; D005260:Female; D006801:Humans; D020407:Internet; D008297:Male; D008875:Middle Aged; D008880:Midwifery / Q000193:education; D009664:Norway; D007744:Obstetric Labor Complications / Q000517:prevention & control*; D009774:Obstetrics / Q000193:education; D010502:Perineum / Q000293:injuries* / Q000601:surgery; D011247:Pregnancy; D011795:Surveys and Questionnaires; D014741:Video Recording
Animation; Childbirth; Perineum support; Technique; Training