Abstract
Background
The Train the Trainer (TTT) model is increasingly used in limited resource settings
as a mechanism to disseminate resuscitation knowledge and skills among providers.
Anecdotally, however, many resuscitation programs that use this model fail to achieve
sustainability.
Objective
We aim to systematically review the literature to describe the evidence for the TTT
method of knowledge dissemination for resuscitation courses in limited resource settings.
Methods
We conducted a systematic review of the literature in accordance with PRISMA guidelines
of the PubMed, Cochrane Library, MEDLARS online (MEDLINE), and Cumulative Index to
Nursing and Allied Health Literature (CINAHL) databases.
Results
Eleven manuscripts met inclusion criteria, the majority (7/11) focused on neonatal
resuscitation. We found strong evidence for the TTT model for imparting knowledge
and skills on providers, however, little evidence exists for the impact of these programs
on patient outcomes or long term sustainability. Facilitators associated with successful
programming include the use of language and resource appropriate materials, support
from the Ministry of Health of the country, and economic support for supplies and
salaries.
Conclusion
While the TTT model of programming for the dissemination of resuscitation education
is promising, further research is necessary especially relating to sustainability
and impact on patient outcomes. Familiarity with the local environment, language,
culture, resources and economic realities prior to the initiation of programming is
key to success.
Keywords
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Article info
Publication history
Published online: March 12, 2018
Accepted:
March 5,
2018
Received in revised form:
February 27,
2018
Received:
November 23,
2017
Footnotes
☆A Spanish translated version of the abstract of this article appears as Appendix in the final online version at https://doi.org/10.1016/j.resuscitation.2018.03.009.
Identification
Copyright
© 2018 Elsevier B.V. All rights reserved.
