Home » Trials » SLCTR/2025/011


Effectiveness of a brief educational intervention in improving knowledge and practices regarding pre-hospital care of children with snake bites, snake identification, and snake bite prevention among Public Health Midwives and parents in two selected resource limited settings in rural Sri Lanka; a quasi-experimental trial

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SLCTR Registration Number

SLCTR/2025/011


Date of Registration

01 Apr 2025

The date of last modification

Apr 01, 2025



Application Summary


Scientific Title of Trial

Effectiveness of a brief educational intervention in improving knowledge and practices regarding pre-hospital care of children with snake bites, snake identification, and snake bite prevention among Public Health Midwives and parents in two selected resource limited settings in rural Sri Lanka; a quasi-experimental trial


Public Title of Trial

Effectiveness of a brief educational intervention in improving knowledge and practices regarding pre-hospital care of children with snake bites, snake identification, and snake bite prevention among Public Health Midwives and parents in two selected resource limited settings in rural Sri Lanka; a quasi-experimental trial


Disease or Health Condition(s) Studied

Snakebite


Scientific Acronym

RCT-BEISME


Public Acronym

RCT-BEISME


Brief title

None


Universal Trial Number

U1111-1319-0350


Any other number(s) assigned to the trial and issuing authority

2024/EC/67 - University of Peradeniya Faculty of medicine Ethics review committee


Trial Details


What is the research question being addressed?

What is the short- and long-term impact of brief educational interventions aimed at optimizing knowledge and practices of Public Health Midwives regarding first-aid management of children with snake bite envenomations and prevention of snakebites in the community compared to standard practice in selected resource-limited communities in rural Sri Lanka?


Type of study

Interventional


Study design

Allocation

Non-randomized controlled trial


Masking

Masking not used


Control

Standard therapy/practice


Assignment

Parallel


Purpose

Prevention


Study Phase

Not Applicable


Intervention(s) planned

Study Setting(s): Ampara and Polonnaruwa districts Sri Lanka. Intervention arm will include PHMs serving in Ampara RDHS. Control arm will include PHMs serving in Polonnaruwa RDHS

The intervention will be a brief training and educational intervention delivered in ‘training-of-trainers (ToT)’ design, on snakebite first aid, identification, and prevention. Conducted as a three-month long session including lectures, interactive discussions, and distribution of educational materials (audio-visuals, leaflets, learning modules). PHMs will then educate parents after conclusion of the training and education program. The intervention is on top of standard care.

Control: No training or educational intervention. PHMs in the control arm continue their usual health promotion activities without additional training on snakebite prevention and first aid.

Standard Care in Each Arm: Routine healthcare services provided by PHMs, including general maternal and child health services.

Following the educational and training intervention, PHMs in the intervention arm will deliver the educational and training intervention for parents living within the serving region of the respective PHMs (PHM area). Control arm will include PHMs serving in Polonnaruwa RDHS. Parents within respective PHMs regions will also be recruited as controls. PHMs and parents in this arm will be exposed to standard care practices.


Inclusion criteria

All Public Health Midwives currently serving (<60 years) under Ampara and Polonnaruwa RDHS of Sri Lanka.


Exclusion criteria

Public Health Midwives who are either in administrative roles or hospital practice and do not have direct interaction with the community or are not involved in providing health education and pre-hospital care on children will be excluded from the study. PHMs who do not voluntarily agree to participate in the study and provide informed consent will also be excluded.



Primary outcome(s)

1.

Knowledge regarding identification of snakes, first-aid management and prevention of snakebites among the rural communities exposed to the intervention as compared to standard practices immediately before and after the intervention in Public Health Midwives (PHMs): A structured self-administered questionnaire (available in English, Sinhalese, and Tamil) delivered online via Google Forms.

[

Immediately and one-year after the intervention

]
2.

Knowledge regarding identification of snakes, first-aid management and prevention of snakebites among the Parents, exposed to the intervention as compared to standard practices among parents, immediately before and after the intervention. Long term impact will be assessed 1-year after the intervention

[

Immediately and one-year after the intervention

]

Secondary outcome(s)

1.

None

[

None

]

Target number/sample size

72 in each arm


Countries of recruitment

Sri Lanka


Anticipated start date

2025-04-01


Anticipated end date

2026-03-31


Date of first enrollment


Date of study completion


Recruitment status

Pending


Funding source

Self funded


Regulatory approvals

Not applicable



State of Ethics Review Approval


Status

Approved


Date of Approval

2025-02-11


Approval number

2024/EC/67


Details of Ethics Review Committee

Name: University of Peradeniya Faculty of medicine ERC
Institutional Address:Faculty of Medicine, University of Peradeniya
Telephone:081-2396361
Email: chairperson.erc@med.pdn.ac.lk

Contact & Sponsor Information


Contact person for Scientific Queries/Principal Investigator

Kavinda Dayasiri
Professor in Paediatrics
Department of Paediatrics, Faculty of Medicine, University of Kelaniya
0718460130
0718460130

kavindadayasiri@gmail.com

Contact Person for Public Queries

Kavinda Dayasiri
Professor in Paediatrics
Department of Paediatrics, Faculty of Medicine, University of Kelaniya
0718460130
0718460130

kavindadayasiri@gmail.com


Primary study sponsor/organization

Kavinda Dayasiri
Professor of paediatrics
Department of Paediatrics, Faculty of Medicine, University of Kelaniya
0718460130
0718460130
kavindadayasiri@gmail.com

Secondary study sponsor (If any)

None





Trial Completion details


Do the investigators plan to share identified individual clinical trial participant-level data (IPD)?

No


IPD sharing plan description


Study protocol available

No


Protocol version and date

Not Available


Protocol URL

Not Available


Results summary available

No


Date of posting results


Date of study completion


Final sample size


Date of first publication


Link to results


Brief summary of results