Health Trials

Data-Driven Lay First Responder Program in Cameroon

ConditionsTraumaInjury
Trial statusNot yet recruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
AgeNot listed
SponsorSabrinah Christie

About this trial

Cameroon experiences a high burden of injury-related morbidity and mortality and currently lacks a formal pre-hospital care system. Lay First Responder (LFR) programs have been implemented in several low-and middle-income countries to improve early injury care by training non-medical community members with high exposure to injury, such as commercial drivers, in basic first aid and safe transport of injured patients.

The study aims to implement and evaluate a data-driven, context-adapted LFR program in Cameroon using an implementation science approach. Quantitative trauma registry data and qualitative stakeholder interviews will be used to adapt the LFR curriculum to local injury patterns and care gaps. LFR program implementation will be associated with increased chances of survival on presentation and improved trauma outcomes.

The study is an interrupted time series evaluation of an LFR intervention where prehospital care rates and clinical patterns in the Cameroon Trauma Registry (CTR) patients at Limbe Regional hospital will be compared between historical pre-implementation controls and post-implementation of a data-driven lay first responder training program (the intervention).

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

None

Disqualifiers

None

Trial design

Design model

Sequential

Treatments tested in this trial

  • Lay First Responder (LFR) training

    Behavioral

    Training of LFR providers using a data driven, pretested curriculum adapted for the Cameroon context over a 3-month training and transition period.

Treatment groups

1,812 Participants
are divided into 2 treatment groups
Group A: Pre-LFR implementation CTR cohortNo intervention 0 interventions
Group B: Post-LFR implementation CTR cohortExperimental treatment 1 intervention

Trial outcomes

Primary outcomes

1

Prehospital care rate

Proportion of hospitalized trauma patients who received prehospital care prior to arrival at participating hospitals, compared between pre- and post implementation LFR cohorts.

Time frame
From enrollment through the 18-month post implementation period.

Secondary outcomes

1

Systolic blood pressure at presentation

Median systolic blood pressure (mmHg) measured at hospital presentation among injured patients, compared between pre- and post implementation LFR cohorts

Time frame
From enrollment through the 18-month post implementation period.
2

Respiratory rate greater than 8 and less than 20 breaths per minute

Percentage change in the proportion of CTR patients presenting with respiratory rate greater than 8 and less than 20 breaths per minute compared between pre- and post implementation LFR cohorts.

Time frame
From enrollment through the 18-month post-implementation period
3

Proportion of trauma patients with heart rate between 60 and 100 beats per minute

Percent change in the proportion of trauma patients with heart rate between 60 and 100 beats per minute compared between pre- and post implementation LFR cohorts.

Time frame
From enrollment through the 18-month post implementation period.
4

In-hospital mortality

All-cause in-hospital mortality among injured patients, compared between pre- and post implementation LFR cohorts.

Time frame
From enrollment through the 18-month post-implementation period.

Other outcomes

Sponsors and contacts

Click on the lead sponsor to view all of their trials.

Sabrinah Christie

Lead sponsor

University of California, Los Angeles

Sponsor institution

Fogarty International Center of the National Institute of Health

Collaborator

University of Buea

Collaborator

University of California, Los Angeles

Collaborator

Source ClinicalTrials.gov

This trial is not recruiting at the moment. You can still explore other options: