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Table 2 Comparison of levels of knowledge between study arms across four assessment periods, Nā€‰=ā€‰299

From: Simulation-based low-dose, high-frequency plus mobile mentoring versus traditional group-based trainings among health workers on day of birth care in Nigeria; a cluster randomized controlled trial

Thematic Area #

Thematic Area

Total number of items

Assessment 1ā€”Baseline

Ā Ā 
Ā Ā 

Unadjusted analysis

Adjusted analysis

Mean # correct, LDHF/m-mentoring

Mean # correct, TRAD

IRR (95%CI)

p value

IRR (95%CI)

pvalue

1

Infection prevention

6

3.17

2.67

1.19 (1.07, 1.32)

0.001*

1.17 (1.06, 1.30)

0.002*

2

Normal birth

8

4.17

4.01

1.04 (0.96, 1.13)

0.349

1.03 (0.95, 1.12)

0.498

3

AMTSL

4

1.79

1.73

1.03 (0.88, 1.21)

0.682

1.02 (0.88, 1.18)

0.822

4

Management of eclampsia

2

1.13

1.11

1.02 (0.89, 1.18)

0.754

1.02 (0.88, 1.17)

0.805

5

Essential newborn care

2

0.94

1.03

.92 (0.77, 1.09)

0.318

0.91 (0.76, 1.08)

0.270

6

Neonatal resuscitation

20

8.55

11.15

0.77 (0.70, 0.84)

<ā€‰0.001*

0.75 (0.68, 0.82)

<ā€‰0.001*

Ā 

Overall score

42

17.62

19.71

0.89 (0.83, 0.96)

0.002*

0.88 (0.82, 0.94)

<ā€‰0.001*

Thematic Area #

Ā 

Total number of items

Assessment 2ā€”Immediate post-training

Ā Ā 
Ā Ā Ā 

Unadjusted analysis

Adjusted analysis

Thematic Area

Mean # correct, LDHF/m-mentoring

Mean # correct, TRAD

IRR (95%CI)

p value

IRR (95%CI)

p value

1

Infection prevention

6

5.01

5.04

1.00 (0.94, 1.06)

0.888

0.98 (0.92, 1.04)

0.470

2

Normal birth

8

6.51

6.76

0.96 (0.92, 1.01)

0.134

0.95 (0.90, 1.00)

0.040*

3

AMTSL

4

3.2

3.49

.92 (0.86, 0.98)

0.009*

0.90 (0.84, 0.96)

0.002*

4

Management of eclampsia

2

1.72

1.8

0.95 (0.89, 1.02)

0.138

0.95 (0.89, 1.01)

0.116

5

Essential newborn care

2

1.34

1.65

0.81 (0.74, 0.89)

<ā€‰0.001*

0.80 (0.72, 0.88)

<ā€‰0.001*

6

Neonatal resuscitation

20

11.29

16.21

0.7 (0.63, 0.77)

<ā€‰0.001*

0.68 (0.61, 0.75)

<ā€‰0.001*

Ā 

Overall score

42

24.21

30.57

0.79 (0.75, 0.84)

<ā€‰0.001*

0.77 (0.73, 0.82)

<ā€‰0.001*

Thematic Area #

Ā 

Total number of items

Assessment 3ā€”3ā€‰months post-training

Ā Ā 
Ā Ā Ā 

Unadjusted analysis

Adjusted analysis

Thematic Area

Mean # correct, LDHF/m-mentoring

Mean # correct, TRAD

IRR (95%CI)

p value

IRR (95%CI)

p value

1

Infection prevention

6

4.54

4.24

1.07 (0.99, 1.16)

0.086

1.04 (0.96, 1.12)

0.348

2

Normal Birth

8

5.9

5.7

1.04 (0.96, 1.11)

0.342

1.01 (0.94, 1.08)

0.760

3

AMTSL

4

3.07

3.04

1.01 (0.92, 1.10)

0.853

0.97 (0.89, 1.06)

0.569

4

Management of Eclampsia

2

1.69

1.7

1.00 (0.92, 1.08)

0.932

0.99 (0.91, 1.07)

0.741

5

Essential Newborn Care

2

1.55

1.52

1.02 (0.91, 1.14)

0.781

1.00 (0.89, 1.12)

0.964

6

Neonatal Resuscitation

20

14.45

13.98

1.03 (0.96, 1.11)

0.372

1.00 (0.93, 1.08)

0.978

Ā 

Overall score

42

27.41

26.37

1.04 (0.98, 1.10)

0.200

1.01 (0.95, 1.06)

0.796

Thematic Area #

Ā 

Total number of items

Assessment 4ā€”12ā€‰months post-training

Ā Ā 
Ā Ā Ā 

Unadjusted analysis

Adjusted analysis

Thematic Area

Mean # correct, LDHF/m-mentoring

Mean # correct, TRAD

IRR (95%CI)

p value

IRR (95%CI)

p value

1

Infection prevention

6

4.15

3.99

1.04 (0.95, 1.14)

0.380

1.01 (0.93, 1.10)

0.795

2

Normal birth

8

5.59

5.32

1.05 (0.97, 1.14)

0.213

1.03 (.95, 1.11)

0.470

3

AMTSL

4

2.88

2.89

1.00 (0.90, 1.10)

0.944

0.96 (0.88, 1.06)

0.426

4

Management of eclampsia

2

1.61

1.59

1.02 (0.93, 1.11)

0.730

1.00 (0.92, 1.10)

0.920

5

Essential newborn care

2

1.51

1.46

1.04 (0.93, 1.16)

0.544

1.01 (0.90, 1.13)

0.867

6

Neonatal resuscitation

20

13.83

14.02

0.99 (0.94, 1.04)

0.588

0.95 (0.91, 1.00)

0.036*

Ā 

Overall score

42

26.47

26.16

1.01 (0.96, 1.06)

0.642

0.98 (0.94, 1.02)

0.340

  1. *indicates statistical significance or p<0.05
  2. IRR incidence rate ratio, CI Confidence interval