The Journal of surgical research.2022，Vol.2738.DOI:10.1016/j.jss.2021.12.006

TRUE-Bolivia (Trauma Responders Unifying to Empower Communities Bolivia) in Santa Cruz, Bolivia

Jackson, Morgan E. Ludi, Erica K. Reitz, Alexandra C. W. dos Santos, Gustavo Moraes Helenowski, Irene B. Quiroga, Lucy Lopez Foianini, J. Esteban Swaroop, Mamta
The Journal of surgical research.2022，Vol.2738.DOI:10.1016/j.jss.2021.12.006
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  • NSTL
  • Elsevier

TRUE-Bolivia (Trauma Responders Unifying to Empower Communities Bolivia) in Santa Cruz, Bolivia

Jackson, Morgan E. 1Ludi, Erica K. 2Reitz, Alexandra C. W. 2dos Santos, Gustavo Moraes 3Helenowski, Irene B. 1Quiroga, Lucy Lopez 4Foianini, J. Esteban 5Swaroop, Mamta6
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作者信息

  • 1. Feinberg Sch Med,Northwestern Univ
  • 2. Dept Gen Surg,Emory Univ
  • 3. Sch Med,Univ Aquina Bolivia
  • 4. Municipal Govt,Santa Cruz Sierra
  • 5. Clin Foianini,Santa Cruz Sierra
  • 6. Sadanah Trauma & Surg Initiat
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Abstract

Background: The aim of this study is to assess the efficacy of the TRUE-Bolivia (Trauma Responders Unifying to Empower Communities Bolivia) trauma first responder course at improving participant confidence in first responder abilities and increasing knowledge of trauma response skills. Methods: Participants attended the 4-h TRUE-Bolivia course at the municipal department of urban transportation and universities and medical schools in Santa Cruz, Bolivia and completed a demographic survey and pre- and post-course knowledge assessments. All participants who attended the full course and completed both knowledge assessments were included in the study, with 453 people attending at least one portion of the course and 329 completing the full course and assessments. Results: A majority of participants were men, had completed high school or attended university, and worked or trained in the fields of transportation or medicine. Participant ratings of confidence on a 5-point Likert scale improved from a median of 3 (interquartile range [IQR] 2) before the course to 5 (IQR 1) after the course (P < 0.01). The median number of correct answers on the pre-course nine-question knowledge assessment was 3 (IQR 3), improving to 7 (IQR 3) on the post-course assessment (P < 0.01). All demographic groups demonstrated improvements in scores from the pre- to post-test. Female gender, higher education level, a background in medicine, and prior training in first aid were associated with higher pre- and post-test scores. Conclusions: The TRUE-Bolivia course increased knowledge of first responder skills and improved confidence in these abilities in participants from a variety of backgrounds. Further study is needed to determine the long-term skill utilization by participants and the course's impact on local trauma morbidity and mortality. (c) 2021 Elsevier Inc. All rights reserved.

Key words

Trauma/Low-and middle-income country/First aid/Education/Latin America/MIDDLE-INCOME COUNTRIES/SYSTEMS/CARE/MORTALITY

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出版年

2022
The Journal of surgical research.

The Journal of surgical research.

ISSN：0022-4804
被引量1
参考文献量25
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