[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-study-detail:100659821":3},{"organization":4,"outcomesModule":7,"designInfo":47,"detailedDescription":54,"studyPopulation":46,"armGroups":55,"interventions":75,"overallOfficials":88,"centralContacts":92,"locations":46,"responsibleParty":98,"collaborators":101,"id":105,"slug":106,"hasResults":107,"nctId":108,"briefTitle":109,"officialTitle":109,"acronym":110,"eligibilityCriteria":111,"healthyVolunteers":107,"sex":112,"minAge":46,"maxAge":46,"enrollmentInfo":113,"targetDuration":46,"studyType":116,"phases":117,"briefSummary":119,"conditions":120,"keywords":122,"overallStatus":128,"whyStopped":46,"lastUpdateSubmitDate":129,"lastUpdatePostDateStruct":130,"startDateStruct":133,"completionDateStruct":135,"leadSponsor":137,"locationsCount":46},{"fullName":5,"class":6},"Ohio State University","OTHER",{"primaryOutcomes":8,"secondaryOutcomes":13,"otherOutcomes":46},[9],{"measure":10,"description":11,"timeFrame":12},"Timely prenatal and postpartum care connection","Prenatal care initiation and postpartum care attendance","Prenatal care visit within first trimester AND postpartum care visit within 7-84 days after delivery",[14,18,22,25,28,32,36,39,43],{"measure":15,"description":16,"timeFrame":17},"Screening completion rates","The percentage of participants who are screened for social needs by CHWs","First trimester of pregnancy",{"measure":19,"description":20,"timeFrame":21},"Brief Resiliency Scale","Measure of resiliency for CHWs","Annually during the trial",{"measure":23,"description":24,"timeFrame":21},"Self-efficacy for CHWs","self-efficacy to support perinatal care for CHWs",{"measure":26,"description":27,"timeFrame":21},"turnover intention","Interest in leaving the CHW workforce",{"measure":29,"description":30,"timeFrame":31},"Patient engagement","Patient Activation Measure","Postpartum (7-84 days after delivery)",{"measure":33,"description":34,"timeFrame":35},"Preterm Birth","\\\u003C37 weeks gestational age","At delivery",{"measure":37,"description":38,"timeFrame":31},"Depression","PHQ-9",{"measure":40,"description":41,"timeFrame":42},"Social Service Connections","Completed referrals through the Hub pathways","From client enrollment to 6 months postpartum",{"measure":44,"description":45,"timeFrame":21},"Turnover","The number of CHWs that leave a Hub",null,{"allocation":48,"interventionModel":49,"interventionModelDescription":50,"primaryPurpose":51,"observationalModel":46,"timePerspective":46,"maskingInfo":52},"RANDOMIZED","FACTORIAL","This study is an experimental, cluster-randomized trial using a 2×2 factorial design. The research evaluates hub-level system-level and workforce-level interventions implemented within Pathways Community Hubs that serve pregnant and postpartum individuals.","HEALTH_SERVICES_RESEARCH",{"masking":53,"maskingDescription":46,"whoMasked":46},"NONE","Enhancing Perinatal Population Health through Community Care Hubs (CARE) is designed to test system level, organizational level, and workforce level strategies that may activate individual, community health worker (CHW), CHW supervisor, and system level mechanisms to improve care coordination, timely connection to prenatal and postpartum services, and downstream clinical outcomes related to maternal morbidity and mortality. The purpose of this study is to evaluate whether multi-level enhancements to Pathways Community Hub infrastructure improve evidence based prenatal and postpartum service delivery and maternal health outcomes among pregnant and postpartum women experiencing social needs.",[56,61,66,71],{"label":57,"type":6,"description":58,"interventionNames":59},"Arm 1: Integrated Data Systems","Community Care Hub infrastructure enhanced with Integrated Data Systems support.",[60],"Other: Integrated Data Systems",{"label":62,"type":6,"description":63,"interventionNames":64},"Arm 2: Integrated Data Systems + Learning Collaborative","Community Care Hub infrastructure enhanced with Integrated Data Systems and Learning Collaborative support.",[60,65],"Other: Learning Collaborative",{"label":67,"type":6,"description":68,"interventionNames":69},"Arm 3: Integrated Data Systems + Resiliency Skill Building","Community Care Hub infrastructure enhanced with Integrated Data Systems and Resiliency Skill Building support.",[60,70],"Other: Resiliency Skill Building",{"label":72,"type":6,"description":73,"interventionNames":74},"Arm 4: Integrated Data Systems + Learning Collaborative + Resiliency Skill Building","Community Care Hub infrastructure enhanced with Integrated Data Systems, Learning Collaborative and Resiliency Skill Building support.",[60,65,70],[76,80,84],{"type":6,"name":77,"description":78,"armGroupLabels":79,"otherNames":46},"Integrated Data Systems","Integrated Data Systems support intervention includes standardized social needs screening, improved data sharing and care coordination and health information exchange integration.",[57,62,67,72],{"type":6,"name":81,"description":82,"armGroupLabels":83,"otherNames":46},"Learning Collaborative","Learning Collaborative intervention includes specialized perinatal training for CHWs, peer learning and expert-led education, and trauma-informed and evidence-based care practices.",[62,72],{"type":6,"name":85,"description":86,"armGroupLabels":87,"otherNames":46},"Resiliency Skill Building","Resiliency Skill Building intervention includes Community Resiliency Model training, burnout prevention and workforce well-being support and ongoing coaching for CHWs and supervisors.",[67,72],[89],{"name":90,"affiliation":5,"role":91},"Daniel Walker, PhD, MPH","PRINCIPAL_INVESTIGATOR",[93],{"name":94,"role":95,"phone":96,"phoneExt":46,"email":97},"Laura Binkley, PhD, MSc, MPH","CONTACT","614-685-1510","laura.binkley@osumc.edu",{"type":91,"investigatorFullName":99,"investigatorTitle":100,"investigatorAffiliation":5,"oldNameTitle":46,"oldOrganization":46},"Daniel Walker","Vice Chair of Research and Associate Professor",[102],{"name":103,"class":104},"National Institute of Nursing Research (NINR)","NIH","100659821","enhancing-perinatal-population-health-through-community-care-hubs-100659821",false,"NCT07869212","Enhancing Perinatal Population Health Through Community Care Hubs","CARE","The trial includes 8 Pathways Community Hubs located throughout Ohio. Hubs are randomly assigned to study conditions rather than individual participants.","ALL",{"count":114,"type":115},8,"ESTIMATED","INTERVENTIONAL",[118],"NA","Enhancing Perinatal Population Health through Community Care Hubs (CARE) is designed to test system level, organizational level, and workforce level strategies that may activate individual, community health worker (CHW), CHW supervisor, and system level mechanisms to improve care coordination, timely connection to prenatal and postpartum services, and downstream clinical outcomes related to maternal morbidity and mortality.",[121],"Perinatal Population Health",[123,124,125,126,77,85,127],"Community Care Hubs","Community Health Worker","Prenatal Care","Postpartum Care","Learning Collaboratives","NOT_YET_RECRUITING","2026-10-06",{"date":131,"type":132},"2026-10-09","ACTUAL",{"date":134,"type":115},"2027-04-01",{"date":136,"type":115},"2031-04-30",{"name":5,"class":6}]