Health TrialsbyHealthPanel

Improving Safety, Patient Experience and Equity Through Shared Decision-making Huddles in Labor

ConditionPerinatal Decision Making
Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexFemale
Age18+
SponsorEndeavor Health

About this trial

To evaluate the effectiveness of an existing quality improvement (QI) training program known as TeamBirth, using a randomized stepped-wedge hybrid type II study design, to (a) decrease nulliparous term singleton vertex (NTSV) cesarean birth (CB) across all birthing people, and specifically for Black birthing people, and (b) increase shared decision-making (SDM), (c) improve patient experience of respectful care. TeamBirth uses a train-the-trainer model to implement patient-participatory shared decision-making on Labor and Delivery (L\&D) units, with the goal of decreasing unwanted and unnecessary interventions and improving patient experiences and outcomes for labor and birth.

Eligibility criteria

This trial accepts healthy volunteers

Qualifiers

Age 18 or older

English or Spanish speaking

Gave birth to a live-born infant after laboring

Disqualifiers

Speaks a language other than English or Spanish

Under the age of 18

Gave birth to a nonliving infant

Cesarean delivery without labor

Trial design

Design model

Parallel

Treatments tested in this trial

  • TeamBirth

    Behavioral

    TeamBirth

Treatment groups

2,200 Participants
are divided into 2 treatment groups
Group A: Intervention TeamBirthOther 1 intervention
Group B: Usual CareNo intervention 0 interventions

Trial outcomes

Primary outcomes

1

Nulliparous Term Singleton Vertex (NTSV) Cesarean Birth (CB)

NTSV CB Rate for all birthing people in participating hospitals

Time frame
6 months prior to TeamBirth, 3 months post TeamBirth implementation
2

Shared Decision Making (SDM)

Childbirth Options, Information, and Person-Centered Explanation (CHOICEs) scale, scores range from 14 to 90, high scores indicate higher levels of shared decision making

Time frame
6 months prior to TeamBirth, 3 months post TeamBirth implementation

Secondary outcomes

1

NTSV CB in Black birthing people

NTSV CB Rate Black birthing people in participating hospitals

Time frame
6 months prior to TeamBirth , 3 months post TeamBirth implementation
2

SDM in Black birthing people

Childbirth Options, Information, and Person-Centered Explanation (CHOICEs) scale, scores range from 14 to 90, high scores indicate higher levels of shared decision making

Time frame
6 months prior to TeamBirth, 3 months post TeamBirth implementation
3

Patient Experience

Illinois Perinatal Quality Collaborative (ILPQC) Patient-Reported Experience Measure (PREM), there is no numerical value assigned to the ILPQC PREM

Time frame
6 months prior to TeamBirth, 3 months post TeamBirth implementation
4

Patient Experience

Mother's Autonomy in Decision Making (MADM), scores range from 7 to 42, higher scores indicate the women had greater agency and autonomy when engaging in a shared decision making process with a maternity care provider

Time frame
6 months prior to TeamBirth, 3 months post TeamBirth implementation

Other outcomes

Sponsors and contacts

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

Endeavor Health

Lead sponsor

University of Illinois at Chicago

Collaborator

University of Chicago

Collaborator

Ariadne Labs

Collaborator

University of Michigan

Collaborator

Northwestern University

Collaborator

Patient-Centered Outcomes Research Institute

Collaborator

Source ClinicalTrials.gov
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