Improving Safety, Patient Experience and Equity Through Shared Decision-making Huddles in Labor (I'M SPEAKING)

Endeavor Health

Status: Enrolling

Conditions: Perinatal Decision Making

Treatments: Behavioral: TeamBirth

Study type: Interventional

Funder types: Other

Identifiers

NCT06828406

Study00000033

BPS-2023C2-33453 (Other Grant/Funding Number)

Details and patient eligibility

About

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.

Enrollment: 2,200 estimated patients

Sex: Female

Ages: 18+ years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• Age 18 or older
• English or Spanish speaking
• Gave birth to a live-born infant after laboring

Exclusion criteria

• 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

Primary purpose: Health Services Research

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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2,200 participants in 2 patient groups

Intervention TeamBirth

Other group

Description:

shared decision making in labor using team huddles

Treatment:

Behavioral: TeamBirth

Usual Care

No Intervention group

Description:

Usual Care