Co-Developing a Nurse-Led, Community-Engaged Intervention to Improve Labor Pain Management and Build Trust in Obstetric Care
Trial Snapshot
- Phase
- Not Applicable
- Status
- Not yet recruiting
- Sponsor
- Enrollment
- 120
- Primary Endpoint
- Provider empathy survey
Study Overview
Brief Summary
Aim 3 is a provider-focused pilot randomized controlled trial evaluating a digital storytelling intervention to increase obstetric care providers' empathy and to examine associations with postpartum patient trust. Providers randomized to the intervention view a video of Black women's labor pain and care experiences and complete a brief reflection; control providers receive general culturally sensitive care materials. Outcomes include change in provider empathy (primary) and patient trust among Black postpartum patients under those providers' care (secondary). Risks are minimal and mitigated via consent, voluntary participation, the option to skip questions, and secure data practices.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Health Services Research
- Masking
- None
Eligibility Criteria
- Ages
- 18 Years to — (Adult, Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •Provider Participants:
- •Licensed clinician employed or credentialed at Duke Health Birthing Centers (nurse, anesthesia care provider, obstetrician, or nurse midwife).
- •In clinical practice for at least 6 months post-orientation.
- •Able to read and understand English.
- •Patient Participants:
- •Self-identified non-Hispanic Black American women.
- •Age ≥18 years.
- •Able to read and converse in English.
- •Receiving obstetric care from a provider who is already enrolled in the study.
Exclusion Criteria
- •Provider Participants:
- •Providers in training or with <6 months independent clinical practice.
- •Providers unwilling or unable to give informed consent.
- •Patient Participants:
- •Under 18 years of age.
- •Non-English speakers (due to study survey language limitations).
- •Unable or unwilling to provide informed consent.
Arms & Interventions
Storytelling Intervention
Obstetric care providers view a digital storytelling video of Black women's labor pain and obstetric care experiences and complete a brief written reflection.
Intervention: Digital storytelling video + written reflection (Behavioral)
Control - Culturally Sensitive Materials
Obstetric care providers receive general written information about culturally sensitive care.
Intervention: General culturally sensitive care materials (Behavioral)
Outcomes
Primary Outcomes
Provider empathy survey
Time Frame: Baseline and 2-4 weeks after intervention
An 8-question empathy survey for doctors measures perspective-taking, compassionate care, and emotional connection with patients. Each item is scored on a Likert scale of 1 (strongly disagree) to 7 (strongly agree). The total score ranges from 7 to 49, where a higher score indicates greater empathy.
Secondary Outcomes
No secondary outcomes reported