Black Midwives for Black Women: Maternity Care to Improve Trust and Attenuate Structural Racism
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 入组人数
- 432
- 试验地点
- 2
- 主要终点
- Patient Engagement-Postnatal adequacy
研究概览
简要总结
This study is being conducted to determine if a multi-level intervention for delivering maternity care can improve patient trust and engagement among Black birthing people.
详细描述
Low-risk pregnant participants will be randomized into Melanated Group Midwifery Care or usual individualized obstetric care. In Melanated Group Midwifery Care (MGMC), Black women will receive prenatal care from a Black midwife in groups with the same 8-10 other Black women throughout pregnancy. In pregnancy and into the first year postpartum, MGMC patients will stay connected to the health system through a proactive care coordinator, who is a Black licensed nurse. For the first year after giving birth, patients in MGMC will also be supported by a trained postpartum doula.
All participants (intervention and usual care groups) will complete study measures that include validated surveys on patient trust, respect and engagement at 6 time points:
- 3 time points in pregnancy [baseline (<20 weeks), 26-28 weeks, and 35- 37 weeks] and
- 3 in the postpartum at 2-, 6-, and 12-months
- Additional qualitative interviews will be done to track the care received by medically and socially complex patients, including all who experience a severe maternal morbidity.
The investigators will also document how MGMC gets embedded in practice through a qualitative process evaluation.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Health Services Research
- 盲法
- Double (Investigator, Outcomes Assessor)
盲法说明
The research team working on the effectiveness evaluation of group care is blinded to study condition and is charged with collecting the Aim 1 effectiveness data from the individuals.
入排标准
- 年龄范围
- 15 Years 至 49 Years（Child, Adult）
- 性别
- Female
- 接受健康志愿者
- 是
入选标准
- 未提供
排除标准
- 未提供
结局指标
主要结局
Patient Engagement-Postnatal adequacy
时间窗: 1 year postpartum (T6)
Appropriate number (yes/no) and timing of postnatal visits (yes/no) documented in electronic medical record
Patient Engagement-Prenatal Adequacy
时间窗: Birth (T3)
Appropriate number (yes/no) and timing of prenatal visits (yes/no) documented in electronic medical records
Patient Engagement-Prenatal Adherence
时间窗: Birth (T3)
Five tests completed during prenatal period (yes/no), documented in electronic medical record
次要结局
- Provider Trust(Change from baseline through 12 months postpartum (T6))
- Patient Satisfaction(Change from late pregnancy (35-37 gestational weeks) (T3) and 2 months postpartum (T4))
- Patient activation(Change from baseline through 12 months postpartum (T6))
- Patient Autonomy(Change from baseline through 12 months postpartum (T6))
- Mental Well Being(Change from baseline through 12 months postpartum (T6))
- Respectful Care(Change from late pregnancy (35-37 gestational weeks) (T3) and 2 months postpartum (T4))
研究者
Kylea Laina Liese
Assistant Professor
University of Illinois at Chicago