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

Not Applicable

Not yet recruiting

• Conditions: Perinatal Decision Making

• Registration Number: NCT06828406
• Lead Sponsor: NorthShore University HealthSystem

Brief Summary

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.

Detailed Description

Not available

Study Timeline

• Study First Submitted: 2024-12-05
• Status Verified: 2025-02
• Study First Submitted QC: 2025-02-10
• Last Update Submitted: 2025-02-10
• Study First Posted: 2025-02-14
• Last Update Posted: 2025-02-14
• Study Start: 2025-04
• Primary Completion: 2027-10-31
• Study Completion: 2029-07

Recruitment & Eligibility

• Status: NOT_YET_RECRUITING
• Sex: Female
• Target Recruitment: 2200

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

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Primary Outcome Measures

Name	Time	Method
Nulliparous Term Singleton Vertex (NTSV) Cesarean Birth (CB)	6 months prior to TeamBirth, 3 months post TeamBirth implementation	NTSV CB Rate for all birthing people in participating hospitals
Shared Decision Making (SDM)	6 months prior to TeamBirth, 3 months post TeamBirth implementation	Childbirth Options, Information, and Person-Centered Explanation (CHOICEs) scale, scores range from 14 to 90, high scores indicate higher levels of shared decision making

Secondary Outcome Measures

Name	Time	Method
NTSV CB in Black birthing people	6 months prior to TeamBirth , 3 months post TeamBirth implementation	NTSV CB Rate Black birthing people in participating hospitals
SDM in Black birthing people	6 months prior to TeamBirth, 3 months post TeamBirth implementation	Childbirth Options, Information, and Person-Centered Explanation (CHOICEs) scale, scores range from 14 to 90, high scores indicate higher levels of shared decision making
Patient Experience	6 months prior to TeamBirth, 3 months post TeamBirth implementation	Acceptability of Intervention Measure (AIM), scores range from 3 to 15, the lower the score, the more satisfied the patient was with their care