Building Equitable Linkages With Interprofessional Education Valuing Everyone

Not Applicable

• Conditions: Pregnancy Related; Pain; Postpartum
• Interventions: Other: Usual Care; Behavioral: BELIEVE IPE Training

• Registration Number: NCT06483022
• Lead Sponsor: University of North Carolina, Chapel Hill

Brief Summary

This is a step-wedge design implementation protocol of an interprofessional education curriculum intervention that is delivered through virtual reality and designed to reduce disparities and improve patient experiences in receiving maternal healthcare.

Detailed Description

Not available

Study Timeline

• Study First Submitted: 2024-06-13
• Study First Submitted QC: 2024-06-27
• Study Start: 2024-07-01
• Study First Posted: 2024-07-01
• Status Verified: 2024-11
• Last Update Submitted: 2024-11-14
• Last Update Posted: 2024-11-19
• Primary Completion: 2026-06-30
• Study Completion: 2026-09-30

Recruitment & Eligibility

• Status: ENROLLING_BY_INVITATION
• Sex: All
• Target Recruitment: 32000

Inclusion Criteria

Healthcare Team Participants

• Employed as one of the following roles: maternity care provider, nurse, lactation consultant or doula.
• Primary inpatient clinical assignment is maternity care.
• If Per Diem: Employed for a minimum of 4 shifts/month at a participating site.

Birthing Parent Data Extraction Participants

• Had a live birth at a participating site from the start of the study through the last Data Retrieval timepoint.

Birthing Parent Interview Participants

• Had a live birth at a participating site from the start of the study through the last Data Retrieval timepoint.
• Black race or Limited English Proficiency with preferred language of Spanish.
• Age ≥ 18.

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Exclusion Criteria

Healthcare Team Participants

• None

Birthing Parent Data Extraction Participants

• Baby with birth gestational age < 24 weeks.

Birthing Parent Interview Participants

• Baby with birth gestational age < 24 weeks.
• Baby is no longer alive at time of Data Retrieval (regardless of gestational age).
• Currently incarcerated.
• Previously completed a birthing parent interview for the BELIEVE study.
• Previously enrolled as a Healthcare Team Participant.

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Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Pre-intervention	Usual Care	In the pre-intervention sequence(s), birthing people at participating hospitals will experience treatment-as-usual.
Post-intervention	BELIEVE IPE Training	In the post-intervention sequence(s), birthing people at participating hospitals will experience treatment by health care teams that have undergone the Building Equitable Linkages With Interprofessional Education Valuing Everyone interprofessional education (BELIEVE IPE) training.

Primary Outcome Measures

Name	Time	Method
Severe Postpartum Pain	0 to <24 and 24 to <48 hours postpartum	Proportion of individuals with severe pain postpartum. Severe pain will be defined as pain score \>4 on postpartum day 1 following vaginal birth, or pain score \>7 on postpartum day 2 following cesarean birth, as documented in the electronic health record using the Numerical Rating Scale (NRS) of patient-reported pain from 0-10.

Secondary Outcome Measures

Name	Time	Method
Birthing parent-reported experiences of the respectful care (Qualitative)	2-8 weeks postpartum	Based on semi-structured interviews with a subset of birthing parents, the investigators will report the count of qualitative interview participants who described their care as "respectful" during semi-structured interviews with birthing parents.
Patient-reported examples of respectful and equitable health care team member practices (Qualitative)	2-8 weeks postpartum	Based on semi-structured interviews with a subset of birthing parents, the investigators will identify respectful and equitable health care team member practices in a thematic coded content analysis of transcribed responses. For the top three practices identified, the count of participants naming each practice will be reported.
Patient-reported examples of supportive health team member practices for pain management (Qualitative)	2-8 weeks postpartum	Based on semi-structured interviews with a subset of birthing parents, the investigators will identify supportive health team member practices for pain management in a thematic coded content analysis of transcribed responses. For the top three practices identified, the count of participants naming each practice will be reported.
Pain assessments	0 to <24 and 24 to <48 hours postpartum	Number of instances of pain score assessments on a 0-10 scale that are documented in the birthing parent's medical record.
NSAID doses administered	0 to <24 and 24 to <48 hours postpartum	Number of non-steroidal anti-inflammatory (NSAID) doses administered to the birthing parent, as documented in the medication administration record (MAR).
MMEs administered	0 to <24 and 24 to <48 hours postpartum	Number of Morphine Milligram Equivalents (MMEs) of opioids administered to the birthing parent, as documented in the medication administration record (MAR).
Acetaminophen doses administered	0 to <24 and 24 to <48 hours postpartum	Number of Acetaminophen doses administered to the birthing parent, as documented in the medication administration record (MAR).
Healthcare team members' perceptions of interprofessional collaboration	Baseline (pre-intervention) and after completing the IPC training intervention, a total of up to 4 months	Using the modified Interprofessional Attitudes Scale (IPAS), attitudes of health care team members toward collaboration will be assessed. The IPAS is a 5-point Likert scale with scores ranging from 27 to 135, with higher scores reflecting more positive attitudes toward interprofessional collaboration.
Quality of interprofessional teamwork	Baseline (pre-intervention) and after completing the IPC training intervention, a total of up to 4 months	Utilizing the modified Assessment for Collaborative Environments (ACE) Scale, health care team member perceptions of interprofessional communication will be assessed. The modified ACE is a 4-point Likert scale with scores ranging from 6 to 24, with higher scores reflecting better quality interprofessional teamwork.
Feasibility of the IPC training	2-8 weeks after health care team members' completion of the IPC training	Based on semi-structured interviews collected post intervention among a subset of health care team members, the investigators will conduct thematic coded content analysis of transcribed responses. The investigators will report the count of health care team members who described the intervention as feasible. Feasibility is defined as a positive rating about the intervention's potential performance in real-life conditions in birthing hospitals.

Trial Locations

Locations (1)

University of North Carolina; 🇺🇸 Chapel Hill, North Carolina, United States