Co-Developing a Nurse-Led, Community-Engaged Intervention to Improve Labor Pain Management and Build Trust in Obstetric Care
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 发起方
- 入组人数
- 120
- 主要终点
- Provider empathy survey
研究概览
简要总结
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.
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
- None
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •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.
排除标准
- •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.
研究组 & 干预措施
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.
干预措施: Digital storytelling video + written reflection (Behavioral)
Control - Culturally Sensitive Materials
Obstetric care providers receive general written information about culturally sensitive care.
干预措施: General culturally sensitive care materials (Behavioral)
结局指标
主要结局
Provider empathy survey
时间窗: 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.
次要结局
未报告次要终点