Improving Safety, Patient Experience, and Equity Through Shared Decision-making Huddles in Labor (I'M SPEAKING)
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 入组人数
- 2,200
- 试验地点
- 22
- 主要终点
- Nulliparous Term Singleton Vertex (NTSV) Cesarean Birth (CB)
研究概览
简要总结
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.
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
- Female
- 接受健康志愿者
- 是
入选标准
- •Age 18 or older
- •English or Spanish speaking
- •Gave birth to a live-born infant after laboring
排除标准
- •Speaks a language other than English or Spanish
- •Under the age of 18
- •Gave birth to a nonliving infant
- •Cesarean delivery without labor
- •Individuals who have already completed the ILPQC PREM or ILPQC PREM+ survey during the current hospital admission will be excluded
研究组 & 干预措施
Intervention TeamBirth
shared decision making in labor using team huddles
干预措施: TeamBirth (Behavioral)
Usual Care
Usual Care
结局指标
主要结局
Nulliparous Term Singleton Vertex (NTSV) Cesarean Birth (CB)
时间窗: 6 months prior to TeamBirth, 3 months post TeamBirth implementation
NTSV CB Rate for all birthing people in participating hospitals
Shared Decision Making (SDM)
时间窗: 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
次要结局
- NTSV CB in Black birthing people(6 months prior to TeamBirth , 3 months post TeamBirth implementation)
- SDM in Black birthing people(6 months prior to TeamBirth, 3 months post TeamBirth implementation)
- Patient Experience(6 months prior to TeamBirth, 3 months post TeamBirth implementation)
研究者
Ann Borders
Co-Principal Investigator
Endeavor Health