Provider Randomized Trial of the PROvider ReMote ObsTetric-Related Employment Education (PROMOTE)
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 发起方
- 入组人数
- 404
- 主要终点
- Number of participants with undesired wage or advancement reduction
研究概览
简要总结
Research Aim 1: Determine the effectiveness of PROMOTE vs. usual care to increase patients' receipt of counseling about workplace accommodations and pregnancy. Investigators will recruit and randomize Obstetric providers to the PROMOTE intervention or usual care. The investigators will compare the frequency of EHR documented work- related counseling and adherence to employer documentation recommendations between the two study arms.
Hypothesis: Patients receiving care by a provider randomized to PROMOTE will have higher rates of documented counseling about work and pregnancy.
Research Aim 2: Determine the effectiveness of PROMOTE vs. usual care to reduce undesired wage or advancement reduction, increase accommodation requests granted, and improve maternal-infant health. The investigators will recruit a racially and socioeconomically diverse cohort of 304 pregnant patients and compare responses to surveys and qualitative interviews about work experiences and EHR-documented maternal-infant health outcomes among patients receiving care by providers randomized to PROMOTE vs. usual care.
Hypothesis: Compared to patients receiving care by providers randomized to usual care, participants receiving care by providers randomized to PROMOTE will have less undesired loss of wages and advancement, increased accommodation request granted, and improved maternal-infant health during pregnancy.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Single (Participant)
入排标准
- 年龄范围
- 18 Years 至 65 Years（Adult, Older Adult）
- 性别
- Female
- 接受健康志愿者
- 否
入选标准
- •Participants:
- •Pregnant patients who are 24 - 32 weeks gestation
- •Employed or unemployed and seeking paid employment
- •Inclusion Criteria - Providers:
- •Clinical team member (doctor, nurse, advanced practice provider, any medical assistant or administrative staff)
排除标准
- •Participants:
- •Non- English language fluency
- •Unemployed with no desire to seek paid employment
- •Exclusion Criteria - Providers:
- •Not a clinical team member
研究组 & 干预措施
Receiving Patient Education
This arm is provided with Patient Education from providers that have received training on PROMOTE.
干预措施: PROvider ReMote ObsTetric-Related Employment Education (PROMOTE) (Other)
Usual Care
This arm has patients who receive care of a provider that was not trained on the PROMOTE curriculum.
Receiving Provider PROMOTE Training
Providers in this arm will receive training on PROMOTE
干预措施: PROvider ReMote ObsTetric-Related Employment Education (PROMOTE) (Other)
Usual Care of Provider
Providers in this arm will continue usual care.
结局指标
主要结局
Number of participants with undesired wage or advancement reduction
时间窗: From enrollment to 12 weeks after birth of baby
Determined by responses to surveys and qualitative interviews about work experiences.
Number of participants with accommodation requests granted
时间窗: From enrollment to 12 weeks after birth of baby
Determined by responses to surveys and qualitative interviews about work experiences.
Number of participants with improved maternal-infant health in pregnancy
时间窗: From enrollment to 12 weeks after birth of baby
Determined by EHR-documented maternal infant health outcomes among patients receiving care by providers randomized to PROMOTE vs. usual care.
Frequency of EHR (electronic health record) documented work-related counseling
时间窗: From enrollment to 12 weeks after birth of child
Used to determine the effectiveness of PROMOTE vs. usual care to increase patients' receipt of counseling about workplace accommodations and pregnancy.
Number of participants who adhere to employer documentation recommendations
时间窗: From enrollment to 12 weeks after birth of child
Used to determine the effectiveness of PROMOTE vs. usual care to increase patients' receipt of counseling about workplace accommodations and pregnancy.
次要结局
未报告次要终点