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

Conditions

• Perinatal Decision Making

Eligibility Criteria

Sex

FEMALE

Age

18 Years - N/A

Healthy Volunteers

Accepted

Interventions

• TeamBirth — BEHAVIORAL
  TeamBirth

Study Details

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.

Key Dates

First listed

Feb 14, 2025

Start date

Apr 29, 2025

Status verified

Jul 2026

Primary completion

Oct 31, 2027

Completion

Jul 31, 2029

Study Design

Enrollment

2,200 participants (estimated)

Allocation

RANDOMIZED

Intervention model

PARALLEL

Primary purpose

HEALTH_SERVICES_RESEARCH

Arms

• Other: Intervention TeamBirth
  shared decision making in labor using team huddles
• No Intervention: Usual Care
  Usual Care

Primary Outcome Measure

Nulliparous Term Singleton Vertex (NTSV) Cesarean Birth (CB) [ Time Frame: 6 months prior to TeamBirth, 3 months post TeamBirth implementation ]

Central Contacts

• Constandina Kapogiannis
  847-570-2832
  [email protected]

Locations (22)

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