Implementation Guided by aN Iterative, adapTivE Strategy - Induction of Labor

Conditions

• Birth; Induced

Eligibility Criteria

Sex

ALL

Age

18 Years - N/A

Healthy Volunteers

Accepted

Interventions

• BASE — BEHAVIORAL
  BASE (low-intensity, training and reporting, delivered virtually)
• LEAD — BEHAVIORAL
  LEAD (moderate-intensity, Quality Improvement (QI) leader-focused, delivered virtually)
• TEAM — BEHAVIORAL
  TEAM (very high-intensity, clinician-focused, delivered in-person)

Study Details

This trial is designed to investigate how best to support hospitals in improving induction management and clinical outcomes. The researchers will investigate an adaptive implementation strategy designed to support hospitals in increasing adherence to evidence-based practices for induction of labor.

Key Dates

First listed

Apr 23, 2026

Start date

Jun 12, 2026

Status verified

Jul 2026

Primary completion

Sep 30, 2028

Completion

Sep 30, 2028

Study Design

Enrollment

64 participants (estimated)

Allocation

RANDOMIZED

Intervention model

SEQUENTIAL

Primary purpose

HEALTH_SERVICES_RESEARCH

Arms

• Active Comparator: BASE only
  The BASE only comparator (control arm) starts with BASE in Stage 1, continues with BASE in Stage 2, and continues with BASE in Stage 3, regardless of Top Performer status. The BASE only arm is defined as the hospitals that get solely BASE (and nothing more) for 30 months.
• Experimental: BASE + TEAM
  BASE + TEAM starts with BASE in Stage 1, continues BASE in Stage 2, continues BASE in Stage 3 for Top Performer hospitals, and adds TEAM in Stage 3 for non-Top Performer hospitals. This arm does not offer LEAD.
• Experimental: BASE + LEAD
  BASE + LEAD starts with BASE in Stage 1, adds LEAD in Stage 2 for all hospitals, and continues BASE + LEAD in Stage 3 for all hospitals. This arm does not offer TEAM.
• Experimental: BASE + LEAD + TEAM
  BASE + LEAD + TEAM starts with BASE in Stage 1. In Stage 2, all hospitals are offered LEAD. In Stage 3, Top Performing hospitals continue BASE + LEAD, while non-Top Performing hospitals step up to TEAM in addition to BASE and LEAD. This is considered the most intensive of the four embedded implementation strategies.

Primary Outcome Measure

Provider-level adherence to evidence-based IOL [ Time Frame: Up to 30 months ]

Locations (1)

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