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| ID | Type | Description | Link |
|---|---|---|---|
| BPS-2023C2-33453 | Other Grant/Funding Number | Patient Centered Outcomes Research Institute (PCORI) |
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| Name | Class |
|---|---|
| University of Illinois at Chicago | OTHER |
| University of Chicago | OTHER |
| Ariadne Labs | OTHER |
| University of Michigan |
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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.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Intervention TeamBirth | Other | shared decision making in labor using team huddles |
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| Usual Care | No Intervention | Usual Care |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| TeamBirth | Behavioral | TeamBirth |
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| Measure | Description | Time Frame |
|---|---|---|
| Nulliparous Term Singleton Vertex (NTSV) Cesarean Birth (CB) | NTSV CB Rate for all birthing people in participating hospitals | 6 months prior to TeamBirth, 3 months post TeamBirth implementation |
| Shared Decision Making (SDM) | Childbirth Options, Information, and Person-Centered Explanation (CHOICEs) scale, scores range from 14 to 90, high scores indicate higher levels of shared decision making | 6 months prior to TeamBirth, 3 months post TeamBirth implementation |
| Measure | Description | Time Frame |
|---|---|---|
| NTSV CB in Black birthing people | NTSV CB Rate Black birthing people in participating hospitals | 6 months prior to TeamBirth , 3 months post TeamBirth implementation |
| SDM in Black birthing people |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Constandina Kapogiannis | Contact | 847-570-2832 | constandina.kapogiannispolitis@endeavorhealth.org |
| Name | Affiliation | Role |
|---|---|---|
| Ann Borders | Endeavor Health | Principal Investigator |
| Beth Plunkett | Endeavor Health | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Endeavor Health Evanston Hospital | Recruiting | Evanston | Illinois | 60201 | United States |
Data to be banked may include:
7 years post completion of the final research report. We anticipate the final research report to be completed 7/1/2030.
Data collected from this study will be de-identified and banked for further use as required by the funder's Policy for Data Management and Data Sharing policy accessible here: https://www.pcori.org/about/governance/pcoris-policy-data-management-and-data-sharing. According to the funder's policy, the full de-identified, cleaned dataset must be maintained for at least 7 years following completion of the final research report to the funder.
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| OTHER |
| Northwestern University | OTHER |
| Patient-Centered Outcomes Research Institute | OTHER |
Complete Randomized Stepped Wedge Design
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Childbirth Options, Information, and Person-Centered Explanation (CHOICEs) scale, scores range from 14 to 90, high scores indicate higher levels of shared decision making
| 6 months prior to TeamBirth, 3 months post TeamBirth implementation |
| Patient Experience | Illinois Perinatal Quality Collaborative (ILPQC) Patient-Reported Experience Measure (PREM), there is no numerical value assigned to the ILPQC PREM | 6 months prior to TeamBirth, 3 months post TeamBirth implementation |
| Patient Experience | Mother's Autonomy in Decision Making (MADM), scores range from 7 to 42, higher scores indicate the women had greater agency and autonomy when engaging in a shared decision making process with a maternity care provider | 6 months prior to TeamBirth, 3 months post TeamBirth implementation |
| Patient Experience | Person-Centered Maternity Care Scale for use in the United States (PCMC-US), scores range from 0 to 100, higher scores indicate more person-centered maternity care | 6 months prior to TeamBirth, 3 months post TeamBirth implementation |
| Patient Experience | CollaboRATE, scores range from 0 to 100, a higher score means the number of core dimensions of shared decision making are met | 6 months prior to TeamBirth, 3 months post TeamBirth implementation |
| Patient Experience | Acceptability of Intervention Measure (AIM), scores range from 3 to 15, the lower the score, the more satisfied the patient was with their care | 6 months prior to TeamBirth, 3 months post TeamBirth implementation |