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| ID | Type | Description | Link |
|---|---|---|---|
| 1R01HD115609-01 | U.S. NIH Grant/Contract | View source |
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| Name | Class |
|---|---|
| Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD) | NIH |
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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.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Receiving Patient Education | Experimental | This arm is provided with Patient Education from providers that have received training on PROMOTE. |
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| Usual Care | No Intervention | This arm has patients who receive care of a provider that was not trained on the PROMOTE curriculum. | |
| Receiving Provider PROMOTE Training | Experimental | Providers in this arm will receive training on PROMOTE |
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| Usual Care of Provider | No Intervention | Providers in this arm will continue usual care. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| PROvider ReMote ObsTetric-Related Employment Education (PROMOTE) | Other | An on-demand 30-minute web-based training for clinical team members that provides a high-level summary of federal employment laws, work note templates embedded into the electronic health record (EHR) that prompt the clinician team member to include relevant information, and a patient-facing infographic designed to facilitate clinician counseling. |
| Measure | Description | Time Frame |
|---|---|---|
| Frequency of EHR (electronic health record) documented work-related counseling | Used to determine the effectiveness of PROMOTE vs. usual care to increase patients' receipt of counseling about workplace accommodations and pregnancy. | From enrollment to 12 weeks after birth of child |
| Number of participants who adhere to employer documentation recommendations | Used to determine the effectiveness of PROMOTE vs. usual care to increase patients' receipt of counseling about workplace accommodations and pregnancy. | From enrollment to 12 weeks after birth of child |
| Number of participants with undesired wage or advancement reduction | Determined by responses to surveys and qualitative interviews about work experiences. | From enrollment to 12 weeks after birth of baby |
| Number of participants with accommodation requests granted | Determined by responses to surveys and qualitative interviews about work experiences. | From enrollment to 12 weeks after birth of baby |
| Number of participants with improved maternal-infant health in pregnancy | Determined by EHR-documented maternal infant health outcomes among patients receiving care by providers randomized to PROMOTE vs. usual care. | From enrollment to 12 weeks after birth of baby |
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Inclusion Criteria - Participants:
Inclusion Criteria - Providers:
Exclusion Criteria - Participants:
Exclusion Criteria - Providers:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Sarahn Wheeler, MD | Contact | 919-681-5220 | sarahn.wheeler@duke.edu | |
| Kristin Weaver | Contact | kristin.weaver@duke.edu |
| Name | Affiliation | Role |
|---|---|---|
| Sarahn Wheeler, MD | Duke University | Principal Investigator |
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| PROvider ReMote ObsTetric-Related Employment Education (PROMOTE) | Other | An on-demand 30-minute web-based training for clinical team members that provides a high-level summary of federal employment laws, work note templates embedded into the electronic health record (EHR) that prompt the clinician team member to include relevant information, and a patient-facing infographic designed to facilitate clinician counseling. |
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