Storytelling for Provider Empathy & Patient Trust in Obstetric Care

Co-Developing a Nurse-Led, Community-Engaged Intervention to Improve Labor Pain Management and Build Trust in Obstetric Care

Aim 3 is a provider-focused pilot randomized controlled trial evaluating a digital storytelling intervention to increase obstetric care providers' empathy and to examine associations with postpartum patient trust. Providers randomized to the intervention view a video of Black women's labor pain and care experiences and complete a brief reflection; control providers receive general culturally sensitive care materials. Outcomes include change in provider empathy (primary) and patient trust among Black postpartum patients under those providers' care (secondary). Risks are minimal and mitigated via consent, voluntary participation, the option to skip questions, and secure data practices.

Inclusion Criteria

Provider Participants:

• Licensed clinician employed or credentialed at Duke Health Birthing Centers (nurse, anesthesia care provider, obstetrician, or nurse midwife).
• In clinical practice for at least 6 months post-orientation.
• Able to read and understand English.

Patient Participants:

• Self-identified non-Hispanic Black American women.
• Age ≥18 years.
• Able to read and converse in English.
• Receiving obstetric care from a provider who is already enrolled in the study.

Exclusion Criteria

Provider Participants:

• Providers in training or with <6 months independent clinical practice.
• Providers unwilling or unable to give informed consent.

Patient Participants:

• Under 18 years of age.
• Non-English speakers (due to study survey language limitations).
• Unable or unwilling to provide informed consent.