The goal of this clinical trial is to develop and evaluate INSPIRE, an intervention for healthcare teams to improve care for individuals with substance use disorder (SUD) during their peri-delivery care. The main question it aims to answer is whether healthcare provider stigmas and behaviors change after receiving the training. The study will be implemented at the University of Utah.

Individuals with substance use disorder (SUD) face a higher risk of severe maternal morbidity and mortality. Provider stigma contribute to these outcomes by attenuating the provision of evidence-based, person-centered care. The goal of this study is to evaluate INSPIRE, an intervention for interprofessional healthcare teams to improve care for individuals with substance use disorder (SUD) during their peri-delivery care. INSPIRE includes three core modules (an online training on SUD in birth, an in-person simulation training, and an additional online training to assess and build clinical empathy skills). We will evaluate INSPIRE at the University of Utah hospital using a quasi-experimental design to determine impact on healthcare team outcomes. We will enroll up to 300 healthcare team members across clinical specialties that support birthing individuals. All enrolled providers will receive INSPIRE training, and assessments will be conducted at baseline, 1 month, 3 months, and 6 months. The primary outcome for providers is stigma. We will assess change in stigma scores from baseline to 6 months using a mixed effects linear regression model, specified to provide a paired-sample comparison between pre- and post-intervention scores.

Inclusion Criteria:

• Employed at the University of Utah Hospital
• Directly interfaces with birthing individuals (as clinical or non-clinical team member, e.g., physician, nurse, emergency medical technician, social worker)
• English speaking

Exclusion Criteria:

• Unable to provide informed consent

Deidentified data aligning with the Maternal Health Common Data Elements outlined by the IMPROVE Data Hub will be shared with the Maternal Health Data Innovation and Coordination Hub ("Data Hub"). The Data Hub will determine timing and methods of sharing gathered data from IMPROVE Centers and uploading congregated data into DASH.

Supporting information will be shared with the Data Hub within 6 months of the completion of data collection, and available through DASH for as long as DASH maintains the data.

All deidentified data and supporting information will be maintained by the DASH. Access will be determined by the structures set forth by the Data Hub and DASH.