Improving Safety, Patient Experience and Equity Through Shared Decision-making Huddles in Labor
Purpose
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.
Condition
- Perinatal Decision Making
Eligibility
- Eligible Ages
- Over 18 Years
- Eligible Sex
- Female
- Accepts Healthy Volunteers
- Yes
Inclusion Criteria
- Age 18 or older - English or Spanish speaking - Gave birth to a live-born infant after laboring
Exclusion Criteria
- Speaks a language other than English or Spanish - Under the age of 18 - Gave birth to a nonliving infant - Cesarean delivery without labor - Individuals who have already completed the ILPQC PREM or ILPQC PREM+ survey during the current hospital admission will be excluded
Study Design
- Phase
- N/A
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel Assignment
- Intervention Model Description
- Complete Randomized Stepped Wedge Design
- Primary Purpose
- Health Services Research
- Masking
- None (Open Label)
Arm Groups
| Arm | Description | Assigned Intervention |
|---|---|---|
|
Other Intervention TeamBirth |
shared decision making in labor using team huddles |
|
|
No Intervention Usual Care |
Usual Care |
|
Recruiting Locations
Endeavor Health Northwest Community Hospital
Arlington Heights, Illinois 60005
Arlington Heights, Illinois 60005
Rush Copley Medical Center
Aurora, Illinois 60504
Aurora, Illinois 60504
Loyola MacNeal Hospital
Berwyn, Illinois 60402
Berwyn, Illinois 60402
Memorial Hospital of Carbondale
Carbondale, Illinois 62901
Carbondale, Illinois 62901
Mount Sinai Hospital
Chicago, Illinois 60608
Chicago, Illinois 60608
Northwestern Memorial Hospital
Chicago, Illinois 60611
Chicago, Illinois 60611
John H Stroger Memorial Hospital
Chicago, Illinois 60612
Chicago, Illinois 60612
Rush University Medical Center
Chicago, Illinois 60612
Chicago, Illinois 60612
Saint Mary of Nazareth Hospital
Chicago, Illinois 60622
Chicago, Illinois 60622
Endeavor Health Swedish Hospital
Chicago, Illinois 60625
Chicago, Illinois 60625
University of Chicago Hospital
Chicago, Illinois 60637
Chicago, Illinois 60637
Endeavor Health Elmhurst Hospital
Elmhurst, Illinois 60126
Elmhurst, Illinois 60126
Endeavor Health Evanston Hospital
Evanston, Illinois 60201
Evanston, Illinois 60201
Endeavor Health Highland Park Hospital
Highland Park, Illinois 60035
Highland Park, Illinois 60035
UChicago Medicine AdventHealth Hinsdale
Hinsdale, Illinois 60521
Hinsdale, Illinois 60521
Ascension Saint Alexius Medical Center
Hoffman Estates, Illinois 60169
Hoffman Estates, Illinois 60169
Riverside Medical Center
Kankakee, Illinois 60901
Kankakee, Illinois 60901
Northwestern Medicine Catherine Gratz Griffin Lake Forest Hospital
Lake Forest, Illinois 60045
Lake Forest, Illinois 60045
Loyola University Medical Center
Maywood, Illinois 60153
Maywood, Illinois 60153
Endeavor Health Edward Hospital
Naperville, Illinois 60540
Naperville, Illinois 60540
OSF St. Francis Medical Center
Peoria, Illinois 61637
Peoria, Illinois 61637
More Details
- Status
- Recruiting
- Sponsor
- Endeavor Health
Study Contact
Constandina Kapogiannis847-570-2832
constandina.kapogiannispolitis@endeavorhealth.org