An Evaluation of the Team Birth Project

Sponsor

Harvard School of Public Health (HSPH) (Other)

Overall Status

Completed

CT.gov ID

NCT03529214

Collaborator

Brigham and Women's Hospital (Other)

5,217

Enrollment

Locations

Arm

19.1

Actual Duration (Months)

1304.3

Patients Per Site

68.3

Patients Per Site Per Month

Study Details

Study Description

Brief Summary

The purpose of this study is to evaluate the feasibility of a pilot project to improve communication and teamwork and to increase vaginal delivery rates at hospital in the United States

Condition or Disease	Intervention/Treatment	Phase
Pregnancy Complications Cesarean Section Complications Maternal Complication of Pregnancy Communication, Multidisciplinary	Behavioral: Exposed study site	N/A

Study Design

Study Type:

Interventional

Actual Enrollment :

5217 participants

Allocation:

N/A

Intervention Model:

Single Group Assignment

Masking:

None (Open Label)

Primary Purpose:

Health Services Research

Official Title:

A Program Evaluation to Measure the Feasibility of the Team Birth Project

Actual Study Start Date :

May 29, 2018

Actual Primary Completion Date :

Sep 30, 2019

Actual Study Completion Date :

Dec 31, 2019

Arms and Interventions

Arm	Intervention/Treatment
Other: Implemented Health Facility Health facility that has piloted the "Team Birth Project"	Behavioral: Exposed study site The study sites will pilot the Team Birth Project designed to improve team communication (between providers, as well as providers and patients). The project includes three key implementation steps that involve: preparing local sites for the implementation of the project; training and coaching on the use of the tools; and sustainment through peer coaching and data feedback. A mixed methods approach will be used to assess acceptability and feasibility, including: (1) clinician surveys and interviews, (2) implementation team focus groups, and (3) patient surveys.

Arm

Intervention/Treatment

Other: Implemented Health Facility

Health facility that has piloted the "Team Birth Project"

Behavioral: Exposed study site

The study sites will pilot the Team Birth Project designed to improve team communication (between providers, as well as providers and patients). The project includes three key implementation steps that involve: preparing local sites for the implementation of the project; training and coaching on the use of the tools; and sustainment through peer coaching and data feedback. A mixed methods approach will be used to assess acceptability and feasibility, including: (1) clinician surveys and interviews, (2) implementation team focus groups, and (3) patient surveys.

Outcome Measures

Primary Outcome Measures

Acceptability to clinicians [The window begins on the 180th day to the 270th day from the start date at each site (180 days to 270 days). If clinicians complete more than one survey in the window, we will use the first one.]
At the project midline, percent of clinicians (physicians, midwives, and nurses) who would definitely or probably recommend the Team Birth project tools for use in other labor and delivery units.
Acceptability to patients [The window begins on the 180th day to the 270th day from the start date at each site (180 days to 270 days).]
At the project midline, percent of patients who definitely or somewhat had the role they wanted in making decisions about their labor, among patients who wanted to make collaborative decisions with clinicians.

Eligibility Criteria

Criteria

Ages Eligible for Study:

18 Years and Older

Sexes Eligible for Study:

All

Accepts Healthy Volunteers:

Clinician Participant Inclusion Criteria:

All clinicians who have practice privileges at a study site

Clinician Participant Exclusion Criteria:

None

Implementation Team Participant Inclusion Criteria:

Champions, super-users and others who have been involved in the implementation of "Team Birth Project" at a study site

Implementation Team Participant Exclusion Criteria:

None

Patient Participant Inclusion Criteria:

18 years or older
Live birth. Includes: spontaneous or induction of labor; Vaginally, with an instruments (forceps / vacuum), or unscheduled cesarean delivery
Patient at a study site piloting "Team Birth Project"

Patient Participant Exclusion Criteria:

Under 18 years old
Scheduled cesarean delivery
Experienced intrapartum, stillbirth, or neonatal death

Contacts and Locations

Locations

	Site	City	State	Country	Postal Code
1	South Shore Hospital	Weymouth	Massachusetts	United States	02190
2	Saint Francis Hospital	Tulsa	Oklahoma	United States	74136
3	Overlake Medical Center	Bellevue	Washington	United States	98004
4	EvergreenHealth Medical Center	Kirkland	Washington	United States	98034