An Evaluation of the Team Birth Project

Study Overview
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Brief Summary
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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

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

Conditions
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Pregnancy Complications, Cesarean Section Complications, Maternal Complication of Pregnancy, Communication, Multidisciplinary

Intervention / Treatment
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* Behavioral: Exposed study site


Participation Criteria
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Eligibility Criteria
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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

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Health Services Research
Intervention Model: Single Group Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Other: Implemented Health Facility<br>Health facility that has piloted the Team Birth Project | Behavioral: Exposed study site<br>* 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.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Acceptability to clinicians | 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. | 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. | 
| Acceptability to patients | 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. | The window begins on the 180th day to the 270th day from the start date at each site (180 days to 270 days). | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Quality Improvement, Program Evaluation, Quality Assurance, Feasibility, Acceptability