Clinical trial NCT03529214: An Evaluation of the Team Birth Project
Official title: A Program Evaluation to Measure the Feasibility of the Team Birth Project
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Pregnancy Complications
Cesarean Section Complications
Maternal Complication of Pregnancy
Communication, Multidisciplinary
Keywords: Quality Improvement
Program Evaluation
Quality Assurance
Feasibility
Acceptability
Lead sponsor: Harvard School of Public Health (HSPH)
Sponsor class: OTHER
Collaborators: name: Brigham and Women's Hospital
First posted: 2018-05-18
Enrollment: 5217
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: NA
Intervention model: SINGLE_GROUP
Primary purpose: HEALTH_SERVICES_RESEARCH

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

Detailed description: 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. TeamBirth is a rigorously designed care process to improve care and SDM across the full care team, which includes the patient, their support person(s), nurse and physician or midwife, by ensuring reliability for best practices in communication and teamwork during labor and delivery. TeamBirth aims to operationalize best practices in communication and clinical care from the major professional organizations in obstetrics, including the American College of Obstetricians \& Gynecologists (ACOG), Society for Maternal-Fetal Medicine (SMFM), American College of Nurse-Midwives (ACNM), and Association of Women's Health, Obstetric, and Neonatal Nurses (AWHONN), to ensure these practices are occurring consistently throughout labor. Key TeamBirth practices include:

1. Promoting the roles of the laboring patient, nurse, and delivering provider as members of the care team with equally valuable input for SDM,
2. Eliciting the patient's preferences, symptoms, and subjective experiences and integrating them with clinical data to inform patient care plans,
3. Distinguishing statuses and care plans for the mother, fetus, and labor progress, and
4. Setting shared expectations for the next planned evaluation.

Eligibility criteria: 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

Primary outcomes:
measure: Percent of Clinicians Recommending TeamBirth Project
timeFrame: 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.
measure: Percent of Patients With the Role They Wanted in Decision-Making
timeFrame: The window begins on the 180th day to the 270th day from the start date at each site (180 days to 270 days). Patients were only offered the survey once within the window.
Secondary outcomes:
Other outcomes:
Locations:
city: Weymouth
country: United States
facility: South Shore Hospital
state: Massachusetts
city: Tulsa
country: United States
facility: Saint Francis Hospital
state: Oklahoma
city: Bellevue
country: United States
facility: Overlake Medical Center
state: Washington
city: Kirkland
country: United States
facility: EvergreenHealth Medical Center
state: Washington
Study officials:
affiliation: Harvard School of Public Health (HSPH)
name: Amber Weiseth, DNP, RN
role: PRINCIPAL_INVESTIGATOR
References: