Building Equitable Linkages With Interprofessional Education Valuing Everyone
NCT Number: NCT06483022
Acronym: BELIEVE
Status: ENROLLING_BY_INVITATION
Study Type: INTERVENTIONAL
Phases: NA
Conditions: Pregnancy Related|Postpartum|Pain
Interventions: BEHAVIORAL: BELIEVE IPE Training|OTHER: Usual Care
Sponsor: University of North Carolina, Chapel Hill
Collaborators: American Heart Association
Sex: ALL
Age: ADULT, OLDER_ADULT
Enrollment: 32000
Study Design: Allocation: RANDOMIZED|Intervention Model: PARALLEL|Masking: NONE|Primary Purpose: SUPPORTIVE_CARE
Start Date: 2024-07-01
Completion Date: 2026-09-30
Locations: University of North Carolina, Chapel Hill, North Carolina, 27599, United States

Summary:
This is a step-wedge design implementation protocol of an interprofessional education curriculum intervention that is delivered through virtual reality and designed to reduce disparities and improve patient experiences in receiving maternal healthcare.

Primary Outcome Measures: Severe Postpartum Pain, Proportion of individuals with severe pain postpartum. Severe pain will be defined as pain score \>4 on postpartum day 1 following vaginal birth, or pain score \>7 on postpartum day 2 following cesarean birth, as documented in the electronic health record using the Numerical Rating Scale (NRS) of patient-reported pain from 0-10., 0 to <24 and 24 to <48 hours postpartum
Secondary Outcome Measures: Birthing parent-reported experiences of the respectful care (Qualitative), Based on semi-structured interviews with a subset of birthing parents, the investigators will report the count of qualitative interview participants who described their care as "respectful" during semi-structured interviews with birthing parents., 2-4 weeks postpartum|Patient-reported examples of respectful and equitable health care team member practices (Qualitative), Based on semi-structured interviews with a subset of birthing parents, the investigators will identify respectful and equitable health care team member practices in a thematic coded content analysis of transcribed responses. For the top three practices identified, the count of participants naming each practice will be reported., 2-4 weeks postpartum|Patient-reported examples of supportive health team member practices for pain management (Qualitative), Based on semi-structured interviews with a subset of birthing parents, the investigators will identify supportive health team member practices for pain management in a thematic coded content analysis of transcribed responses. For the top three practices identified, the count of participants naming each practice will be reported., 2-4 weeks postpartum|Pain assessments, Number of instances of pain score assessments on a 0-10 scale that are documented in the birthing parent's medical record., 0 to <24 and 24 to <48 hours postpartum|NSAID doses administered, Number of non-steroidal anti-inflammatory (NSAID) doses administered to the birthing parent, as documented in the medication administration record (MAR)., 0 to <24 and 24 to <48 hours postpartum|MMEs administered, Number of Morphine Milligram Equivalents (MMEs) of opioids administered to the birthing parent, as documented in the medication administration record (MAR)., 0 to <24 and 24 to <48 hours postpartum|Acetaminophen doses administered, Number of Acetaminophen doses administered to the birthing parent, as documented in the medication administration record (MAR)., 0 to <24 and 24 to <48 hours postpartum|Healthcare team members' perceptions of interprofessional collaboration, Using the modified Interprofessional Attitudes Scale (IPAS), attitudes of health care team members toward collaboration will be assessed. The IPAS is a 5-point Likert scale with scores ranging from 27 to 135, with higher scores reflecting more positive attitudes toward interprofessional collaboration., Baseline (pre-intervention) and after completing the IPC training intervention, a total of up to 4 months|Quality of interprofessional teamwork, Utilizing the modified Assessment for Collaborative Environments (ACE) Scale, health care team member perceptions of interprofessional communication will be assessed. The modified ACE is a 4-point Likert scale with scores ranging from 6 to 24, with higher scores reflecting better quality interprofessional teamwork., Baseline (pre-intervention) and after completing the IPC training intervention, a total of up to 4 months|Feasibility of the IPC training, Based on semi-structured interviews collected post intervention among a subset of health care team members, the investigators will conduct thematic coded content analysis of transcribed responses. The investigators will report the count of health care team members who described the intervention as feasible. Feasibility is defined as a positive rating about the intervention's potential performance in real-life conditions in birthing hospitals., 2-8 weeks after health care team members' completion of the IPC training