An Evaluation of the Team Birth Project

NCT ID: NCT03529214

Last Updated: 2025-05-14

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: NA
• Total Enrollment: 5217 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2018-05-29
• Study Completion Date: 2019-12-31

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.

Conditions

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

Study Design

• Allocation Method: NA
• Intervention Model: SINGLE_GROUP
• Primary Study Purpose: HEALTH_SERVICES_RESEARCH
• Blinding Strategy: NONE

Study Groups

Implemented Health Facility

Health facility that has piloted the "Team Birth Project"

Group Type: OTHER

Exposed study site

Intervention Type: BEHAVIORAL

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.

Interventions

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.

Intervention Type: BEHAVIORAL

Eligibility Criteria

Inclusion Criteria

• All clinicians who have practice privileges at a study site

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

• 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"

Exclusion Criteria

• None

• None

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

• Minimum Eligible Age: 18 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Brigham and Women's Hospital

OTHER

Sponsor Role: collaborator

Harvard School of Public Health (HSPH)

OTHER

Sponsor Role: lead

Responsible Party

Neel Shah

Principal Investigator

Responsibility Role: PRINCIPAL_INVESTIGATOR

Principal Investigators

Amber Weiseth, DNP, RN

Role: PRINCIPAL_INVESTIGATOR

Harvard School of Public Health (HSPH)

Locations

South Shore Hospital

Weymouth, Massachusetts, United States

Saint Francis Hospital

Tulsa, Oklahoma, United States

Overlake Medical Center

Bellevue, Washington, United States

EvergreenHealth Medical Center

Kirkland, Washington, United States

Countries

United States

Provided Documents

Document Type: Study Protocol and Statistical Analysis Plan

View Document

Other Identifiers

IRB18-0550

Identifier Type: -

Identifier Source: org_study_id