Evaluation of Interventions Based on Behavioral Sciences to Reduce Episiotomy Use

NCT ID: NCT06625866

Last Updated: 2024-10-03

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

NOT_YET_RECRUITING

Clinical Phase

NA

Total Enrollment

2 participants

Study Classification

INTERVENTIONAL

Study Start Date

2024-10-31

Study Completion Date

2025-10-31

Brief Summary

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This pilot study seeks to analyze the impact of interventions based on behavioral economics theory (e.g., feedback and information) on episiotomy use.

Detailed Description

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Conditions

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Episiotomy Episiotomy Extended by Laceration Episiotomy Infection Episiotomy Wound

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

PARALLEL

Two hospitals (clusters) will be assigned to intervention and standard of care.
Primary Study Purpose

HEALTH_SERVICES_RESEARCH

Blinding Strategy

NONE

Study Groups

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Behavioral intervention

The healthcare professionals in this hospital will be exposed to behavioral interventions, including feedback and information strategies.

Group Type EXPERIMENTAL

Feedback and information

Intervention Type BEHAVIORAL

The healthcare professionals in the intervention arm will be exposed to feedback and information behavioral strategies. Namely, interns, residents, obstetricians/gynecologists, and nurses will receive written feedback about the episiotomy rates in the hospital each month during the study period. Moreover, at least two academic sessions will be designed to outline the indications, surgical technique, complications, and surgical ethics for the procedure (i.e., episiotomy). Likewise, each session will also include a patient testimonial about their experience during delivery and their follow-up when an episiotomy was performed.

The feedback intervention will be provided for 2 months, and the feedback intervention + the information intervention will be provided for 2 additional months.

Standard of care

The standard of care will be provided in this hospital without exposure to behavioral interventions for healthcare professionals.

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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Feedback and information

The healthcare professionals in the intervention arm will be exposed to feedback and information behavioral strategies. Namely, interns, residents, obstetricians/gynecologists, and nurses will receive written feedback about the episiotomy rates in the hospital each month during the study period. Moreover, at least two academic sessions will be designed to outline the indications, surgical technique, complications, and surgical ethics for the procedure (i.e., episiotomy). Likewise, each session will also include a patient testimonial about their experience during delivery and their follow-up when an episiotomy was performed.

The feedback intervention will be provided for 2 months, and the feedback intervention + the information intervention will be provided for 2 additional months.

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* Healthcare personnel involved in decision-making associated with performing episiotomies who work in the hospital selected to pilot the proposed intervention.

Exclusion Criteria

* Healthcare personnel who are not involved in the decision-making process over performing episiotomy during delivery.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Universidad de la Salud - UNISA

UNKNOWN

Sponsor Role collaborator

IMSS-Bienestar

UNKNOWN

Sponsor Role collaborator

Secretaría de Educación, Ciencia, Tecnología e Innovación de la Ciudad de México

UNKNOWN

Sponsor Role collaborator

Universidad Panamericana

OTHER

Sponsor Role lead

Responsible Party

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Mario I. Lumbreras-Marquez, MD, MMSc

Professor, Public Health and Epidemiology Department

Responsibility Role PRINCIPAL_INVESTIGATOR

Central Contacts

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Mario I Lumbreras-Marquez, MD, MMSc

Role: CONTACT

+52 55 54821600 ext. 5695

Other Identifiers

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101 - 101 - 001 - 24

Identifier Type: -

Identifier Source: org_study_id

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