An Evaluation of the Team Birth Project

NCT03529214 | Completed Results

• 1 other identifier: IRB18-0550
• Study Type: interventional
• Target: 5,217
• Locations: 1 country
• Sites: 4

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

Conditions

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

Keywords

Quality Improvement; Program Evaluation; Quality Assurance; Feasibility; Acceptability

Outcome Measures

Primary Outcomes (2)

• Percent of Clinicians Recommending TeamBirth Project

  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.

• Percent of Patients With the Role They Wanted in Decision-Making

  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). Patients were only offered the survey once within the window.

Study Arms (1)

Implemented Health Facility

OTHER

Health facility that has piloted the "Team Birth Project"

Behavioral: Exposed study site

Interventions

Exposed study site 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.

Implemented Health Facility

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• All clinicians who have practice privileges at a study site

You may not qualify if:

• None
• Champions, super-users and others who have been involved in the implementation of "Team Birth Project" at a study site
• None
• 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"
• Under 18 years old
• Scheduled cesarean delivery
• Experienced intrapartum, stillbirth, or neonatal death

Sponsors & Collaborators

• Harvard School of Public Health (HSPH): lead
• Brigham and Women's Hospital: collaborator

Study Sites (4)

South Shore Hospital

Weymouth, Massachusetts, 02190, United States

Location

Saint Francis Hospital

Tulsa, Oklahoma, 74136, United States

Location

Overlake Medical Center

Bellevue, Washington, 98004, United States

Location

EvergreenHealth Medical Center

Kirkland, Washington, 98034, United States

Location

MeSH Terms

Conditions

Pregnancy Complications; Communication

Condition Hierarchy (Ancestors)

Female Urogenital Diseases and Pregnancy Complications; Urogenital Diseases; Behavior

Results Point of Contact

• Title: Dr. Amber Weiseth
• Organization: Ariadne Labs

aweiseth@ariadnelabs.org

206-786-0282

Study Officials

• Amber Weiseth, DNP, RN

  Harvard School of Public Health (HSPH)

  PRINCIPAL INVESTIGATOR

Publication Agreements

• PI is Sponsor Employee: Yes
• Restrictive Agreement: No

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NA
• Masking: NONE
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Principal Investigator

Study Record Dates

• First Submitted: April 16, 2018
• First Posted: May 18, 2018
• Study Start: May 29, 2018
• Primary Completion: September 30, 2019
• Study Completion: December 31, 2019
• Last Updated: May 14, 2025
• Results First Posted: May 14, 2025

Record last verified: 2025-04

Data Sharing

• IPD Sharing: Will not share

Locations

US (4)