Enhancing Perinatal Population Health Through Community Care Hubs

NCT07869212 | Not Yet Recruiting DMC

• 2 other identifiers: STUDY202610221R01NR022265-01
• Study Type: interventional
• Target: 8
• Locations: 0 countries
• Sites: N/A

Brief Summary

Enhancing Perinatal Population Health through Community Care Hubs (CARE) is designed to test system level, organizational level, and workforce level strategies that may activate individual, community health worker (CHW), CHW supervisor, and system level mechanisms to improve care coordination, timely connection to prenatal and postpartum services, and downstream clinical outcomes related to maternal morbidity and mortality.

Conditions

Perinatal Population Health

Keywords

Community Care Hubs; Community Health Worker; Prenatal Care; Postpartum Care; Integrated Data Systems; Resiliency Skill Building; Learning Collaboratives

Outcome Measures

Primary Outcomes (1)

• Timely prenatal and postpartum care connection

  Prenatal care initiation and postpartum care attendance

  Prenatal care visit within first trimester AND postpartum care visit within 7-84 days after delivery

Secondary Outcomes (9)

• Screening completion rates

  First trimester of pregnancy

• Brief Resiliency Scale

  Annually during the trial

• Self-efficacy for CHWs

  Annually during the trial

• turnover intention

  Annually during the trial

• Patient engagement

  Postpartum (7-84 days after delivery)

Study Arms (4)

Arm 1: Integrated Data Systems

OTHER

Community Care Hub infrastructure enhanced with Integrated Data Systems support.

Other: Integrated Data Systems

Arm 2: Integrated Data Systems + Learning Collaborative

OTHER

Community Care Hub infrastructure enhanced with Integrated Data Systems and Learning Collaborative support.

Other: Integrated Data Systems; Other: Learning Collaborative

Arm 3: Integrated Data Systems + Resiliency Skill Building

OTHER

Community Care Hub infrastructure enhanced with Integrated Data Systems and Resiliency Skill Building support.

Other: Integrated Data Systems; Other: Resiliency Skill Building

Arm 4: Integrated Data Systems + Learning Collaborative + Resiliency Skill Building

OTHER

Community Care Hub infrastructure enhanced with Integrated Data Systems, Learning Collaborative and Resiliency Skill Building support.

Other: Integrated Data Systems; Other: Learning Collaborative; Other: Resiliency Skill Building

Interventions

Integrated Data Systems OTHER

Integrated Data Systems support intervention includes standardized social needs screening, improved data sharing and care coordination and health information exchange integration.

Arm 1: Integrated Data Systems; Arm 2: Integrated Data Systems + Learning Collaborative; Arm 3: Integrated Data Systems + Resiliency Skill Building; Arm 4: Integrated Data Systems + Learning Collaborative + Resiliency Skill Building

Learning Collaborative OTHER

Learning Collaborative intervention includes specialized perinatal training for CHWs, peer learning and expert-led education, and trauma-informed and evidence-based care practices.

Arm 2: Integrated Data Systems + Learning Collaborative; Arm 4: Integrated Data Systems + Learning Collaborative + Resiliency Skill Building

Resiliency Skill Building OTHER

Resiliency Skill Building intervention includes Community Resiliency Model training, burnout prevention and workforce well-being support and ongoing coaching for CHWs and supervisors.

Arm 3: Integrated Data Systems + Resiliency Skill Building; Arm 4: Integrated Data Systems + Learning Collaborative + Resiliency Skill Building

Eligibility Criteria

• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)

The trial includes 8 Pathways Community Hubs located throughout Ohio. Hubs are randomly assigned to study conditions rather than individual participants.

Contact the study team to discuss eligibility requirements. They can help determine if this study is right for you.

Sponsors & Collaborators

• Ohio State University: lead
• National Institute of Nursing Research (NINR): collaborator

Study Officials

• Daniel Walker, PhD, MPH

  Ohio State University

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Laura Binkley, PhD, MSc, MPH

CONTACT

614-685-1510; laura.binkley@osumc.edu

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: FACTORIAL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Vice Chair of Research and Associate Professor

Model Details: This study is an experimental, cluster-randomized trial using a 2×2 factorial design. The research evaluates hub-level system-level and workforce-level interventions implemented within Pathways Community Hubs that serve pregnant and postpartum individuals.

Study Record Dates

• First Submitted: September 30, 2026
• First Posted: October 9, 2026
• Study Start (Estimated): April 1, 2027
• Primary Completion (Estimated): March 31, 2030
• Study Completion (Estimated): April 30, 2031
• Last Updated: October 9, 2026

Record last verified: 2026-10