TeamBirth
BehavioralTeamBirth
Recruiting
NCT Number: NCT06828406
Improving Safety, Patient Experience and Equity Through Shared Decision-making Huddles in Labor
To evaluate the effectiveness of an existing quality improvement (QI) training program known as TeamBirth, using a randomized stepped-wedge hybrid type II study design, to (a) decrease nulliparous term singleton vertex (NTSV) cesarean birth (CB) across all birthing people, and specifically for Black birthing people, and (b) increase shared decision-making (SDM), (c) improve patient experience of respectful care. TeamBirth uses a train-the-trainer model to implement patient-participatory shared decision-making on Labor and Delivery (L&D) units, with the goal of decreasing unwanted and unnecessary interventions and improving patient experiences and outcomes for labor and birth.
Recruiting
Interested in participating?
Request InfoKey information
Conditions
Age range
18 year and older
Sex eligibility
Female
Study type
Interventional
Phase
Not applicable
Primary location
Endeavor Health Northwest Community Hospital, Arlington Heights, Illinois, United States
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Who can participate
Healthy volunteers accepted: Yes
Only the study team can determine whether someone qualifies for participation.
Inclusion criteria
- Age 18 or older
- English or Spanish speaking
- Gave birth to a live-born infant after laboring
Exclusion criteria
- Speaks a language other than English or Spanish
- Under the age of 18
- Gave birth to a nonliving infant
- Cesarean delivery without labor
- Individuals who have already completed the ILPQC PREM or ILPQC PREM+ survey during the current hospital admission will be excluded
Treatment and study plan
Primary outcomes
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Nulliparous Term Singleton Vertex (NTSV) Cesarean Birth (CB)
Time frame: 6 months prior to TeamBirth, 3 months post TeamBirth implementation
NTSV CB Rate for all birthing people in participating hospitals
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Shared Decision Making (SDM)
Time frame: 6 months prior to TeamBirth, 3 months post TeamBirth implementation
Childbirth Options, Information, and Person-Centered Explanation (CHOICEs) scale, scores range from 14 to 90, high scores indicate higher levels of shared decision making
Secondary outcomes
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NTSV CB in Black birthing people
Time frame: 6 months prior to TeamBirth , 3 months post TeamBirth implementation
NTSV CB Rate Black birthing people in participating hospitals
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SDM in Black birthing people
Time frame: 6 months prior to TeamBirth, 3 months post TeamBirth implementation
Childbirth Options, Information, and Person-Centered Explanation (CHOICEs) scale, scores range from 14 to 90, high scores indicate higher levels of shared decision making
-
Patient Experience
Time frame: 6 months prior to TeamBirth, 3 months post TeamBirth implementation
Illinois Perinatal Quality Collaborative (ILPQC) Patient-Reported Experience Measure (PREM), there is no numerical value assigned to the ILPQC PREM
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Patient Experience
Time frame: 6 months prior to TeamBirth, 3 months post TeamBirth implementation
Mother's Autonomy in Decision Making (MADM), scores range from 7 to 42, higher scores indicate the women had greater agency and autonomy when engaging in a shared decision making process with a maternity care provider
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Patient Experience
Time frame: 6 months prior to TeamBirth, 3 months post TeamBirth implementation
Person-Centered Maternity Care Scale for use in the United States (PCMC-US), scores range from 0 to 100, higher scores indicate more person-centered maternity care
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Patient Experience
Time frame: 6 months prior to TeamBirth, 3 months post TeamBirth implementation
CollaboRATE, scores range from 0 to 100, a higher score means the number of core dimensions of shared decision making are met
-
Patient Experience
Time frame: 6 months prior to TeamBirth, 3 months post TeamBirth implementation
Acceptability of Intervention Measure (AIM), scores range from 3 to 15, the lower the score, the more satisfied the patient was with their care
Study contacts
Contact information is provided by the study sponsor or research team.
Sponsors and collaborators
Lead sponsor
Endeavor Health
Other
Collaborators
- Ariadne Labs
- Northwestern University
- Patient-Centered Outcomes Research Institute
- University of Chicago
- University of Illinois at Chicago
- University of Michigan
Registry information
Official study title
Improving Safety, Patient Experience, and Equity Through Shared Decision-making Huddles in Labor (I'M SPEAKING)
Acronym: I'M SPEAKING
Important dates
- Study start
- 2025
- Primary completion
- 2027
- Study completion
- 2029
- First posted
- Feb 14, 2025
- Registry last updated
- Jul 15, 2026
OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.
View the official ClinicalTrials.gov record (opens in a new tab)This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.
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