NCT06828406

Improving Safety, Patient Experience and Equity Through Shared Decision-making Huddles in Labor

Improving Safety, Patient Experience, and Equity Through Shared Decision-making Huddles in Labor (I'M SPEAKING)

• Status: Recruiting
• Phase: N/A
• Study type: Interventional
• Enrollment: 2,200 (estimated)
• Sponsor: Endeavor Health · Academic / Other
• Sex: Female
• Age: 18 Years
• Healthy volunteers: Accepted

Summary

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.

Conditions

• Perinatal Decision Making

Interventions

Type	Name	Description
BEHAVIORAL	TeamBirth	TeamBirth

Timeline

• Start date: 2025-04-29
• Primary completion: 2027-10-31
• Completion: 2029-07-01
• First posted: 2025-02-14
• Last updated: 2026-02-03

Locations

1 site across 1 country: United States