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

Phases

Unknown

Study type

Interventional

Source

ClinicalTrials.gov

Registry ID

NCT06828406

Acronym

I'M SPEAKING

Enrollment

2200

Registered

2025-02-14

Start date

2025-04-29

Completion date

2029-07-01

Last updated

2026-07-15

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Perinatal Decision Making

Keywords

Shared Decision Making, Quality Improvement, Cesarean Birth, Labor and Delivery, Nulliparous Term Singleton Vertex, Illinois Perinatal Quality Collaborative, Promoting Vaginal Birth, Birth Equity, Severe Maternal Morbidity

Brief 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.

Interventions

BEHAVIORALTeamBirth

TeamBirth

Study design

Allocation

RANDOMIZED

Intervention model

PARALLEL

Primary purpose

HEALTH_SERVICES_RESEARCH

Masking

NONE

Intervention model description

Complete Randomized Stepped Wedge Design

Eligibility

Sex/Gender

FEMALE

Age

18 Years to No maximum

Healthy volunteers

Yes

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

Design outcomes

Primary

Measure	Time frame	Description
Nulliparous Term Singleton Vertex (NTSV) Cesarean Birth (CB)	6 months prior to TeamBirth, 3 months post TeamBirth implementation	NTSV CB Rate for all birthing people in participating hospitals
Shared Decision Making (SDM)	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

Measure	Time frame	Description
NTSV CB in Black birthing people	6 months prior to TeamBirth , 3 months post TeamBirth implementation	NTSV CB Rate Black birthing people in participating hospitals
SDM in Black birthing people	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	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

Countries

United States

Contacts

CONTACTConstandina Kapogiannis

constandina.kapogiannispolitis@endeavorhealth.org847-570-2832

PRINCIPAL_INVESTIGATORAnn Borders

Endeavor Health

PRINCIPAL_INVESTIGATORBeth Plunkett