Bias, Implicit, Patient-centered Care, Pregnancy Related, Simulation Training, Substance Use Disorders
Conditions
Keywords
substance use disorders, Care received in hospital during labor & delivery and post-partum
Brief summary
The goal of this clinical trial is to develop and evaluate INSPIRE, an intervention for healthcare teams to improve care for individuals with substance use disorder (SUD) during their peri-delivery care. The main question it aims to answer is whether healthcare provider stigmas and behaviors change after receiving the training. The study will be implemented at the University of Utah.
Detailed description
Individuals with substance use disorder (SUD) face a higher risk of severe maternal morbidity and mortality. Provider stigma contribute to these outcomes by attenuating the provision of evidence-based, person-centered care. The goal of this study is to evaluate INSPIRE, an intervention for interprofessional healthcare teams to improve care for individuals with substance use disorder (SUD) during their peri-delivery care. INSPIRE includes three core modules (an online training on SUD in birth, an in-person simulation training, and an additional online training to assess and build clinical empathy skills). We will evaluate INSPIRE at the University of Utah hospital using a quasi-experimental design to determine impact on healthcare team outcomes. We will enroll up to 300 healthcare team members across clinical specialties that support birthing individuals. All enrolled providers will receive INSPIRE training, and assessments will be conducted at baseline, 1 month, 3 months, and 6 months. The primary outcome for providers is stigma. We will assess change in stigma scores from baseline to 6 months using a mixed effects linear regression model, specified to provide a paired-sample comparison between pre- and post-intervention scores.
Interventions
BEHAVIORALINSPIRE
The INSPIRE intervention includes: 1) online learning modules #1, which is completed individually and should take approximately 2 hours, and 2) in-person simulation, which is done as a group and scheduled for 4 hours, and 3) online learning module #2.
Sponsors
University of Utah
Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD)
Study design
Allocation
NA
Intervention model
SEQUENTIAL
Primary purpose
HEALTH_SERVICES_RESEARCH
Masking
NONE
Intervention model description
Providers will be assessed at baseline prior to intervention exposure, at midline (between modules 2 and 3, roughly 2 months later) and at post (6 months after baseline)
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Employed at the University of Utah Hospital * Directly interfaces with birthing individuals (as clinical or non-clinical team member, e.g., physician, nurse, emergency medical technician, social worker) * English speaking
Exclusion criteria
* Unable to provide informed consent
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Medical Condition Regard Scale (MCRS) | Administered at Baseline and 1 month, 3 months, and 6 months after Baseline | MCRS is |
Countries
United States
Contacts
CONTACTAssumpta Nantume
CONTACTErin Johnson
PRINCIPAL_INVESTIGATORSusanna Cohen, DNP, CNM, CHSE, FAAN
University of Utah
PRINCIPAL_INVESTIGATORMelissa Watt, PhD
University of Utah
Outcome results
None listed