Melanated Group Midwifery Care (MGMC)
Ориентир для пациента и семьи
Простыми словами
Автоматическая сводка по структурированным данным реестра. Она помогает сориентироваться, но не заменяет официальный протокол или оценку врача.
- Что изучают
- В протоколе указаны: Melanated Group Midwifery Care.
- Кому может быть актуально
- Состояния в реестре: Pregnancy Complications, Maternal Care Patterns, Patient Engagement. Базовые параметры: 15 лет — 49 лет · Женщины.
- Что важно проверить
- Возраст, диагноз и пол — только базовые ориентиры. Предыдущее лечение, анализы и другие обязательные условия указаны ниже в критериях участия.
- Где проводится
- США
- Следующий шаг
- Сохраните исследование, покажите его лечащему врачу и уточните актуальный статус у исследовательского центра. Расходы, документы и поездка →
Не всё понятно в терминах? Прочитайте наш гид для пациентов →
Официальное название
Black Midwives for Black Women: Maternity Care to Improve Trust and Attenuate Structural Racism
Обзор
This study is being conducted to determine if a multi-level intervention for delivering maternity care can improve patient trust and engagement among Black birthing people.
Подробное описание
Low-risk pregnant participants will be randomized into Melanated Group Midwifery Care or usual individualized obstetric care. In Melanated Group Midwifery Care (MGMC), Black women will receive prenatal care from a Black midwife in groups with the same 8-10 other Black women throughout pregnancy. In pregnancy and into the first year postpartum, MGMC patients will stay connected to the health system through a proactive care coordinator, who is a Black licensed nurse. For the first year after giving birth, patients in MGMC will also be supported by a trained postpartum doula.
All participants (intervention and usual care groups) will complete study measures that include validated surveys on patient trust, respect and engagement at 6 time points:
* 3 time points in pregnancy \[baseline (\<20 weeks), 26-28 weeks, and 35- 37 weeks\] and * 3 in the postpartum at 2-, 6-, and 12-months * Additional qualitative interviews will be done to track the care received by medically and socially complex patients, including all who experience a severe maternal morbidity.
The investigators will also document how MGMC gets embedded in practice through a qualitative process evaluation.
Вмешательства
- Поведенческое Melanated Group Midwifery Care
Racially concordant maternity care Group prenatal care Racially concordant nursing care coordination Postpartum doula support
Первичные конечные точки
- Patient Engagement-Prenatal Adequacy [Срок оценки: Birth (T3)]
- Patient Engagement-Prenatal Adherence [Срок оценки: Birth (T3)]
- Patient Engagement-Postnatal adequacy [Срок оценки: 1 year postpartum (T6)]
Вторичные конечные точки (6)
- Patient activation [Срок оценки: Change from baseline through 12 months postpartum (T6)]
- Patient Autonomy [Срок оценки: Change from baseline through 12 months postpartum (T6)]
- Provider Trust [Срок оценки: Change from baseline through 12 months postpartum (T6)]
- Patient Satisfaction [Срок оценки: Change from late pregnancy (35-37 gestational weeks) (T3) and 2 months postpartum (T4)]
- Mental Well Being [Срок оценки: Change from baseline through 12 months postpartum (T6)]
- Respectful Care [Срок оценки: Change from late pregnancy (35-37 gestational weeks) (T3) and 2 months postpartum (T4)]
Критерии участия
Inclusion criteria for patients:
- pregnant women who self-identify as Black on a standard prenatal intake form
- less than 20 weeks pregnant
- 15 years old or older
- present to the general obstetrics group at the University of Chicago Medical Center for their new prenatal visit
- speak and understand English
Inclusion criteria for providers:
- All black midwives, care coordinators, and community postpartum doulas at the University of Chicago are eligible to participate.
Exclusion criteria for patients:
- having a condition for which they present to a higher level of obstetrics care (e.g., maternal fetal medicine) for their new prenatal visit
- having a cognitive issue that impairs their ability to give informed consent.
Критерии приведены из реестра в оригинале (на английском). Окончательную оценку соответствия проводит исследовательский центр.
Здоровые добровольцы: Да
Дизайн исследования
- Распределение
- Рандомизированное
- Модель
- Параллельные группы
- Маскирование
- Двойное слепое
- Основная цель
- Организация здравоохранения
Центры проведения
США · 1 центр
- University of Illinois at Chicago — Chicago
Идентификаторы
NCT: NCT05365815 · CHAIRb 21120101 · AD-2020C3-21229