RP 1: Respectful Maternity Care
Description
Research Project 1 (RP1) will test an interactive, multi-level respectful maternity care intervention to reduce provider biases and improve patient satisfaction and health outcomes. The study design is a cluster randomized controlled trial that will compare the intervention – including community-led implicit bias training, technical assistance for the embedding of equity in quality improvement initiatives, and building community partnerships – to a remote asynchronous training alone. Components of the intervention target individual, interpersonal, intuitional, and community levels.
Objective: Demonstrate a multifaceted, evidence-based intervention to reduce hospital disparities in maternal outcomes.
Aim 1: Determine the effect of a multifaceted respectful maternity care intervention on hospital maternal outcome and patient satisfaction disparities.
Aim 2: Determine the efficacy of respectful maternity care/implicit bias interventions on provider bias by conducting randomized controlled trials to compare an interactive multifaceted intervention to a remote asynchronous intervention.
Aim 3: Examine how implicit bias interventions among all hospital staff, impact patient care and satisfaction.
Significance: Interventions for healthcare providers and institutions to address racism and bias are crucial for reducing maternal mortality, but none have been studied together to demonstrate their efficacy.
Innovation: This project will test respectful maternity care model, developed after extensive consultation with the affected community.
Approach: A multi-hospital randomized controlled trial will assess the effectiveness of a respectful maternity care/implicit bias behavior change intervention on hospital maternal outcome disparities, comparing an interactive multifaceted intervention with a remote asynchronous training-alone intervention in nine hospitals with 1,900 employees.
Effect on community served: Previous studies link mistreatment, discrimination, and racism to physical and emotional harm to Black mothers. Implementing effective interventions to reduce inequitable treatment is crucial for reducing maternal outcomes disparities.
RP 1 Staff
Principal Investigator
Co-Investigator
Project Lead
Co-Investigator
Data Manager
This grant U54HD113159 is supported by the Improve Initiative. This content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health.
CONTACT
scmhe@tulane.edu
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