N/A
N=83
Caring for Providers to Improve Patient Experience Study Phase 2 in Migori County
Maternal Health · Mental Health · Healthcare Provider · Adverse Outcomes · Stress
Bottom Line
View on ClinicalTrials.gov: NCT05019131 ↗Enrolled (actual)
83
Serious AEs
0.0%
Results posted
Jun 2024
Primary outcome: Primary: Change in Perceived Stress Scale (PSS) Score From Baseline to 6 Months — 20.89; 20.58; 18.63; 20.05 score on a scale
Study Design & Population
- Study type
- Interventional
- Phase
- N/A
- Interventions
- Training (Behavioral); Peer support and mentorship (Behavioral); Leadership engagement (Behavioral); Embedded champions (Behavioral)
- Age
- Adult, Older Adult · 18+ yrs
- Sex
- All
- Sponsor
- University of California, San Francisco
- Primary completion
- Jun 2022
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Change in Perceived Stress Scale (PSS) Score From Baseline to 6 Months |
20.89; 20.58; 18.63; 20.05 | — |
| PRIMARY Change in Shirom-Melamed Burnout Measure (SMBM) Score From Baseline to 6 Months |
3.64; 3.70; 2.95; 3.42 | — |
| PRIMARY Change in Stress Knowledge and Attitudes Score From Baseline to 6 Months |
7.78; 7.95; 9.50; 8.53 | — |
| PRIMARY Change in Unconscious Bias Knowledge and Attitudes Score From Baseline to 6 Months |
8.93; 9.13; 10.70; 9.45 | — |
| SECONDARY Change in Hair Cortisol Levels From Baseline to 6 Months |
74.13; 8.43; 41.50; 36.05 | — |
| SECONDARY Change in Heart Rate Variability (HRV) Levels From Baseline to 6 Months |
3.70; 3.71; 3.71; 3.84 | — |
| SECONDARY Change in Socioeconomic Status-person Centered Maternity Care Implicit Association Test (IAT) Score |
0.75; 0.67; 0.62; 0.43 | — |
| SECONDARY Change in Explicit Bias Scores From Baseline to 6 Months |
17.38; 16.30; 15.65; 14.91 | — |
Summary
The activities described in this proposal are aimed at addressing health care provider stress and unconscious bias to improve quality of maternal health care, particularly related to the person-centered dimensions of care-i.e. care that is respectful and responsive to women's needs, preferences, and values. The investigators focus on health provider stress and unconscious bias because they are key drivers of poor-quality care that are often not addressed in interventions designed to improve quality of maternal health care. The investigators plan to (1) design an intervention that enables providers to identify and manage their stress and unconscious bias; (2) pilot the intervention to assess its feasibility and acceptability; and (3) assess preliminary effect of the intervention on: (a) provider knowledge, attitudes, and behaviors related to stress and unconscious bias; and (b) provider stress levels.
Eligibility Criteria
Inclusion Criteria
- Providers working in maternity units of the intervention facilities are all eligible.
Exclusion Criteria
- Inability to attend scheduled training.
Data sourced from ClinicalTrials.gov (NCT05019131). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.