Community-centered training to reduce pregnancy-related harm and deaths
Multilevel Community-centered Intervention to Reduce Pregnancy Related and Associated Morbidity and Mortality (PRAMM) Disparities in Non-Hispanic Black and Hispanic Medicaid-insured Individuals
This project will train health care providers who care for pregnant and postpartum women in Wayne, Kent, and Genesee counties, Michigan to try improved communication and referral practices aimed at reducing pregnancy-related harm for non-Hispanic Black women.
Quick facts
| Phase | Not applicable |
|---|---|
| Study type | Interventional |
| Enrollment | 480 (estimated) |
| Ages | 18 Years and up |
| Sex | All |
| Sponsor | Michigan State University Academic / other |
| Locations | 1 site (Grand Rapids, Michigan) |
| Trial ID | NCT07025057 on ClinicalTrials.gov |
What this trial studies
This is a provider- and practice-level intervention that delivers experiential trainings on communication, cultural relevance, and community referral pathways (including community health workers and home visiting) to clinicians caring for pregnant and postpartum women. Trainings combine self-learning, didactics, reflection, discussion, and actionable planning to tailor practices to local settings and to better hear, respect, and meet the needs of perinatal non-Hispanic Black women. The study measures pre- and post-training provider knowledge, confidence, and reported behavior changes via surveys. Implementation occurs in clinical and community settings serving Wayne, Kent, and Genesee Counties, Michigan.
Who should consider this trial
Good fit: Ideal participants are health care providers who deliver care to pregnant and postpartum women in Wayne, Kent, or Genesee Counties, Michigan, particularly those serving non-Hispanic Black patients.
Not a fit: Patients who do not receive care from participating providers, live outside the target counties, or whose outcomes are driven by factors not addressed by provider communication and referral practices may not experience direct benefit.
Why it matters
Potential benefit: If successful, patients—especially perinatal non-Hispanic Black women—could experience clearer communication, more culturally relevant care, stronger connections to community supports, and a reduced risk of pregnancy-related complications and deaths.
How similar studies have performed: Similar provider communication and community-referral programs have improved provider knowledge and patient experience in prior work, but evidence that they directly reduce maternal morbidity and mortality disparities is limited and mixed.
Eligibility criteria
Show full inclusion / exclusion criteria
Inclusion Criteria: * Providing care to pregnant and postpartum women in Wayne, Kent, and Genesee Counties in MI Exclusion Criteria: * None
Where this trial is running
Grand Rapids, Michigan
- Strong Beginings — Grand Rapids, Michigan, United States (Recruiting)
Study contacts
- Principal investigator: Cristian Meghea, PhD — Michigan State University
- Study coordinator: Jennifer Raffo, MA
- Email: overfiel@msu.edu
- Phone: 12487161043
How to participate
- Review the eligibility criteria above with your treating physician.
- Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
- Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.