Rhode Island community maternal support services
Official title: Rhode Island Community-based Maternal Support Services (RI COMSS) Bundle for Advancing Perinatal Health Equity
Run by Women and Infants Hospital of Rhode Island · NCT07446374 · Data updated 2026-11-12
This program will try adding care coordination, community health workers, doulas, and referrals for housing, food, and transportation to see if that improves perinatal outcomes and reduces racial disparities for pregnant and postpartum people at affiliated Rhode Island clinics.
Quick facts
| Study type | Interventional |
|---|---|
| Sex | Women only |
| Enrollment | 3000 (estimated) |
| Sponsor | Women and Infants Hospital of Rhode Island Academic / other |
| Locations | 7 sites (Pawtucket, Rhode Island and 6 other locations) |
| Status | Recruiting |
| Started | May 19, 2025 |
| Main results expected | December 2028 |
| Study ends | December 2028 |
| Registry record updated | March 3, 2026 |
| Trial ID | NCT07446374 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Birthing people receiving prenatal or postpartum care at Women and Infants Hospital and its affiliated clinics in Rhode Island are the intended participants, especially those with identified social needs.
✕Probably not a fit
People who receive care outside the participating clinics or who do not have identified social determinants-related needs may be less likely to benefit from this program.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
Over four years, a hospital-led team will implement a community-based maternal support services (COMSS) bundle across six affiliated prenatal clinics in Rhode Island. Under a universal screening protocol, patients will be screened at multiple points during pregnancy and postpartum for social determinants of health such as housing, food insecurity, and transportation barriers. The COMSS bundle combines care coordination, community health workers, doula support, and formal referrals and linkages to community-based organizations that address identified needs. Maternal and infant outcomes and racial disparities will be compared before and after program implementation to measure change.
Why it matters
Potential benefit: If successful, the program could reduce adverse maternal and infant outcomes and narrow related racial disparities by addressing social needs alongside clinical care.
How similar studies have gone: Related interventions using doulas, community health workers, and care coordination have shown promising improvements in patient experience and some perinatal outcomes, though integrated multi-site bundles like this remain relatively novel.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * All birthing people receiving perinatal care (prenatal, postpartum) at Women and Infants Hospital (WIH) and its affiliated clinics Exclusion Criteria: * Anyone not meeting the above criteria
Where it's running
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Brown University OBGYN
Providence, Rhode Island, United States Recruiting -
Women and Infants Hospital of Rhode Island
Providence, Rhode Island, United States Recruiting -
Providence Community Health Centers - Central
Providence, Rhode Island, United States Recruiting -
Women's Care
Pawtucket, Rhode Island, United States Not yet recruiting -
Obstetrics and Gynecology Care Center
Providence, Rhode Island, United States Not yet recruiting -
Providence Community Health Center - Prairie
Providence, Rhode Island, United States Not yet recruiting
Show 1 more location
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Care New England Medical Group (CNEMG)
Warwick, Rhode Island, United States Not yet recruiting
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.