Rhode Island community maternal support services
Rhode Island Community-based Maternal Support Services (RI COMSS) Bundle for Advancing Perinatal Health Equity
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
| Phase | Not applicable |
|---|---|
| Study type | Interventional |
| Enrollment | 3000 (estimated) |
| Sex | Female |
| Sponsor | Women and Infants Hospital of Rhode Island Academic / other |
| Locations | 7 sites (Pawtucket, Rhode Island and 6 other locations) |
| Trial ID | NCT07446374 on ClinicalTrials.gov |
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.
Who should consider this trial
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.
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.
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 performed: 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.
Eligibility criteria
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 this trial is running
Pawtucket, Rhode Island and 6 other locations
- Women's Care — Pawtucket, Rhode Island, United States (Not_yet_recruiting)
- Brown University OBGYN — Providence, Rhode Island, United States (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)
- Women and Infants Hospital of Rhode Island — Providence, Rhode Island, United States (Recruiting)
- Providence Community Health Centers - Central — Providence, Rhode Island, United States (Recruiting)
- Care New England Medical Group (CNEMG) — Warwick, Rhode Island, United States (Not_yet_recruiting)
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.