TeamBirth shared decision-making huddles to improve safety, experience, and equity during labor
Official title: Improving Safety, Patient Experience, and Equity Through Shared Decision-making Huddles in Labor (I'M SPEAKING)
Run by Endeavor Health · NCT06828406 · Data updated 2026-11-12
This project tests whether training labor teams in the TeamBirth shared decision-making huddle reduces first-time cesarean births and improves respectful care and patient experience for people laboring for the first time, including Black birthing people.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 18 Years and up |
| Sex | Women only |
| Enrollment | 2200 (estimated) |
| Sponsor | Endeavor Health Academic / other |
| Locations | 22 sites (Arlington Heights, Illinois and 21 other locations) |
| Status | Recruiting |
| Started | April 29, 2025 |
| Main results expected | October 31, 2027 |
| Study ends | July 2029 |
| Registry record updated | July 15, 2026 |
| Trial ID | NCT06828406 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates are birthing people aged 18 or older who labor and deliver a live singleton infant and speak English or Spanish.
✕Probably not a fit
People under 18, non-English/non-Spanish speakers, those who had a cesarean without labor, or those who gave birth to a nonliving infant would not be eligible and are unlikely to receive 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
This interventional stepped-wedge hybrid type II trial implements a train-the-trainer Quality Improvement program called TeamBirth on labor and delivery units to introduce patient-participatory shared decision-making huddles. Sites transition from usual care to the TeamBirth program on a randomized schedule, allowing comparison of outcomes before and after implementation. Key outcomes include rates of nulliparous term singleton vertex (NTSV) cesarean birth, measures of shared decision-making, and patient-reported respectful care and experience, with attention to equity for Black birthing people. Collaborators include University of Illinois at Chicago, University of Chicago, and Ariadne Labs, with Endeavor Health as lead sponsor.
Why it matters
Potential benefit: If successful, the intervention could lower unnecessary first-time cesarean births and improve respectful, equitable decision-making and overall patient experience during labor.
How similar studies have gone: Previous quality-improvement and shared decision-making initiatives, including earlier pilot work with TeamBirth and related communication interventions, have shown promise in improving communication and reducing unnecessary interventions, though large randomized evidence remains limited.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Age 18 or older * English or Spanish speaking * Gave birth to a live-born infant after laboring Exclusion Criteria: * Speaks a language other than English or Spanish * Under the age of 18 * Gave birth to a nonliving infant * Cesarean delivery without labor * Individuals who have already completed the ILPQC PREM or ILPQC PREM+ survey during the current hospital admission will be excluded
Where it's running
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Endeavor Health Northwest Community Hospital
Arlington Heights, Illinois, United States Recruiting -
Rush Copley Medical Center
Aurora, Illinois, United States Recruiting -
Loyola MacNeal Hospital
Berwyn, Illinois, United States Recruiting -
Memorial Hospital of Carbondale
Carbondale, Illinois, United States Recruiting -
Mount Sinai Hospital
Chicago, Illinois, United States Recruiting -
Northwestern Memorial Hospital
Chicago, Illinois, United States Recruiting
Show 16 more locations
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John H Stroger Memorial Hospital
Chicago, Illinois, United States Recruiting -
Rush University Medical Center
Chicago, Illinois, United States Recruiting -
UI Health
Chicago, Illinois, United States Recruiting -
Saint Mary of Nazareth Hospital
Chicago, Illinois, United States Recruiting -
Endeavor Health Swedish Hospital
Chicago, Illinois, United States Recruiting -
University of Chicago Hospital
Chicago, Illinois, United States Recruiting -
Endeavor Health Elmhurst Hospital
Elmhurst, Illinois, United States Recruiting -
Endeavor Health Evanston Hospital
Evanston, Illinois, United States Recruiting -
Endeavor Health Highland Park Hospital
Highland Park, Illinois, United States Recruiting -
UChicago Medicine AdventHealth Hinsdale
Hinsdale, Illinois, United States Recruiting -
Ascension Saint Alexius Medical Center
Hoffman Estates, Illinois, United States Recruiting -
Riverside Medical Center
Kankakee, Illinois, United States Recruiting -
Northwestern Medicine Catherine Gratz Griffin Lake Forest Hospital
Lake Forest, Illinois, United States Recruiting -
Loyola University Medical Center
Maywood, Illinois, United States Recruiting -
Endeavor Health Edward Hospital
Naperville, Illinois, United States Recruiting -
OSF St. Francis Medical Center
Peoria, Illinois, United States Recruiting
Study contacts
- Principal investigator: Ann Borders — Endeavor Health
- Study coordinator: Constandina Kapogiannis
- Email: constandina.kapogiannispolitis@endeavorhealth.org
- Phone: 847-570-2832
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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.