Clinical trial Recruiting at 22 sites Interventional Ages 18 and up Women only

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 typeInterventional
Ages18 Years and up
SexWomen only
Enrollment2200 (estimated)
SponsorEndeavor Health
Academic / other
Locations22 sites (Arlington Heights, Illinois and 21 other locations)
StatusRecruiting
StartedApril 29, 2025
Main results expectedOctober 31, 2027
Study endsJuly 2029
Registry record updatedJuly 15, 2026
Trial IDNCT06828406 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

  • 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
  • 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

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Browse more
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.