Quality of Care Clinical Trial
Official title:
Impact of a Nurse Mentorship and Digital Health Package Intervention for Maternal and Newborn Health in Kenya: A Cluster Randomized Controlled Trial
The investigators will conduct a cluster randomized controlled trial in maternity facilities in Kenya to evaluate the impact of a maternal and neonatal health package intervention on patient and provider outcomes. This package intervention includes two programs: PROMPTS, a digital health platform for mothers aimed to improve knowledge and health behaviors and increase care-seeking behavior at the right time and place, and MENTORS, a facility-based program aimed to increase and sustain providers' knowledge and skills in basic and emergency obstetric and newborn care. Facilities will be randomized into a treatment group that receives the package or a control group that receives usual care. Patient outcomes include health knowledge, health behaviors and health care utilization in the prenatal and postnatal period; provider outcomes include knowledge and quality of care.
This study is designed as a parallel arm cluster randomized controlled trial (RCT). Randomization of the intervention package will occur at the facility level. The investigators will randomize 40 facilities across 8 counties into either the intervention or control group. Data will be collected at multiple points during the study period. Facility baseline data collection will occur over a one month period in each facility. Baseline data collection will include a facility assessment, maternity register data extraction and health worker interviews. In order to evaluate the PROMPTS component of the intervention, the investigators will enroll a cohort of women during baseline facility data collection that will be followed through their pregnancy, delivery and postpartum period. The investigators will recruit pregnant women attending study clinics for antenatal care during the baseline data collection period. They will be surveyed by phone twice in the follow-up period: once in the last month of pregnancy and again at 7- to 8-weeks postpartum. Women enrolled from the intervention facilities will be offered the PROMPTS intervention immediately after the baseline survey. The facility-based endline data collection will occur 4-5 months after the end of baseline and will last for 1-2 months in each facility. The facility-based endline data collection will include register data extraction, health worker interviews, and observations of quality of care during labor and delivery. A process evaluation will be conducted using administrative program data collected by Jacaranda Health to monitor intervention implementation within the treatment facilities. After the endline, facilities in the control group will also be offered the intervention. ;
Status | Clinical Trial | Phase | |
---|---|---|---|
Completed |
NCT03679494 -
Effectiveness of Implementing Shared Decision-Making on Quality of Care Among Patients With Lumbar Degenerative Diseases.
|
N/A | |
Active, not recruiting |
NCT06345352 -
Evaluation of the Quality of Care in the Emergency Department by Studying the Appropriateness of Admissions of Patients Accessing the Emergency Department (Fondazione IRCCS Ca' Granda Ospedale Maggione Policlinico)
|
||
Completed |
NCT02886364 -
Adapted Safe Childbirth Checklist in Chiapas, Mexico
|
N/A | |
Completed |
NCT06076863 -
Pharmacist Management of Paxlovid eVisits
|
N/A | |
Completed |
NCT04100577 -
Today Not Tomorrow Pregnancy and Infant Support Program (TNT- PISP)
|
N/A | |
Active, not recruiting |
NCT01419080 -
Patient-centered Outcomes Related to TReatment Practices in Peripheral Arterial Disease: Investigating Trajectories (PORTRAIT)
|
||
Active, not recruiting |
NCT06345378 -
Evaluation of the Quality of Care in the Emergency Department by Studying the Appropriateness of Admissions of Patients Accessing the Emergency Department (ASST Papa Giovanni XXIII)
|
||
Active, not recruiting |
NCT05520203 -
Role Development, Implementation and Evaluation of Nurse Practitioners
|
||
Active, not recruiting |
NCT03259737 -
An Observational Study of Stroke Patients.
|
||
Recruiting |
NCT04489693 -
Comprehensive Care Community and Culture Study
|
N/A | |
Recruiting |
NCT05892666 -
The Right Care, for the Right Patient, at the Right Time, by the Right Provider: A Value-based Comparison of the Management of Ambulatory Patients With Acute Health Concerns in walk-in Clinics, Primary Care Physician Practices and Emergency Departments
|
||
Completed |
NCT03589625 -
Electricity Access and Maternal Care in Rural Health Facilities in Uganda
|
N/A | |
Enrolling by invitation |
NCT02674698 -
Disseminating a Dashboard for VA Purchased Community Nursing Homes
|
N/A | |
Recruiting |
NCT06466902 -
Evaluation of Intra-operative Photographs for the Assessment of a Proper Lymphadenectomy in Minimally-invasive Gastrectomies for Gastric Cancer (PhotoNodes)
|
||
Completed |
NCT02146326 -
The Impact of Burnout on Patient-Centered Care: A Comparative Effectiveness Trial in Mental Health
|
N/A | |
Not yet recruiting |
NCT06398860 -
A Tool for Integration of Work Environment and Patient Safety Management at Work
|
N/A | |
Completed |
NCT05019131 -
Caring for Providers to Improve Patient Experience Study Phase 2 in Migori County
|
N/A | |
Enrolling by invitation |
NCT06017492 -
Effects of Video Use on Quality of Discharge Teaching and Patient Satisfaction in Day Surgery Patients
|
N/A | |
Not yet recruiting |
NCT04816279 -
Enhanced Recovery After Cesarean Section
|