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AzTrials

Pregnancy RelatedBELIEVENCT06483022

Building Equitable Linkages With Interprofessional Education Valuing Everyone

A study testing BELIEVE IPE Training in people with Pregnancy Related and Postpartum, run by University of North Carolina, Chapel Hill at 1 site in United States.

Terminated

Stopped early. The study ended before it was planned to and will not resume.

Official record
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Trial summary

This is a step-wedge design implementation protocol of an interprofessional education curriculum intervention that is delivered through virtual reality and designed to reduce disparities and improve patient experiences in receiving maternal healthcare. Read more about this study

Who is it for?
Ages 18 to 99 years
Conditions the study is for
Pregnancy Related, Postpartum, Pain
What is being tested?
BELIEVE IPE Training
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
66 participants
Where
1 siteUnited States
Study dates
1 Jul 2024to 28 Feb 2026
Phase
Interventional
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 99 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Healthcare Team Participants
  • Employed as one of the following roles: maternity care provider, nurse, lactation consultant or doula.
  • Primary inpatient clinical assignment is maternity care.
  • If Per Diem: Employed for a minimum of 4 shifts/month at a participating site.
  • Birthing Parent Data Extraction Participants
  • Had a live birth at a participating site from the start of the study through the last Data Retrieval timepoint.
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  • Birthing Parent Interview Participants
  • Had a live birth at a participating site from the start of the study through the last Data Retrieval timepoint.
  • Black race or Limited English Proficiency with preferred language of Spanish.
  • Age ≥ 18.

Who cannot join

  • Healthcare Team Participants
  • None
  • Birthing Parent Data Extraction Participants
  • Baby with birth gestational age < 24 weeks.
  • Birthing Parent Interview Participants
  • Baby with birth gestational age < 24 weeks.
Show all 10Show fewer
  • Baby is no longer alive at time of Data Retrieval (regardless of gestational age).
  • Currently incarcerated.
  • Previously completed a birthing parent interview for the BELIEVE study.
  • Previously enrolled as a Healthcare Team Participant.

Trial locations and contacts

1 site in 1 country.

United States1 site

  • University of North Carolina

    Chapel Hill, North Carolina, 27599

Other trials in United States

About this study

This is a step-wedge design implementation protocol of an interprofessional education curriculum intervention that is delivered through virtual reality and designed to reduce disparities and improve patient experiences in receiving maternal healthcare.

Being tested
BELIEVE IPE Training, Usual Care
Keywords
Maternity Hospitals
Medical subject headings
Pain

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • BELIEVE IPE TrainingBehavioural

    The IPC training will be delivered to health team members who provide intrapartum and/or postpartum maternity care at each facility. Individuals with roles as maternity care providers, nurses, lactation consultants or doulas whose primary inpatient clinical assignment is maternity care will be included in the training. The training will consist of a pre-session module (about 60 minutes), a 90-minute interprofessional collaboration session, delivered using virtual reality head-sets, and post-session modules (about 60 minutes). The pre- and post-session modules will be delivered through an online learning platform.

  • Usual CareOther

    Prior to implementation of the IPC training, birthing people at the facilities will receive treatment-as-usual

Study groups in NCT06483022
Study groupRoleWhat they receive
Pre-interventionPlacebo comparatorIn the pre-intervention sequence(s), birthing people at participating hospitals will experience treatment-as-usual.
Receives: Other: Usual Care
Post-interventionActive comparatorIn the post-intervention sequence(s), birthing people at participating hospitals will experience treatment by health care teams that have undergone the Building Equitable Linkages With Interprofessional Education Valuing Everyone interprofessional education (BELIEVE IPE) training.
Receives: Behavioral: BELIEVE IPE Training

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Severe Postpartum Pain

    Proportion of individuals with severe pain postpartum. Severe pain will be defined as pain score >4 on postpartum day 1 following vaginal birth, or pain score >7 on postpartum day 2 following cesarean birth, as documented in the electronic health record using the Numerical Rating Scale (NRS) of patient-reported pain from 0-10.

    Measured: 0 to <24 and 24 to <48 hours postpartum

Secondary outcomes (10)

  1. Birthing parent-reported experiences of the respectful care (Qualitative)

    Based on semi-structured interviews with a subset of birthing parents, the investigators will report the count of qualitative interview participants who described their care as "respectful" during semi-structured interviews with birthing parents.

    Measured: 2-8 weeks postpartum

  2. Patient-reported examples of respectful and equitable health care team member practices (Qualitative)

    Based on semi-structured interviews with a subset of birthing parents, the investigators will identify respectful and equitable health care team member practices in a thematic coded content analysis of transcribed responses. For the top three practices identified, the count of participants naming each practice will be reported.

    Measured: 2-8 weeks postpartum

  3. Patient-reported examples of supportive health team member practices for pain management (Qualitative)

    Based on semi-structured interviews with a subset of birthing parents, the investigators will identify supportive health team member practices for pain management in a thematic coded content analysis of transcribed responses. For the top three practices identified, the count of participants naming each practice will be reported.

    Measured: 2-8 weeks postpartum

  4. Pain assessments

    Number of instances of pain score assessments on a 0-10 scale that are documented in the birthing parent's medical record.

    Measured: 0 to <24 and 24 to <48 hours postpartum

  5. NSAID doses administered

    Number of non-steroidal anti-inflammatory (NSAID) doses administered to the birthing parent, as documented in the medication administration record (MAR).

    Measured: 0 to <24 and 24 to <48 hours postpartum

  6. MMEs administered

    Number of Morphine Milligram Equivalents (MMEs) of opioids administered to the birthing parent, as documented in the medication administration record (MAR).

    Measured: 0 to <24 and 24 to <48 hours postpartum

  7. Acetaminophen doses administered

    Number of Acetaminophen doses administered to the birthing parent, as documented in the medication administration record (MAR).

    Measured: 0 to <24 and 24 to <48 hours postpartum

  8. Healthcare team members' perceptions of interprofessional collaboration

    Using the modified Interprofessional Attitudes Scale (IPAS), attitudes of health care team members toward collaboration will be assessed. The IPAS is a 5-point Likert scale with scores ranging from 27 to 135, with higher scores reflecting more positive attitudes toward interprofessional collaboration.

    Measured: Baseline (pre-intervention) and after completing the IPC training intervention, a total of up to 4 months

  9. Quality of interprofessional teamwork

    Utilizing the modified Assessment for Collaborative Environments (ACE) Scale, health care team member perceptions of interprofessional communication will be assessed. The modified ACE is a 4-point Likert scale with scores ranging from 6 to 24, with higher scores reflecting better quality interprofessional teamwork.

    Measured: Baseline (pre-intervention) and after completing the IPC training intervention, a total of up to 4 months

  10. Feasibility of the IPC training

    Based on semi-structured interviews collected post intervention among a subset of health care team members, the investigators will conduct thematic coded content analysis of transcribed responses. The investigators will report the count of health care team members who described the intervention as feasible. Feasibility is defined as a positive rating about the intervention's potential performance in real-life conditions in birthing hospitals.

    Measured: 2-8 weeks after health care team members' completion of the IPC training

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted1 Jul 2024
  2. Study start1 Jul 2024
  3. Primary completion28 Feb 2025
  4. Study completion28 Feb 2026

Why it stopped: The study has been terminated because because adequate recruitment of health team members for participation in the BELIEVE training at the study sites was not achieved.

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Supportive care
Allocation
Randomised
Intervention model
Parallel groups
Model description
The investigators plan a multisite step-wedge cluster randomized trial to test the extent to which interprofessional collaboration training (IPC training) reduces racial disparities in postpartum pain (primary outcome) and pain assessment and treatment (secondary, health team processes), improves birthing people's experience of respectful care (secondary outcomes), and fostering a positive shift in health team interprofessional collaboration attitudes and teamwork (secondary process outcomes).
Masking
None (open label)
Enrolment
66 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06483022
Sponsor's protocol ID
24-1258
Acronym
BELIEVE
Status last verified
Apr 2026
First submitted
13 Jun 2024
Last updated
27 Apr 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Yes: Deidentified individual data that supports the results will be shared beginning 9 to 36 months following publication provided the investigator who proposes to use the data has approval from an Institutional Review Board (IRB), Independent Ethics Committee (IEC), or Research Ethics Board (REB), as applicable, and executes a data use/sharing agreement with UNC and Cone Health.

Publications

  • Oakcrum D, Ikejiaku P, McKinney JLG, Gibson AN, Jiang L, Lin FC, Tully KP, Williams JM, Harper K, Stuebe A. Building Equitable Linkages with Interprofessional Education Valuing Everyone (BELIEVE): research protocol for a multisite step-wedge cluster randomized trial. BMC Pregnancy Childbirth. 2026 May 22;26(1):794. doi: 10.1186/s12884-026-09195-x.

    PubMed 42174469

Questions about this trial

What is this clinical trial studying?

A study testing BELIEVE IPE Training in people with Pregnancy Related and Postpartum, run by University of North Carolina, Chapel Hill at 1 site in United States.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 10 inclusion and 10 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: stopped early, as of the sponsor's last update on 27 Apr 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study was stopped early (reason given: The study has been terminated because because adequate recruitment of health team members for participation in the BELIEVE training at the study sites was not achieved.). Results are not available in the source record.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Severe Postpartum Pain (time frame: 0 to <24 and 24 to <48 hours postpartum). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT06483022, which also lists 1 linked publication.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 27 Apr 2026.

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