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Accountability for Care Through Undoing Racism & Equity for Moms

RecruitingNAAges 12 Years - 99 YearsFemaleUniversity of North Carolina, Chapel Hill
NCT05484804 on ClinicalTrials.gov ↗
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In plain words

What the trial is, and whether it could suit you

This project-also known as "Accountability for Care through Undoing Racism \& Equity for Moms" or ACURE4Moms-aims to reduce Black-White maternal health disparities using multi-level interventions designed to decrease bias in prenatal care, improve care coordination, and increase social support. ACURE4Moms is a pragmatic 4-arm cluster randomized controlled trial conducted with 39 prenatal practices across North Carolina. Practices have been randomly assigned to receive either: Arm 1 (Standard Care): North Carolina Medicaid Care management for high-risk pregnancies; Arm 2 (Data Accountability and Transparency): North Carolina Medicaid Care Management + Practice-level Data Accountability interventions; Arm 3 (Community-Based Doula Support): North Carolina Medicaid Care Management + Community-Based Doula support intervention for high-risk patients during pregnancy and postpartum; or Arm 4 (D

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📋 Eligibility rules (as published)
Inclusion Criteria: Practices: * Have at least 180 Black patient deliver over 2 years * Be willing to be randomized * Be willing to adhere to the study protocol Patient survey participants: * Start prenatal care at one of the study clinics during study implementation * Self-identify as Black or African American * Able to give consent and complete surveys and interviews in English Practice staff member participants: * Employed as either a provider, nurse/medical assistant, or office administrator at one of the clinics in this study Doula participants: * Provide doula care to patients at one the clinics in this study Exclusion Criteria: Practices: * Already integrated with Community-Based Doulas * Already have an Early Warning System or Disparities Dashboard
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What it tests

  • Data Accountability and Transparency
  • Community-Based Doula (CBD) Support
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Where

1 site
University of North Carolina at Chapel Hill
Chapel Hill, United States
🤝 Taking part is your choice, and you can leave at any time. Only the trial team can confirm you are eligible — always decide together with your own doctor.
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