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Accountability for Care Through Undoing Racism & Equity for Moms
Reducing Racial Disparities in Maternal Care Through Data-Based Accountability and Doula Support
Who can join
Ages 12 to 99 · Women · Healthy volunteers welcome
Full eligibility criteria
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
About the study
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 (Data Accountability and Transparency + Community-Based Doula Support): North Carolina Medicaid Care Management + Both Arms 2 and 3 interventions. During each practice's 2-year intervention period, the practice will initiate prenatal care for \~750-1,500 patients (up to 60,000 patients total), whose outcomes the investigators will follow and compare between arms until all these patients have reached 1-year post-delivery.
What is being tested
- Data Accountability and Transparency (other)
- Community-Based Doula (CBD) Support (other)
Sponsor: University of North Carolina, Chapel Hill · Participants: 60,000 · Started: Jun 5, 2023
Contact the study team
- Jennifer H Tang, MD, MSCR · Phone: 919-962-4880
- Rabab S Husain, MA · Phone: 919-962-4880
Official record on ClinicalTrials.gov — NCT05484804
Locations in the U.S.
| North Carolina | University of North Carolina at Chapel Hill, Chapel Hill |
Conditions
From ClinicalTrials.gov, data retrieved Sep 30, 2026. Each study sets its own eligibility; the study team decides who can join.