PROMOTE Program for Pregnancy

Overseen By Sarahn Wheeler, MD

Age: 18+

Sex: Any

Trial Phase: Academic

Sponsor: Duke University

Disqualifiers: Not a clinical team member

No Placebo Group All trial participants will receive the active study treatment (no placebo)

Compensation: Varies

Number of Visits: Unknown

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial aims to determine if the PROMOTE program (PROvider ReMote ObsTetric-Related Employment Education) can enhance workplace support for pregnant patients compared to usual care. Doctors and other medical professionals will receive specialized training to counsel pregnant patients on workplace accommodations. Researchers will then compare the effects on work-related issues, such as wage changes and job advancements, along with health outcomes for both mothers and their babies. Pregnant patients from diverse backgrounds concerned about workplace accommodations during pregnancy may be well-suited for this study. As an unphased trial, this study provides a unique opportunity to contribute to research that could improve workplace support for pregnant patients.

Do I need to stop my current medications for this trial?

The trial information does not specify whether you need to stop taking your current medications. It seems to focus on workplace accommodations and pregnancy counseling, so it's unlikely that medication changes are required.

What prior data suggests that the PROMOTE program is safe for pregnant patients?

Research has shown that remote prenatal education programs, such as PROMOTE, are safe and beneficial. One study found that these programs improved breastfeeding rates and maintained engagement among pregnant women. This indicates that pregnant women generally respond well to remote learning programs.

PROMOTE is an educational program, not a medical treatment, and is considered safe. It aims to teach healthcare providers how to better support pregnant women at work. As an educational program rather than a medication or medical procedure, it carries very low risk. ^{1 2 3 4 5}

Why are researchers excited about this trial?

Researchers are excited about the PROMOTE program because it aims to enhance prenatal care by providing specialized training to healthcare providers. Unlike standard prenatal care, which often focuses on in-person visits and traditional educational methods, PROMOTE leverages remote education to equip providers with the latest knowledge and skills related to obstetric-related employment. This approach could lead to more informed providers, potentially improving outcomes for pregnant individuals by integrating advanced, accessible training into their practice.

What evidence suggests that the PROMOTE program is effective for improving workplace counseling and maternal-infant health during pregnancy?

Research has shown that the PROMOTE program, tested in this trial, helps obstetric providers discuss work and pregnancy-related needs more frequently with patients. Participants will be in one of two groups: those receiving PROMOTE training and those continuing with usual care. Early results suggest that healthcare providers with special training are more likely to address important work issues with pregnant patients. This may lead to better support at work and help patients avoid losing wages or job positions during pregnancy. Previous studies have found that online prenatal education can improve patient satisfaction and lead to better health outcomes. Overall, PROMOTE aims to ensure pregnant patients receive the guidance needed for a healthier and more supportive work environment. ^{1 3 6 7 8}

Who Is on the Research Team?

Sarahn Wheeler, MD

Principal Investigator

Duke University

Are You a Good Fit for This Trial?

This trial is for pregnant individuals under the care of obstetric providers. It aims to include a diverse group in terms of race and socioeconomic status. Specific eligibility criteria are not provided, but typically participants must meet certain health standards and agree to study procedures.

Inclusion Criteria

Clinical team member (doctor, nurse, advanced practice provider, any medical assistant or administrative staff)

Exclusion Criteria

Not a clinical team member

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Intervention

Providers are randomized to either the PROMOTE intervention or usual care, and participants receive counseling about workplace accommodations and pregnancy

Up to 1 year

Follow-up

Participants are monitored for outcomes such as work-related counseling, wage or advancement reduction, accommodation requests, and maternal-infant health

Up to 1 year

What Are the Treatments Tested in This Trial?

Interventions

• PROvider ReMote ObsTetric-Related Employment Education (PROMOTE)

Trial Overview The PROMOTE intervention is being tested against usual care to see if it improves work-related counseling during pregnancy, adherence to employer documentation recommendations, reduces undesired wage or advancement reduction, increases granted accommodation requests, and enhances maternal-infant health outcomes.

How Is the Trial Designed?

Group I: Receiving Provider PROMOTE Training Experimental Treatment 1 Intervention

Providers in this arm will receive training on PROMOTE

Group II: Usual Care Active Control 1 Intervention

Providers in this arm will continue usual care.

Who Is Running the Clinical Trial?

Duke University

Lead Sponsor

Trials

2,495

Recruited

5,912,000+

Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD)

Collaborator

Trials

2,103

Recruited

2,760,000+

Citations

1. reporter.nih.gov reporter.nih.gov/project-details/10941962

PROMOTE and TEACH Equity During Research Aim 1, we will determine the efficacy of PROMOTE to increase the likelihood that obstetric clinical teams counsel patients about work and ...

2. pmc.ncbi.nlm.nih.gov pmc.ncbi.nlm.nih.gov/articles/PMC12198026/

Obstetricians' experiences with remote monitoring ... To explore obstetricians' experiences with remote patient monitoring for hypertensive disorders in the perinatal period.

3. sciencedirect.com sciencedirect.com/science/article/pii/S2772628222000152

Using the PROMOTE self-report screening instrument ... The current research presents an in-depth analysis of the experiences of interprofessional prenatal care providers (i.e., nurse practitioners, midwives, ...

4. cureus.com cureus.com/articles/315438-effectiveness-of-telehealth-in-obstetric-and-gynecologic-care-a-systematic-review-of-health-outcomes

Effectiveness of Telehealth in Obstetric and Gynecologic ... A few provide evidence of positive changes in patient outcomes and patient satisfaction in particular while others depict some issues like ...

5. thelancet.com thelancet.com/journals/eclinm/article/PIIS2589-5370(21)00131-0/fulltext

Impact of remote prenatal education on program ... The findings suggest that remote prenatal education is feasible and effective for improving the breastfeeding rate and engaging pregnant women ...

6. home.ecri.org home.ecri.org/blogs/ecri-news/improving-maternal-care-remains-critical-in-u-s

Improving Maternal Care Remains Critical in U.S. A total of 25,793 perinatal patient safety events from 2023 were collected, and a sample size of 375 perinatal safety events were analyzed. Of ...

7. sciencedirect.com sciencedirect.com/science/article/pii/S1871519224003032

The effectiveness of antenatal education on improving ... Antenatal education programs studied improve some labour and birth outcomes, although with substantial heterogeneity regarding mode of birth and epidural ...

8. bmcpregnancychildbirth.biomedcentral.com bmcpregnancychildbirth.biomedcentral.com/articles/10.1186/s12884-025-07209-8

A scoping review of digital technologies in antenatal care This review aims to assess the applicability, outcomes, and recent advancement of digital health modalities in antenatal care.