[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-study-detail:100476505":3},{"organization":4,"armGroups":7,"interventions":28,"overallOfficials":35,"centralContacts":41,"locations":49,"responsibleParty":68,"collaborators":70,"id":78,"slug":79,"hasResults":80,"nctId":81,"briefTitle":82,"officialTitle":83,"acronym":84,"eligibilityCriteria":85,"healthyVolunteers":86,"sex":87,"minAge":88,"maxAge":89,"enrollmentInfo":90,"targetDuration":12,"studyType":93,"phases":94,"briefSummary":96,"conditions":97,"keywords":12,"overallStatus":52,"whyStopped":12,"lastUpdateSubmitDate":104,"lastUpdatePostDateStruct":105,"startDateStruct":108,"completionDateStruct":110,"leadSponsor":112,"locationsCount":113},{"fullName":5,"class":6},"University of North Carolina, Chapel Hill","OTHER",[8,13,19,24],{"label":9,"type":10,"description":11,"interventionNames":12},"Standard Care","NO_INTERVENTION","Pregnant patients with Medicaid insurance are screened for risk factors for low birthweight, and high-risk patients receive intensive care management.",null,{"label":14,"type":15,"description":16,"interventionNames":17},"Data Accountability and Transparency","ACTIVE_COMPARATOR","Pregnant patients with Medicaid insurance are screened for risk factors for low birthweight, and high-risk patients receive intensive care management. Additionally, practices receive 2 additional patient-level interventions, including: 1) Support from a Practice Facilitator to help implement the interventions and build workflows and quality improvement cycles; 2) Use of a Maternal Warning System for missed visits, elevated blood pressures, and prenatal aspirin eligibility; 3) Use of a Data Dashboard that displays outcome data stratified by race, ethnicity, age, and preferred language; and 4) Maternal Health Equity Education \\& Training sessions.",[18],"Other: Data Accountability and Transparency",{"label":20,"type":15,"description":21,"interventionNames":22},"Community-Based Doula (CBD) Support","Pregnant patients with Medicaid insurance are screened for risk factors for low birthweight, and high-risk patients receive intensive care management. Additionally, practices receive 2 additional patient-level interventions, including: 1) Shared care of high-risk patients with Community-Based Doulas; and 2) Maternal Health Equity Education \\& Training sessions.",[23],"Other: Community-Based Doula (CBD) Support",{"label":25,"type":15,"description":26,"interventionNames":27},"Data Accountability and Transparency + Community-Based Doula Support","Pregnant patients with Medicaid insurance are screened for risk factors for low birthweight, and high-risk patients receive intensive care management, and practices receive all the Data Accountability and Doula Interventions described in Arms 2 and 3.",[18,23],[29,32],{"type":6,"name":14,"description":30,"armGroupLabels":31,"otherNames":12},"Collaboration with Practice Facilitators; Maternal Early Warning System; Disparities Dashboard; Racial Equity Training",[14,25],{"type":6,"name":20,"description":33,"armGroupLabels":34,"otherNames":12},"Community-Based Doula support for high-risk patients; Racial Equity Training",[20,25],[36,39],{"name":37,"affiliation":5,"role":38},"Jennifer H Tang, MD, MSCR","PRINCIPAL_INVESTIGATOR",{"name":40,"affiliation":5,"role":38},"Rachel P Urrutia, MD, MSCR",[42,46],{"name":37,"role":43,"phone":44,"phoneExt":12,"email":45},"CONTACT","919-962-4880","jennifer_tang@med.unc.edu",{"name":47,"role":43,"phone":44,"phoneExt":12,"email":48},"Rabab S Husain, MA","rabab_husain@med.unc.edu",[50],{"facility":51,"status":52,"city":53,"state":54,"zip":55,"country":56,"countryCode":57,"cosmosGeoPoint":58,"geoPoint":63,"contacts":64},"University of North Carolina at Chapel Hill","RECRUITING","Chapel Hill","North Carolina","27599","United States","US",{"type":59,"coordinates":60},"Point",[61,62],-79.05584,35.9132,{"lat":62,"lon":61},[65,67],{"name":66,"role":43,"phone":44,"phoneExt":12,"email":45},"Jennfier H Tang, MD, MSCR",{"name":47,"role":43,"phone":44,"phoneExt":12,"email":48},{"type":69,"investigatorFullName":12,"investigatorTitle":12,"investigatorAffiliation":12,"oldNameTitle":12,"oldOrganization":12},"SPONSOR",[71,73,76],{"name":72,"class":6},"Patient-Centered Outcomes Research Institute",{"name":74,"class":75},"UNC Health Foundation","UNKNOWN",{"name":77,"class":6},"The Duke Endowment","100476505","accountability-for-care-through-undoing-racism--equity-for-moms-100476505",false,"NCT05484804","Accountability for Care Through Undoing Racism & Equity for Moms","Reducing Racial Disparities in Maternal Care Through Data-Based Accountability and Doula Support","ACURE4Moms","Inclusion Criteria:\n\nPractices:\n\n* Have at least 180 Black patient deliver over 2 years\n* Be willing to be randomized\n* Be willing to adhere to the study protocol\n\nPatient survey participants:\n\n* Start prenatal care at one of the study clinics during study implementation\n* Self-identify as Black or African American\n* Able to give consent and complete surveys and interviews in English\n\nPractice staff member participants:\n\n* Employed as either a provider, nurse\u002Fmedical assistant, or office administrator at one of the clinics in this study\n\nDoula participants:\n\n* Provide doula care to patients at one the clinics in this study\n\nExclusion Criteria:\n\nPractices:\n\n* Already integrated with Community-Based Doulas\n* Already have an Early Warning System or Disparities Dashboard",true,"FEMALE","12 Years","99 Years",{"count":91,"type":92},60000,"ESTIMATED","INTERVENTIONAL",[95],"NA","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.",[98,99,100,101,102,103],"Pregnancy Related","Maternal Health","Maternal Mortality","Low Birthweight","Racism","Implicit Bias","2026-04-13",{"date":106,"type":107},"2026-04-17","ACTUAL",{"date":109,"type":107},"2023-06-05",{"date":111,"type":92},"2027-08-31",{"name":5,"class":6},1]