Caring for providers to improve patient experience (CPIPE): intervention development process

Area of Science:

• Maternal Health
• Healthcare Quality Improvement
• Health Disparities

Background:

• Disrespectful and abusive treatment during childbirth is a documented problem globally.
• Existing research lacks effective interventions to improve person-centred maternal care (PCMC).
• Provider stress and implicit bias are identified drivers of poor PCMC and health inequities.

Purpose of the Study:

• To describe the development process of an intervention aimed at improving PCMC.
• To address provider stress and implicit bias as key factors influencing maternal care quality.
• To introduce the 'Caring for Providers to Improve Patient Experience (CPIPE)' intervention.

Main Methods:

• Iterative intervention design informed by literature, behavior change theory, and formative research.
• Utilized Social Cognitive Theory, Trauma Informed System framework, and Ecological Perspective for strategy development.
• Consultation with key stakeholders throughout the development process.

Main Results:

• The 'Caring for Providers to Improve Patient Experience (CPIPE)' intervention was developed with 5 components: training, peer support, mentorship, champions, and leadership engagement.
• Training includes content on PCMC, stress, bias, and integrates with emergency obstetric and neonatal care (EmONC) simulations.
• Intervention pilot implementation is underway in Migori County, Kenya.

Conclusions:

• The CPIPE intervention is an innovative, theory- and evidence-based approach targeting key drivers of poor PCMC.
• It aims to improve both patient experience and provider well-being, addressing unique needs of vulnerable women and staff.
• This intervention has the potential to advance the evidence base for PCMC improvement and enhance equity in maternal and neonatal health outcomes.