ACURE4Moms: Reducing Maternal Health Disparities

This study, called ACURE4Moms, aims to improve the health of pregnant Black patients and their babies by reducing racism and bias in healthcare. It tests two main approaches: "Data Accountability and Transparency" (which includes things like racial equity training for healthcare staff) and "Community-Based Doula (CBD) Support" (which provides doula support and racial equity training). The study is looking for Black or African American pregnant patients, aged 12 to 99, who start prenatal care at one of the participating clinics and can complete surveys in English. The main goal is to see if these interventions can lower the number of Black patients who deliver babies with low birthweight (less than 5 pounds 9 ounces). The current status of this study is unclear.

Study design
This is a pragmatic study with four groups, involving 39 prenatal practices in North Carolina. Practices are randomly assigned to receive standard care, data accountability and transparency interventions, or community-based doula support.
What's involved
You would start prenatal care at a study clinic and complete surveys and interviews. The study measures outcomes upon delivery.
Compensation
Not stated in the trial record.
Follow-up
Outcomes are measured upon delivery.

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NCT05484804

Accountability for Care Through Undoing Racism & Equity for Moms

Recruiting
NAAges 12–99InterventionalHealth services
University of North Carolina, Chapel Hill
~60,000 participants
Updated 2026-04-17 on ClinicalTrials.gov
What's tested:Data Accountability and TransparencyCommunity-Based Doula (CBD) Support

At a glance

Recruiting sites
1 of 1 listed site is recruiting right now
RecruitingSuspended, closed, or not yet open
What they're measuring
Odds of delivery of low-birthweight infants among non-Hispanic Black patients in each study arm
Measured over Upon delivery
Pregnancy Related
Maternal Health
Maternal Mortality
Low Birthweight
Racism
Implicit Bias
1 sites across 1 states
North Carolina1
  • Jennifer H Tang, MD, MSCR · PRINCIPAL_INVESTIGATOR · University of North Carolina, Chapel Hill
  • Rachel P Urrutia, MD, MSCR · PRINCIPAL_INVESTIGATOR · University of North Carolina, Chapel Hill

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Do you actually qualify for this trial?

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Eligibility criteria

Inclusion

Have at least 180 Black patient deliver over 2 years
Be willing to be randomized
Be willing to adhere to the study protocol
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
Employed as either a provider, nurse/medical assistant, or office administrator at one of the clinics in this study
Provide doula care to patients at one the clinics in this study

Exclusion

Already integrated with Community-Based Doulas
Already have an Early Warning System or Disparities Dashboard
  • Odds of delivery of low-birthweight infants among non-Hispanic Black patients in each study armUpon delivery

    This Primary Outcome Measure will compare the odds of delivery of low-birthweight infants (less than 2,500 grams) among non-Hispanic Black patients in each study arm as listed in the maternal delivery summary and/or neonatal electronic health record data, with the primary comparison being between the Data Accountability and Transparency + Community-Based Doula Support arm and the Standard Care arm.