Deconstructing Maternal Burdens: Doulas and the Community Unite for Health
NCT07799805 · Status: NOT_YET_RECRUITING · Phase: NA · Type: INTERVENTIONAL · Enrollment: 516
Last updated 2026-09-02
Summary
This study is a randomized controlled trial comparing two models of doula support for pregnant individuals enrolled in Medicaid: an enhanced doula support model, in which support starts earlier in pregnancy, occurs more frequently, and continues through the first year after birth, versus the standard doula care currently covered by Medicaid in Florida.
The study also builds the doula workforce needed to sustain this model of care, training doulas to become eligible to bill Medicaid for their services.
The primary goal is to determine whether the enhanced doula model results in significantly lower rates of perinatal depressive and anxiety symptoms compared to standard doula support, while gathering data on real-world implementation. The study also evaluates the effectiveness of Medicaid-covered doula services more broadly, with findings intended to inform state-level policy on Medicaid reimbursement and the extension of doula services into the postpartum period.
Conditions
- Pregnancy
- Post Partum
- Doula Care
- Postpartum Depression (PPD)
- Perinatal Depression
- Perinatal Anxiety
- Health Disparities
- Pregnancy Complications
- Maternal Adverse Outcomes
Interventions
- OTHER
-
Doula
Enhanced doula support in the post-partum period.
- OTHER
-
Standard (non-enhanced) Medicaid doula support
Standard (non-enhanced) Medicaid doula support
Sponsors & Collaborators
-
National Institute of Nursing Research (NINR)
collaborator NIH - lead OTHER
Study Design
- Allocation
- RANDOMIZED
- Purpose
- SUPPORTIVE_CARE
- Masking
- SINGLE
- Model
- PARALLEL
Eligibility
- Min Age
- 15 Years
- Max Age
- 49 Years
- Sex
- FEMALE
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2026-09-01
- Primary Completion
- 2029-05-28
- Completion
- 2029-11-30
Countries
- United States
Study Locations
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