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NOT YET RECRUITING

NCT07642947

Digitally Enhanced Peer Doula Model for Perinatal Patients With Substance Use Disorder

Sponsor: Trustees of Dartmouth College

View on ClinicalTrials.gov

Summary

The goal of this pilot study is to learn if a digitally enhanced peer doula program for people with perinatal substance use disorders (PSUD) is feasible and acceptable to patients and staff at two clinics. Participants will include staff members, such as healthcare providers, recovery support doulas, and administrators, who work at one of the two clinics. It will also include PSUD patients receiving care through the digitally enhanced peer doula program. Participants will be asked to complete short surveys and take part in a one-time interview with research staff. This study will also explore engagement in perinatal substance use disorder treatment and prenatal and postpartum visits.

Official title: A Digitally Enhanced Model of Peer Doula Support for Substance Use Disorder and Peripartum Care

Key Details

Gender

All

Age Range

18 Years - Any

Study Type

OBSERVATIONAL

Enrollment

100

Start Date

2026-06-01

Completion Date

2027-02-28

Last Updated

2026-06-11

Healthy Volunteers

Conditions

Perinatal Substance Use

Interventions

OTHER

Digitally Enhanced Peer Doula Model of Care

In the digitally enhanced peer doula model of care, patients with perinatal substance use disorder are partnered with a recovery support peer doula who is able to provide synchronous or asynchronous support. This support can include in-person and text-based and/or telehealth support, in addition to assistance scheduling and arranging transport to appointments for both SUD and peripartum care, and assisting with access to food, transportation and housing. Additionally, these patients are offered a free smartphone and data plan for pregnancy and one-year postpartum.

Staff Participant Inclusion Criteria: 1. 18 years of age or older. 2. Employed by the participating clinic site and identified as care providers and/or administrative staff. Clinic roles may include: 1. Provider (including MD, CNM, DO, PA, NP, nurse, medical assistant, behavioral health clinician, social worker, lactation consultant and/or other clinical roles that provide care to patients). 2. Peer doulas. 3. Administrator (including front desk staff, scheduler, clinic and/or team manager). 4. Site leadership. 3. Able to speak English sufficiently to understand the study and, having understood, provide written informed consent to participate in the study. Exclusion Criteria: 1. Unwilling or unable to provide consent 2. Currently detained in jail, prison, residential substance use treatment facility, or other overnight facility as required by court of law; or have pending legal action that could prevent participating in study activities Patient Participant (Cohort 1 \& Cohort 2) Inclusion Criteria 1. 18 years of age or older 2. Patient of the participating site who is eligible to receive prenatal, postpartum, or delivery services •Either 1. Not currently engaged in the digitally enhanced peer doula model and no prior exposure to the model or less than 30 days exposure to the model if newly enrolled, AND currently pregnant or up to 6 weeks postpartum. OR 2. Currently engaged in the digitally enhanced peer doula model for more than 30 days, AND currently pregnant or up to one year postpartum 3. Able to speak English sufficiently to understand the study and, having understood, provide written informed consent to participate in the study. Exclusion Criteria: 1. Unable or unwilling to provide consent to participate in study activities 2. Currently detained in jail, prison, residential substance use treatment facility, or other overnight facility as required by court of law; or have pending legal action that could prevent participating in study activities 3. Currently unable to engage in the digitally enhanced peer doula model or attend research visits

Locations (2)

Dartmouth Hitchcock Medical Center

Lebanon, New Hampshire, United States

The OHSU MEADOWLARK Program (MEntal health and ADdiction integrated for Obstetric Wellness)

Portland, Oregon, United States