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Deconstructing Maternal Burdens: Doulas and the Community Unite for Health
Sponsor: University of Florida
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.
Key Details
Gender
FEMALE
Age Range
15 Years - 49 Years
Study Type
INTERVENTIONAL
Enrollment
516
Start Date
2026-09-01
Completion Date
2029-11-30
Last Updated
2026-09-02
Healthy Volunteers
No
Conditions
Interventions
Doula
Enhanced doula support in the post-partum period.
Standard (non-enhanced) Medicaid doula support
Standard (non-enhanced) Medicaid doula support
Locations (1)
University of Florida
Gainesville, Florida, United States