Understanding the Role of Doulas in Supporting People With PMADs

Conditions studied

Maternal Health, Pregnancy, Delivery, Obstetric, Self Efficacy, Social Support, Mental Health, Substance-Related Disorders, Postpartum Depression, Depression, Mental Health Services

About this study

Detailed Description The doula-led intervention developed during the first phase of this project will be pilot tested for feasibility. Following the recruitment procedures described in the recruitment and retention plan, approximately 75 participants will be enrolled into the study. Twenty-five of the participants will receive regular doula care and 25 of the participants will receive care from a doula trained in the PMAD doula training throughout their pregnancy, childbirth, and postpartum time period, following the intervention procedures developed in Aim 2 of this study. Twenty-five women will not receive care from a doula and will receive perinatal care as usual. Women in all groups will take surveys via REDCap during their enrollment in the intervention, at 1 month postpartum, 3 months, and 6 months postpartum (at the conclusion of the intervention). All participants who receive the PMAD doula intervention will complete checklists after each session with their doula, to assess fidelity to the intervention. Participant communication with their doula via patient notebook will also be assessed for fidelity to the intervention.

Interventions

• Behavioral: Standard Doula Care Plus PMAD Intervention — Doulas trained in the DONA training, and the PMAD-focused training will provide care to perinatal people.
• Behavioral: Standard Doula Care — Doulas trained in the DONA training will provide care to perinatal people.

Primary outcomes

• The Childbirth Self-Efficacy Inventory (CBSEI) (At study enrollment)
• Change in the Childbirth Self-Efficacy Inventory (CBSEI) at 1 month postpartum (1-month postpartum)
• Change in the Childbirth Self-Efficacy Inventory (CBSEI) at 3 months postpartum (At 3-months)
• Change in the Childbirth Self-Efficacy Inventory (CBSEI) at 6 months postpartum (At 6-months postpartum.)
• The General Self-Efficacy Scale (SGSE) (At study enrollment)
• Change in the General Self-Efficacy Scale (SGSE) at 1-month postpartum (1-month postpartum)
• Change in the General Self-Efficacy Scale (SGSE) at 3-months postpartum (At 3-months postpartum)
• Change in the General Self-Efficacy Scale (SGSE) at 6-months postpartum (At 6-months postpartum.)

Eligibility information

Study locations

• University of Montana, Missoula, Montana 59812 United States