About this trial
This is a randomized controlled trial of a dyad-centered, doula support and healthcare coordination model of care in a large urban neonatal intensive care unit (NICU), which serves a high-risk, low-income, majority Black population. In addition to doula support and coordination of care in the NICU, there will be a warm handoff to a community doula to continue the support once infants leave the Hospital of the University of Pennsylvania (HUP) NICU.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
HUP postpartum patients who are at least 16 years old at the time their newborns' birth
Infant born at HUP
Preterm birth <34 weeks
English language speaking
Disqualifiers
Unable to read or sign informed consent
Parents of infants transferred into HUP NICU
If the medical team believes that the infant may not live or be transferred to another hospital in upcoming weeks
HUP postpartum patients who are less than 16 years of age at the time of their newborns' birth
Trial design
Parallel
Treatments tested in this trial
Doula Support
Other interventionDoula support including care coordination to mental and medical health services in the NICU, with a warm handoff to a community doula to continue the support once infants leave the HUP NICU.
Treatment groups
Trial outcomes
Primary outcomes
Difference in Post Traumatic Stress Disorder Scores at 6 months postpartum
This will measured by the PTSD Checklist for DSM-5 (PCL-5) is a 20-item self-report measure that assesses the 20 DSM-5 symptoms of PTSD. The symptom severity score ranges from 0-80 with 80 being a worse score.
Number of participants who have attendance with a primary care provider by 6 months postpartum
This will be assessed using the electronic health record and via survey and medical record review of outsider records.
Secondary outcomes
Difference in Depression scores at 6 months postpartum
Edinburgh Postnatal Depression Scale, higher scores reflect higher risk of depression, ranges from 0-30. A score of 13 is indicative of high risk for depression.
Receipt of ACOG-recommended postpartum care by patient's designated provider
Comparison between two groups, this will be coded as a Yes or No variable
Sponsors and contacts
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