학술논문

Building Capacity for Research on Community Doula Care: A Stakeholder-Engaged Process in California
Document Type
article
Source
Subject
Health Services and Systems
Health Sciences
Behavioral and Social Science
Clinical Research
Health Services
Management of diseases and conditions
7.3 Management and decision making
Health and social care services research
8.1 Organisation and delivery of services
Good Health and Well Being
Community doula
Doula care
Maternal health
Community engaged research
Research priorities
Medical and Health Sciences
Studies in Human Society
Public Health
Biomedical and clinical sciences
Health sciences
Human society
Language
Abstract
PurposeIn an effort to address persistent inequities in maternal and infant health, policymakers and advocates have pushed to expand access to doula care. Several states, including California, now cover doula services through Medicaid. As coverage expands, research on the impact of doula care will likely increase. To develop best practices for research, it is critical to engage community doulas, clients, and other key stakeholders.DescriptionOur overarching goal was to build capacity for future doula- and client-centered research on community doula care. First, we established a Steering Committee with members from seven relevant stakeholder groups: community doulas, former or potential doula clients, clinicians, payers, advocates, researchers, and public health professionals. Second, we conducted a needs assessment to identify and understand stakeholders' needs and values for research on community doula care. Findings from the needs assessment informed our third step, conducting a research prioritization to develop a shared research agenda related to community doula care with the Steering Committee. We adapted the Research Prioritization by Affected Communities protocol to guide this process, which resulted in a final list of 21 priority research questions. Lastly, we offered a training to increase capacity among community doulas to engage in research on community doula care.AssessmentOur findings provide direction for those interested in conducting research on doula care, as well as policymakers and funders.ConclusionThe findings of our stakeholder-engaged process provide a roadmap that will lead to equity-oriented research centering clients, doulas, and their communities.