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Using RE-AIM and CFIR to develop a subsidized doula program for at-risk underserved pregnant mothers.

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Τίτλος: Using RE-AIM and CFIR to develop a subsidized doula program for at-risk underserved pregnant mothers.
Συγγραφείς: Gatus LA; Community Health Network, Institute for Health Access and Engagement, Memorial Hermann Health System, Houston, TX, United States., Folh K; Women and Children's Service Line, Memorial Hermann Health System, Houston, TX, United States., Kobina A; Nursing Excellence and Clinical Excellence, Memorial Hermann Cypress Hospital, Cypress, TX, United States., Bhaloo T; Institute for Nursing Excellence, Memorial Hermann Health System, Houston, TX, United States.
Πηγή: Frontiers in public health [Front Public Health] 2026 Aug 21; Vol. 14, pp. 1860925. Date of Electronic Publication: 2026 Aug 21 (Print Publication: 2026).
Τύπος έκδοσης: Journal Article
Γλώσσα: English
Στοιχεία περιοδικού: Publisher: Frontiers Editorial Office Country of Publication: Switzerland NLM ID: 101616579 Publication Model: eCollection Cited Medium: Internet ISSN: 2296-2565 (Electronic) Linking ISSN: 22962565 NLM ISO Abbreviation: Front Public Health Subsets: MEDLINE
Imprint Name(s): Original Publication: Lausanne : Frontiers Editorial Office
Ιατρικοί όροι (MeSH): Maternal Health Services*/organization & administration , Doulas* , Vulnerable Populations* , Program Development*, Humans ; Pregnancy ; Female
Περίληψη: The paper describes how a large healthcare organization used RE-AIM and CFIR frameworks to systematically guide the program planning for an evidence-based doula program. Despite the known benefits of doulas, disparities persist, specifically among vulnerable individuals. The program embraced a holistic approach that coupled screening and nurse navigation with doula care to at-risk pregnant individuals. Identified barriers and facilitators influenced program design to improve reach and effectiveness. The paper presents how RE-AIM and CFIR can be used to design a comprehensive doula program, aimed to address an ongoing public health crisis.
(Copyright © 2026 Gatus, Folh, Kobina and Bhaloo.)
Competing Interests: The author(s) declared that this work was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.
References: BMC Health Serv Res. 2023 Dec 21;23(1):1455. (PMID: 38129824)
BMC Public Health. 2024 Jun 13;24(1):1588. (PMID: 38872108)
Worldviews Evid Based Nurs. 2021 Apr;18(2):118-128. (PMID: 33856117)
Am J Manag Care. 2014 Aug 01;20(8):e340-52. (PMID: 25295797)
Obstet Gynecol Surv. 2023 Feb;78(2):124-127. (PMID: 36786720)
Womens Health Issues. 2024 Jul-Aug;34(4):417-428. (PMID: 38503681)
PLoS One. 2025 Feb 10;20(2):e0316027. (PMID: 39928649)
J Psychosoc Nurs Ment Health Serv. 2022 Mar;60(3):2-4. (PMID: 35244494)
J Pain Symptom Manage. 2023 Aug;66(2):e265-e273. (PMID: 37098388)
Front Health Serv. 2022 Oct 17;2:959565. (PMID: 36925843)
Front Public Health. 2025 Jun 26;13:1569320. (PMID: 40642250)
Am J Public Health. 2024 Nov;114(11):1275-1285. (PMID: 39356988)
EClinicalMedicine. 2022 Jul 01;50:101531. (PMID: 35812994)
Front Public Health. 2021 Oct 21;9:664659. (PMID: 34746071)
Implement Sci. 2022 Oct 29;17(1):75. (PMID: 36309746)
Circ Cardiovasc Qual Outcomes. 2021 Feb;14(2):e007643. (PMID: 33563007)
J Racial Ethn Health Disparities. 2026 Oct;13(5):4186-4199. (PMID: 40731190)
Front Public Health. 2020 Mar 03;8:59. (PMID: 32195217)
JAMA. 2023 Jul 3;330(1):52-61. (PMID: 37395772)
Public Health Rev. 2022 Jul 04;43:1604400. (PMID: 35860809)
Prim Health Care Res Dev. 2023 Mar 08;24:e17. (PMID: 36883652)
Altern Ther Health Med. 2025 May;31(3):100-106. (PMID: 38814602)
Birth. 2020 Mar;47(1):89-97. (PMID: 31659788)
Cien Saude Colet. 2020 Jul 8;25(7):2663-2676. (PMID: 32667549)
Obstet Gynecol. 2016 Sep;128(3):e54-e60. (PMID: 27548555)
J Nurs Adm. 2011 Apr;41(4):186-92. (PMID: 21430468)
BMC Pregnancy Childbirth. 2024 Dec 24;24(1):854. (PMID: 39716113)
Contributed Indexing: Keywords: doula; health disparities; implementation science; interdisciplinary team; maternal healthcare
Entry Date(s): Date Created: 20260905 Date Completed: 20260905 Latest Revision: 20260907
Update Code: 20260907
PubMed Central ID: PMC13541907
DOI: 10.3389/fpubh.2026.1860925
PMID: 42698841
Βάση Δεδομένων: MEDLINE
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  Data: Using RE-AIM and CFIR to develop a subsidized doula program for at-risk underserved pregnant mothers.
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  Data: <searchLink fieldCode="AU" term="%22Gatus+LA%22">Gatus LA</searchLink>; Community Health Network, Institute for Health Access and Engagement, Memorial Hermann Health System, Houston, TX, United States.<br /><searchLink fieldCode="AU" term="%22Folh+K%22">Folh K</searchLink>; Women and Children's Service Line, Memorial Hermann Health System, Houston, TX, United States.<br /><searchLink fieldCode="AU" term="%22Kobina+A%22">Kobina A</searchLink>; Nursing Excellence and Clinical Excellence, Memorial Hermann Cypress Hospital, Cypress, TX, United States.<br /><searchLink fieldCode="AU" term="%22Bhaloo+T%22">Bhaloo T</searchLink>; Institute for Nursing Excellence, Memorial Hermann Health System, Houston, TX, United States.
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  Data: <i>Publisher: </i><searchLink fieldCode="PB" term="%22Frontiers+Editorial+Office%22">Frontiers Editorial Office </searchLink><i>Country of Publication: </i>Switzerland <i>NLM ID: </i>101616579 <i>Publication Model: </i>eCollection <i>Cited Medium: </i>Internet <i>ISSN: </i>2296-2565 (Electronic) <i>Linking ISSN: </i><searchLink fieldCode="IS" term="%2222962565%22">22962565 </searchLink><i>NLM ISO Abbreviation: </i>Front Public Health <i>Subsets: </i>MEDLINE
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  Data: <searchLink fieldCode="MM" term="%22Maternal+Health+Services%22">Maternal Health Services*</searchLink>/<searchLink fieldCode="MM" term="%22Maternal+Health+Services+organization+%26+administration%22">organization & administration</searchLink> <br /><searchLink fieldCode="MM" term="%22Doulas%22">Doulas*</searchLink> <br /><searchLink fieldCode="MM" term="%22Vulnerable+Populations%22">Vulnerable Populations*</searchLink> <br /><searchLink fieldCode="MM" term="%22Program+Development%22">Program Development*</searchLink><br /><searchLink fieldCode="MH" term="%22Humans%22">Humans</searchLink> ; <searchLink fieldCode="MH" term="%22Pregnancy%22">Pregnancy</searchLink> ; <searchLink fieldCode="MH" term="%22Female%22">Female</searchLink>
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  Data: The paper describes how a large healthcare organization used RE-AIM and CFIR frameworks to systematically guide the program planning for an evidence-based doula program. Despite the known benefits of doulas, disparities persist, specifically among vulnerable individuals. The program embraced a holistic approach that coupled screening and nurse navigation with doula care to at-risk pregnant individuals. Identified barriers and facilitators influenced program design to improve reach and effectiveness. The paper presents how RE-AIM and CFIR can be used to design a comprehensive doula program, aimed to address an ongoing public health crisis.<br /> (Copyright © 2026 Gatus, Folh, Kobina and Bhaloo.)
– Name: Abstract
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  Data: The author(s) declared that this work was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.
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  Data: BMC Health Serv Res. 2023 Dec 21;23(1):1455. (PMID: <searchLink fieldCode="PM" term="%2238129824%22">38129824)</searchLink><br />BMC Public Health. 2024 Jun 13;24(1):1588. (PMID: <searchLink fieldCode="PM" term="%2238872108%22">38872108)</searchLink><br />Worldviews Evid Based Nurs. 2021 Apr;18(2):118-128. (PMID: <searchLink fieldCode="PM" term="%2233856117%22">33856117)</searchLink><br />Am J Manag Care. 2014 Aug 01;20(8):e340-52. (PMID: <searchLink fieldCode="PM" term="%2225295797%22">25295797)</searchLink><br />Obstet Gynecol Surv. 2023 Feb;78(2):124-127. (PMID: <searchLink fieldCode="PM" term="%2236786720%22">36786720)</searchLink><br />Womens Health Issues. 2024 Jul-Aug;34(4):417-428. (PMID: <searchLink fieldCode="PM" term="%2238503681%22">38503681)</searchLink><br />PLoS One. 2025 Feb 10;20(2):e0316027. (PMID: <searchLink fieldCode="PM" term="%2239928649%22">39928649)</searchLink><br />J Psychosoc Nurs Ment Health Serv. 2022 Mar;60(3):2-4. (PMID: <searchLink fieldCode="PM" term="%2235244494%22">35244494)</searchLink><br />J Pain Symptom Manage. 2023 Aug;66(2):e265-e273. (PMID: <searchLink fieldCode="PM" term="%2237098388%22">37098388)</searchLink><br />Front Health Serv. 2022 Oct 17;2:959565. (PMID: <searchLink fieldCode="PM" term="%2236925843%22">36925843)</searchLink><br />Front Public Health. 2025 Jun 26;13:1569320. (PMID: <searchLink fieldCode="PM" term="%2240642250%22">40642250)</searchLink><br />Am J Public Health. 2024 Nov;114(11):1275-1285. (PMID: <searchLink fieldCode="PM" term="%2239356988%22">39356988)</searchLink><br />EClinicalMedicine. 2022 Jul 01;50:101531. (PMID: <searchLink fieldCode="PM" term="%2235812994%22">35812994)</searchLink><br />Front Public Health. 2021 Oct 21;9:664659. (PMID: <searchLink fieldCode="PM" term="%2234746071%22">34746071)</searchLink><br />Implement Sci. 2022 Oct 29;17(1):75. (PMID: <searchLink fieldCode="PM" term="%2236309746%22">36309746)</searchLink><br />Circ Cardiovasc Qual Outcomes. 2021 Feb;14(2):e007643. (PMID: <searchLink fieldCode="PM" term="%2233563007%22">33563007)</searchLink><br />J Racial Ethn Health Disparities. 2026 Oct;13(5):4186-4199. (PMID: <searchLink fieldCode="PM" term="%2240731190%22">40731190)</searchLink><br />Front Public Health. 2020 Mar 03;8:59. (PMID: <searchLink fieldCode="PM" term="%2232195217%22">32195217)</searchLink><br />JAMA. 2023 Jul 3;330(1):52-61. (PMID: <searchLink fieldCode="PM" term="%2237395772%22">37395772)</searchLink><br />Public Health Rev. 2022 Jul 04;43:1604400. (PMID: <searchLink fieldCode="PM" term="%2235860809%22">35860809)</searchLink><br />Prim Health Care Res Dev. 2023 Mar 08;24:e17. (PMID: <searchLink fieldCode="PM" term="%2236883652%22">36883652)</searchLink><br />Altern Ther Health Med. 2025 May;31(3):100-106. (PMID: <searchLink fieldCode="PM" term="%2238814602%22">38814602)</searchLink><br />Birth. 2020 Mar;47(1):89-97. (PMID: <searchLink fieldCode="PM" term="%2231659788%22">31659788)</searchLink><br />Cien Saude Colet. 2020 Jul 8;25(7):2663-2676. (PMID: <searchLink fieldCode="PM" term="%2232667549%22">32667549)</searchLink><br />Obstet Gynecol. 2016 Sep;128(3):e54-e60. (PMID: <searchLink fieldCode="PM" term="%2227548555%22">27548555)</searchLink><br />J Nurs Adm. 2011 Apr;41(4):186-92. (PMID: <searchLink fieldCode="PM" term="%2221430468%22">21430468)</searchLink><br />BMC Pregnancy Childbirth. 2024 Dec 24;24(1):854. (PMID: <searchLink fieldCode="PM" term="%2239716113%22">39716113)</searchLink>
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