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Updated: Sep 7, 2026

A Novel Method for Involving Women of Color at High Risk for Preterm Birth in Research Priority Setting
Published on: January 12, 2018
Using RE-AIM and CFIR to develop a subsidized doula program for at-risk underserved pregnant mothers
Leticia Aguerre Gatus1, Kendra Folh2, Audrey Kobina3
1Community Health Network, Institute for Health Access and Engagement, Memorial Hermann Health System, Houston, TX, United States.
Abstract:
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.
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