• Amanda C DeDiego, Feven Seifu, Ayn Rassier, Alyson Bartley, and Andrea Ollila.
• University of Wyoming (A.C.D., A.O.), Casper, Wyoming, USA. Electronic address: adediego@uwyo.edu.
• J Pain Symptom Manage. 2023 Oct 1; 66 (4): e469e473e469-e473.

ContextEnd-of-life doulas provide support to the chronically ill, dying, and their families. However, little is known about the roles and services of doulas practicing in the United States.ObjectivesThe purpose of the current study is to gain understanding of the roles and experiences of death doulas in the United States.MethodsThe current study used concurrent triangulation mixed methods design combining survey data with video and audio file submissions from end-of-life doulas. The survey included demographics information, a questionnaire about the roles, services, and training of doulas, and the Professional Quality of Life Scale.ResultsThere were 74 (77.08%) complete responses from doulas practicing in the United States. Doulas shared about the types of services offered and professional roles they filled in work with the dying and their families. Many doulas offered hybrid or virtual services in addition to in-person care. Many worked at least partially on a volunteer basis. Professional Quality of Life Scales indicated a high level of compassion satisfaction, a low level of burnout, and a low level of secondary trauma.ConclusionIn the complex healthcare system of the United States, end-of-life doulas offer valuable interpersonal services like legacy and grief work as well as practical services like financial and logistical end-of-life planning.Copyright © 2023 American Academy of Hospice and Palliative Medicine. Published by Elsevier Inc. All rights reserved.

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