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Interdisciplinary Pelvic Pain Self-Management in a Small Group Format: Replication of Pilot Outcomes in Clinical Practice

Authors List
Joseph, K., Pelvic Pain NZ
Mills, J.,Pelvic Pain NZ


Introduction
Pelvic pain is a common, disabling and burdensome condition affecting many thousands of women in New Zealand. Current biomedical end-organ directed management approaches fail to bring relief for many with or without endometriosis. International literature however demonstrates that whole-person pain self-management approaches can improve pain and quality of life.

A pilot study of a six-week small group interdisciplinary pain self-management intervention for women living with pelvic pain demonstrated clinically significant improvement for 88% of participants across a number of domains, with no clinically significant deterioration on any measure. 

​Following this successful pilot the intervention was delivered as a treatment option for women with pelvic pain attending a private pelvic pain clinic. Outcome measures and free text feedback were collected for ongoing quality improvement. 
 
Aims
To confirm the efficacy and acceptability of a group self-management programme for women with pelvic pain in real-world clinical practice. 
 
Methods
Using a within-subject pre-and-post design, the participants completed self-report measures prior to, and immediately and at six- and 12-months following participation.
 
Results
Results demonstrate clinically significant gains immediately following and up to 12 months after participating in a group self-management programme for pelvic pain.
 
Conclusions
Consistent with the pilot, this small-group pain self-management programme demonstrates improvements in wellbeing and self-efficacy for women living with pelvic pain. 
  
References 
Joseph, K. (2020). The Development and Delivery of a Specialised Multidisciplinary Pain Management Group Programme for Women with Chronic Pelvic Pain (Master’s dissertation, University of Otago).
Joseph, K. Mills M (2023) Improvements from small group multidisciplinary pain management intervention for women living with pelvic pain maintain at 12 months. Pain Reports (in press)

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  • NZPS 2026
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