Psychosocial Skills Group for Pelvic Floor Symptoms

Piloting a Virtual Education and Psychosocial Skills Group for Postpartum Pelvic Floor Symptoms

There is a critical need for evidence-based programs that address the educational needs and psychosocial impact of childbirth-related pelvic floor injuries and conditions in an accessible format. The purpose of this pilot study is to develop, implement, and evaluate the feasibility, acceptability, and preliminary effectiveness of a manualized 6-session psychosocial skills and education group for individuals with birth-related pelvic floor injuries and conditions. This group-based approach integrates psychoeducation, pain science, cognitive-behavioral techniques, acceptance-based and mindfulness skills to enhance quality of life and coping skills for those managing these conditions.

This research study will test whether a virtual education and psychosocial skills group can provide valuable resources and skill-building for people living with these conditions. The findings from this pilot study will help us understand whether this type of program is feasible, acceptable, and potentially beneficial, and will inform refinement of the group protocol and study procedures in preparation for a future randomized controlled trial.

Interested participants are eligible to participate if they:

1. Are experiencing pelvic floor symptoms following vaginal delivery within the past year; this may include urinary or fecal incontinence, pelvic organ prolapse symptoms ("tampon falling out"), and pelvic pain.
2. Believe that their pelvic floor symptoms are negatively impacting wellbeing and quality of life.
3. Are under the care of a medical provider for management of physical symptoms (e.g., pelvic floor PT, urogynecologist, obstetrician gynecologist, primary care clinician, etc).
4. Are English-speaking.
5. Are comfortable participating in a virtual group-based setting.

Exclusion Criteria:

1. Cognitive disability that prevents participants from understanding and engaging with spoken and written group content
2. Suicidal thoughts or urges to harm oneself
3. Lack of private space to join the group sessions from
4. Current pregnancy