Methods
Curriculum for ten monthly g roup visits of Centerin-
gIMPPACT (Centering and Integrative Medicine for
chronic Pelvic PAin Comprehensive Treatment)
included mind-body approaches to managing CPP. A
pilot study was conducted among patients with CPP at a
safety net hospital. Qualitative and quantitative data
were collected at baseline and three follow-up time
points to assess feasibility, acceptability, and preliminary
data on efficacy.
Results
CenteringIMPPACT particip ants (n=12) were on aver-
age 42 years of age; 58% were African American; 42%
had attended some college; and 83% had household
incomes of less than $35,000; 42% reported being in fair
or poor health. From baseline to 3-month follow-up,
average number of days that women reported limitations
of usual activities decreased from 24 to 15. Health-
related quality of life improved slightly; average life
interference due to CPP decreased from 2.64 to 2.43.
Mental health did not improve: scores on the Patient
Health Questionnaire PHQ-9 for Depression increased
from 11.25 to 12.43. Based on qualitative data, partici-
pants experienced healthcare empowerment through
learning to advocate for themselves and increased sup-
port and hope from the groups.
Conclusion
Preliminary data from this study indicates some
improvements in functional activities and health-related
quality of life among medically underserved women
with CPP. Group medical visits are a viable model of
comprehensive care for CPP in safety net healthcare set-
tings. Additional data are needed to further evaluate the
effects of CenteringIMPPACT.
Published: 12 June 2012
doi:10.1186/1472-6882-12-S1-P401
Cite this article as: Chao and Abercrombie: P05.41. Development and
evaluation of group medical visits for medically underserved women
with chronic pelvic pain. BMC Complementary
and Alternative Medicine 2012 12(Suppl 1):P401.
Univ of California, San Francisco, Osher Center for Integrative Med, San
Francisco, USA
Chao and Abercrombie BMC Complementary
and Alternative Medicine 2012, 12(Suppl 1):P401
http://www.biomedcentral.com/1472-6882/12/S1/P401
© 2012 Chao and Abercrombie; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative
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