Endometriosis Group Care
PEEPS
A Novel Approach to Endometriosis Treatment: Piloting an Interdisciplinary Group Care Model
1 other identifier
interventional
35
1 country
1
Brief Summary
The goal of this clinical trial is to test the effectiveness of the Peer Empowered Endometriosis Pain Support (PEEPS) program in people living with endometriosis-related pelvic pain. The main question\[s\] it aims to answer are:
- Is PEEPS effective at decreasing pain interference and improving patient-reported quality of life outcomes?
- What are the barriers and facilitators to PEEPS implementation? Participants will engage in eight weekly 2-hour sessions led by an endometriosis specialist, pain psychologist, pelvic floor physical therapist, and yoga instructor. At these sessions they will participate in peer support, education, mindfulness, and yoga.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for not_applicable
Started Feb 2023
Typical duration for not_applicable
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
November 10, 2022
CompletedFirst Posted
Study publicly available on registry
November 21, 2022
CompletedStudy Start
First participant enrolled
February 20, 2023
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 26, 2024
CompletedStudy Completion
Last participant's last visit for all outcomes
September 26, 2025
CompletedResults Posted
Study results publicly available
March 6, 2026
CompletedMarch 6, 2026
February 1, 2026
1.8 years
November 10, 2022
December 22, 2025
February 12, 2026
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
PROMIS Pain Interference SF 8a
Change in pain interference at completion of the intervention (8-weeks) as compared to baseline is reported. Analysis was conducted using mixed-effects modeling. PROMIS measures are reported with T-scores using a mean of 50 and a standard deviation (SD) of 10, based on the U.S. general population. Higher score indicates more of the measure (i.e. more pain).
8 weeks
Secondary Outcomes (7)
PROMIS Physical Function SF10a
8 weeks
Female Sexual Function Index
8 weeks
Endometriosis Health Profile-30
8 weeks
PROMIS Anxiety SF7a
8 weeks
PROMIS Depression SF8b
8 weeks
- +2 more secondary outcomes
Study Arms (1)
Endometriosis group care
EXPERIMENTALGroups of 6-10 patients with endometriosis and chronic pelvic pain will attend eight weekly two-hour sessions.
Interventions
The sessions will provide education on endometriosis, mindfulness, yoga, nutrition, and strategies to cope with chronic pain. Patients will additionally receive peer and clinician support to decrease the social isolation experienced by people with endometriosis
Eligibility Criteria
You may qualify if:
- Age 18-48 years
- Operative confirmation of endometriosis
- Chronic pelvic pain (defined as pain perceived to originate from the pelvis, lasting ≥6 months)
- No plan to have surgery in next 12 weeks
- Be able to attend eight 2-hour weekly sessions on the Washington University campus
You may not qualify if:
- Non-English speaking
- Currently pregnant
- Severe physical impairment
- History of hip or spine surgery
- Opioid use ≥ 5 days in the past 3 months, other than for the 6-week post-operative period
- Current or history of psychiatric disorder with psychosis
- Vulvadynia or vaginismus
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Washington University in St. Louis
St Louis, Missouri, 63110, United States
Related Publications (57)
Mowers EL, Lim CS, Skinner B, Mahnert N, Kamdar N, Morgan DM, As-Sanie S. Prevalence of Endometriosis During Abdominal or Laparoscopic Hysterectomy for Chronic Pelvic Pain. Obstet Gynecol. 2016 Jun;127(6):1045-1053. doi: 10.1097/AOG.0000000000001422.
PMID: 27159755BACKGROUNDMissmer SA, Cramer DW. The epidemiology of endometriosis. Obstet Gynecol Clin North Am. 2003 Mar;30(1):1-19, vii. doi: 10.1016/s0889-8545(02)00050-5.
PMID: 12699255BACKGROUNDAs-Sanie S, Black R, Giudice LC, Gray Valbrun T, Gupta J, Jones B, Laufer MR, Milspaw AT, Missmer SA, Norman A, Taylor RN, Wallace K, Williams Z, Yong PJ, Nebel RA. Assessing research gaps and unmet needs in endometriosis. Am J Obstet Gynecol. 2019 Aug;221(2):86-94. doi: 10.1016/j.ajog.2019.02.033. Epub 2019 Feb 18.
PMID: 30790565BACKGROUNDWalker EA, Katon WJ, Hansom J, Harrop-Griffiths J, Holm L, Jones ML, Hickok LR, Russo J. Psychiatric diagnoses and sexual victimization in women with chronic pelvic pain. Psychosomatics. 1995 Nov-Dec;36(6):531-40. doi: 10.1016/S0033-3182(95)71608-5.
PMID: 7501783BACKGROUNDMeltzer-Brody S, Leserman J, Zolnoun D, Steege J, Green E, Teich A. Trauma and posttraumatic stress disorder in women with chronic pelvic pain. Obstet Gynecol. 2007 Apr;109(4):902-8. doi: 10.1097/01.AOG.0000258296.35538.88.
PMID: 17400852BACKGROUNDLatthe P, Mignini L, Gray R, Hills R, Khan K. Factors predisposing women to chronic pelvic pain: systematic review. BMJ. 2006 Apr 1;332(7544):749-55. doi: 10.1136/bmj.38748.697465.55. Epub 2006 Feb 16.
PMID: 16484239BACKGROUNDFourquet J, Sinaii N, Stratton P, Khayel F, Alvarez-Garriga C, Bayona M, Ballweg ML, Flores I. Characteristics of women with endometriosis from the USA and Puerto Rico. J Endometr Pelvic Pain Disord. 2015 Oct-Dec;7(4):129-135. doi: 10.5301/je.5000224. Epub 2015 Oct 1.
PMID: 27331050BACKGROUNDDelanerolle G, Ramakrishnan R, Hapangama D, Zeng Y, Shetty A, Elneil S, Chong S, Hirsch M, Oyewole M, Phiri P, Elliot K, Kothari T, Rogers B, Sandle N, Haque N, Pluchino N, Silem M, O'Hara R, Hull ML, Majumder K, Shi JQ, Raymont V. A systematic review and meta-analysis of the Endometriosis and Mental-Health Sequelae; The ELEMI Project. Womens Health (Lond). 2021 Jan-Dec;17:17455065211019717. doi: 10.1177/17455065211019717.
PMID: 34053382BACKGROUNDFalcone T, Flyckt R. Clinical Management of Endometriosis. Obstet Gynecol. 2018 Mar;131(3):557-571. doi: 10.1097/AOG.0000000000002469.
PMID: 29420391BACKGROUNDWilliams AC, Eccleston C, Morley S. Psychological therapies for the management of chronic pain (excluding headache) in adults. Cochrane Database Syst Rev. 2012 Nov 14;11(11):CD007407. doi: 10.1002/14651858.CD007407.pub3.
PMID: 23152245BACKGROUNDGeneen LJ, Moore RA, Clarke C, Martin D, Colvin LA, Smith BH. Physical activity and exercise for chronic pain in adults: an overview of Cochrane Reviews. Cochrane Database Syst Rev. 2017 Apr 24;4(4):CD011279. doi: 10.1002/14651858.CD011279.pub3.
PMID: 28436583BACKGROUNDSmith CA, Armour M, Zhu X, Li X, Lu ZY, Song J. Acupuncture for dysmenorrhoea. Cochrane Database Syst Rev. 2016 Apr 18;4(4):CD007854. doi: 10.1002/14651858.CD007854.pub3.
PMID: 27087494BACKGROUNDMonticone M, Ambrosini E, Rocca B, Cazzaniga D, Liquori V, Pedrocchi A, Vernon H. Group-based multimodal exercises integrated with cognitive-behavioural therapy improve disability, pain and quality of life of subjects with chronic neck pain: a randomized controlled trial with one-year follow-up. Clin Rehabil. 2017 Jun;31(6):742-752. doi: 10.1177/0269215516651979. Epub 2016 May 31.
PMID: 27246516BACKGROUNDvan Koulil S, van Lankveld W, Kraaimaat FW, van Helmond T, Vedder A, van Hoorn H, Donders R, de Jong AJ, Haverman JF, Korff KJ, van Riel PL, Cats HA, Evers AW. Tailored cognitive-behavioral therapy and exercise training for high-risk patients with fibromyalgia. Arthritis Care Res (Hoboken). 2010 Oct;62(10):1377-85. doi: 10.1002/acr.20268.
PMID: 20521308BACKGROUNDMeissner K, Schweizer-Arau A, Limmer A, Preibisch C, Popovici RM, Lange I, de Oriol B, Beissner F. Psychotherapy With Somatosensory Stimulation for Endometriosis-Associated Pain: A Randomized Controlled Trial. Obstet Gynecol. 2016 Nov;128(5):1134-1142. doi: 10.1097/AOG.0000000000001691.
PMID: 27741200BACKGROUNDLemstra M, Olszynski WP. The effectiveness of multidisciplinary rehabilitation in the treatment of fibromyalgia: a randomized controlled trial. Clin J Pain. 2005 Mar-Apr;21(2):166-74. doi: 10.1097/00002508-200503000-00008.
PMID: 15722810BACKGROUNDWeijenborg PT, Ter Kuile MM, Gopie JP, Spinhoven P. Predictors of outcome in a cohort of women with chronic pelvic pain - a follow-up study. Eur J Pain. 2009 Aug;13(7):769-75. doi: 10.1016/j.ejpain.2008.09.002. Epub 2008 Oct 16.
PMID: 18929498BACKGROUNDWeijenborg PT, Ter Kuile MM, Stones W. A cognitive behavioural based assessment of women with chronic pelvic pain. J Psychosom Obstet Gynaecol. 2009 Dec;30(4):262-8. doi: 10.3109/01674820903378742.
PMID: 19922399BACKGROUNDAllaire C, Williams C, Bodmer-Roy S, Zhu S, Arion K, Ambacher K, Wu J, Yosef A, Wong F, Noga H, Britnell S, Yager H, Bedaiwy MA, Albert AY, Lisonkova S, Yong PJ. Chronic pelvic pain in an interdisciplinary setting: 1-year prospective cohort. Am J Obstet Gynecol. 2018 Jan;218(1):114.e1-114.e12. doi: 10.1016/j.ajog.2017.10.002. Epub 2017 Oct 12.
PMID: 29031895BACKGROUNDBeaton-Starr M, Rist PM, Connor JP, Wayne PM, Osypiuk K, Bernstein C. Development and Implementation of the Integrative Toolbox for Headache Management. Headache. 2020 Apr;60(4):771-775. doi: 10.1111/head.13743. Epub 2020 Jan 9.
PMID: 31919834BACKGROUNDHarpole LH, Samsa GP, Jurgelski AE, Shipley JL, Bernstein A, Matchar DB. Headache management program improves outcome for chronic headache. Headache. 2003 Jul-Aug;43(7):715-24. doi: 10.1046/j.1526-4610.2003.03128.x.
PMID: 12890125BACKGROUNDMurphy SE, Blake C, Power CK, Fullen BM. Comparison of a Stratified Group Intervention (STarT Back) With Usual Group Care in Patients With Low Back Pain: A Nonrandomized Controlled Trial. Spine (Phila Pa 1976). 2016 Apr;41(8):645-52. doi: 10.1097/BRS.0000000000001305.
PMID: 26630423BACKGROUNDChao MT, Abercrombie PD, Santana T, Duncan LG. Applying the RE-AIM Framework to Evaluate Integrative Medicine Group Visits Among Diverse Women with Chronic Pelvic Pain. Pain Manag Nurs. 2015 Dec;16(6):920-9. doi: 10.1016/j.pmn.2015.07.007. Epub 2015 Sep 10.
PMID: 26365760BACKGROUNDChao MT, Abercrombie PD, Duncan LG. Centering as a model for group visits among women with chronic pelvic pain. J Obstet Gynecol Neonatal Nurs. 2012 Sep-Oct;41(5):703-10. doi: 10.1111/j.1552-6909.2012.01406.x. Epub 2012 Aug 3.
PMID: 22862426BACKGROUNDMellado BH, Falcone AC, Poli-Neto OB, Rosa E Silva JC, Nogueira AA, Candido-Dos-Reis FJ. Social isolation in women with endometriosis and chronic pelvic pain. Int J Gynaecol Obstet. 2016 May;133(2):199-201. doi: 10.1016/j.ijgo.2015.08.024. Epub 2016 Jan 6.
PMID: 26873129BACKGROUNDKirk MA, Kelley C, Yankey N, Birken SA, Abadie B, Damschroder L. A systematic review of the use of the Consolidated Framework for Implementation Research. Implement Sci. 2016 May 17;11:72. doi: 10.1186/s13012-016-0437-z.
PMID: 27189233BACKGROUNDConsolidated Framework for Implmentation Research. https://cfirguide.org/constructs/. Published 2021. Accessed 14 December, 2021
BACKGROUNDProctor E, Silmere H, Raghavan R, Hovmand P, Aarons G, Bunger A, Griffey R, Hensley M. Outcomes for implementation research: conceptual distinctions, measurement challenges, and research agenda. Adm Policy Ment Health. 2011 Mar;38(2):65-76. doi: 10.1007/s10488-010-0319-7.
PMID: 20957426BACKGROUNDDamschroder LJ, Reardon CM, Opra Widerquist MA, Lowery J. Conceptualizing outcomes for use with the Consolidated Framework for Implementation Research (CFIR): the CFIR Outcomes Addendum. Implement Sci. 2022 Jan 22;17(1):7. doi: 10.1186/s13012-021-01181-5.
PMID: 35065675BACKGROUNDSimoens S, Dunselman G, Dirksen C, Hummelshoj L, Bokor A, Brandes I, Brodszky V, Canis M, Colombo GL, DeLeire T, Falcone T, Graham B, Halis G, Horne A, Kanj O, Kjer JJ, Kristensen J, Lebovic D, Mueller M, Vigano P, Wullschleger M, D'Hooghe T. The burden of endometriosis: costs and quality of life of women with endometriosis and treated in referral centres. Hum Reprod. 2012 May;27(5):1292-9. doi: 10.1093/humrep/des073. Epub 2012 Mar 14.
PMID: 22422778BACKGROUNDSoliman AM, Yang H, Du EX, Kelley C, Winkel C. The direct and indirect costs associated with endometriosis: a systematic literature review. Hum Reprod. 2016 Apr;31(4):712-22. doi: 10.1093/humrep/dev335. Epub 2016 Feb 6.
PMID: 26851604BACKGROUNDSoliman AM, Coyne KS, Gries KS, Castelli-Haley J, Snabes MC, Surrey ES. The Effect of Endometriosis Symptoms on Absenteeism and Presenteeism in the Workplace and at Home. J Manag Care Spec Pharm. 2017 Jul;23(7):745-754. doi: 10.18553/jmcp.2017.23.7.745.
PMID: 28650252BACKGROUNDGupta J, Cardoso LF, Harris CS, Dance AD, Seckin T, Baker N, Ferguson YO. How do adolescent girls and boys perceive symptoms suggestive of endometriosis among their peers? Findings from focus group discussions in New York City. BMJ Open. 2018 Jun 4;8(6):e020657. doi: 10.1136/bmjopen-2017-020657.
PMID: 29866728BACKGROUNDJoosten YA, Israel TL, Williams NA, Boone LR, Schlundt DG, Mouton CP, Dittus RS, Bernard GR, Wilkins CH. Community Engagement Studios: A Structured Approach to Obtaining Meaningful Input From Stakeholders to Inform Research. Acad Med. 2015 Dec;90(12):1646-50. doi: 10.1097/ACM.0000000000000794.
PMID: 26107879BACKGROUNDFox SD, Flynn E, Allen RH. Mindfulness meditation for women with chronic pelvic pain: a pilot study. J Reprod Med. 2011 Mar-Apr;56(3-4):158-62.
PMID: 21542535BACKGROUNDRod K. Observing the Effects of Mindfulness-Based Meditation on Anxiety and Depression in Chronic Pain Patients. Psychiatr Danub. 2015 Sep;27 Suppl 1:S209-11.
PMID: 26417764BACKGROUNDAndersen TE, Vaegter HB. A 13-Weeks Mindfulness Based Pain Management Program Improves Psychological Distress in Patients with Chronic Pain Compared with Waiting List Controls. Clin Pract Epidemiol Ment Health. 2016 Jun 30;12:49-58. doi: 10.2174/1745017901612010049. eCollection 2016.
PMID: 27708686BACKGROUNDNygaard AS, Rydningen MB, Stedenfeldt M, Wojniusz S, Larsen M, Lindsetmo RO, Haugstad GK, Oian P. Group-based multimodal physical therapy in women with chronic pelvic pain: A randomized controlled trial. Acta Obstet Gynecol Scand. 2020 Oct;99(10):1320-1329. doi: 10.1111/aogs.13896. Epub 2020 Jun 1.
PMID: 32386466BACKGROUNDGrinberg K, Weissman-Fogel I, Lowenstein L, Abramov L, Granot M. How Does Myofascial Physical Therapy Attenuate Pain in Chronic Pelvic Pain Syndrome? Pain Res Manag. 2019 Dec 12;2019:6091257. doi: 10.1155/2019/6091257. eCollection 2019.
PMID: 31915499BACKGROUNDHuang AJ, Rowen TS, Abercrombie P, Subak LL, Schembri M, Plaut T, Chao MT. Development and Feasibility of a Group-Based Therapeutic Yoga Program for Women with Chronic Pelvic Pain. Pain Med. 2017 Oct 1;18(10):1864-1872. doi: 10.1093/pm/pnw306.
PMID: 28419385BACKGROUNDGoncalves AV, Barros NF, Bahamondes L. The Practice of Hatha Yoga for the Treatment of Pain Associated with Endometriosis. J Altern Complement Med. 2017 Jan;23(1):45-52. doi: 10.1089/acm.2015.0343. Epub 2016 Nov 21.
PMID: 27869485BACKGROUNDGoncalves AV, Makuch MY, Setubal MS, Barros NF, Bahamondes L. A Qualitative Study on the Practice of Yoga for Women with Pain-Associated Endometriosis. J Altern Complement Med. 2016 Dec;22(12):977-982. doi: 10.1089/acm.2016.0021. Epub 2016 Aug 23.
PMID: 27552065BACKGROUNDHealthMeasures. PROMIS Short Form v2.0 - Pain Intensity - 3a. Northwestern University. https://www.healthmeasures.net/index.php?option=com_instruments&view=measure&id=3379&Itemid= 992. Published 2020. Accessed 02/09/2022
BACKGROUNDInnovation OU. Endometriosis Health Profile-30 (EHP-30). https://innovation.ox.ac.uk/outcome- measures/endometriosis-health-profile-ehp/. Published 2016. Accessed 02/09/2022.
BACKGROUNDHealthMeasures. PROMIS Short Form v2.0 - Physical Function 10a. Northwestern University. https://www.healthmeasures.net/index.php?option=com_instruments&view=measure&id=794&Itemid=9 92. Published 2020. Accessed 02/09/2022.
BACKGROUNDHealthMeasures. PROMIS Short Form v1.0 - Anxiety - 7a. Northwestern University. https://www.healthmeasures.net/index.php?option=com_instruments&view=measure&id=146&Itemid=9 92. Published 2016. Accessed 02/09/2022.
BACKGROUNDHealthMeasures. PROMIS Short Form v1.0 Depression - 8b. Northwestern University. https://www.healthmeasures.net/index.php?option=com_instruments&view=measure&id=157&Itemid=9 92. Published 2016. Accessed 02/09/2022.
BACKGROUNDRosen R, Brown C, Heiman J, Leiblum S, Meston C, Shabsigh R, Ferguson D, D'Agostino R Jr. The Female Sexual Function Index (FSFI): a multidimensional self-report instrument for the assessment of female sexual function. J Sex Marital Ther. 2000 Apr-Jun;26(2):191-208. doi: 10.1080/009262300278597.
PMID: 10782451BACKGROUNDSullivan MJ. The Pain Catastrophizing Scale User Manual. McGill University. https://aspecthealth.ca/wp-content/uploads/2017/03/PCSManual_English1.pdf. Published 2009. Accessed 02/09/2022.
BACKGROUNDHurst H, Bolton J. Assessing the clinical significance of change scores recorded on subjective outcome measures. J Manipulative Physiol Ther. 2004 Jan;27(1):26-35. doi: 10.1016/j.jmpt.2003.11.003.
PMID: 14739871BACKGROUNDWilliams DR, Yan Yu, Jackson JS, Anderson NB. Racial Differences in Physical and Mental Health: Socio-economic Status, Stress and Discrimination. J Health Psychol. 1997 Jul;2(3):335-51. doi: 10.1177/135910539700200305.
PMID: 22013026BACKGROUNDWhitehead AL, Sully BG, Campbell MJ. Pilot and feasibility studies: is there a difference from each other and from a randomised controlled trial? Contemp Clin Trials. 2014 May;38(1):130-3. doi: 10.1016/j.cct.2014.04.001. Epub 2014 Apr 13.
PMID: 24735841BACKGROUNDDamschroder LJ, Aron DC, Keith RE, Kirsh SR, Alexander JA, Lowery JC. Fostering implementation of health services research findings into practice: a consolidated framework for advancing implementation science. Implement Sci. 2009 Aug 7;4:50. doi: 10.1186/1748-5908-4-50.
PMID: 19664226BACKGROUNDCFIR Guide. https://cfirguide.org/guide/app/#/. Published 2022. Accessed 2/6/2022.
BACKGROUNDWeiner BJ, Lewis CC, Stanick C, Powell BJ, Dorsey CN, Clary AS, Boynton MH, Halko H. Psychometric assessment of three newly developed implementation outcome measures. Implement Sci. 2017 Aug 29;12(1):108. doi: 10.1186/s13012-017-0635-3.
PMID: 28851459BACKGROUNDRepository IO. ImplementationOutcomeRepository.org. https://implementationoutcomerepository.org/. Accessed 2/6/2022.
BACKGROUNDMohamed EA, Giama NH, Shaleh HM, Kerandi L, Oseini AM, Ahmed Mohammed H, Kerandi H, Allotey LK, Waaeys IA, Ali HA, Ali HM, Mohamed SA, Yang JD, Gaga WO, Tamire LL, Windissa A, Patten CA, Balls-Berry JE, Roberts LR. Knowledge, Attitudes, and Behaviors of Viral Hepatitis Among Recent African Immigrants in the United States: A Community Based Participatory Research Qualitative Study. Front Public Health. 2020 Mar 6;8:25. doi: 10.3389/fpubh.2020.00025. eCollection 2020.
PMID: 32211358BACKGROUND
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Results Point of Contact
- Title
- Whitney Ross
- Organization
- WashU Medicine
Publication Agreements
- PI is Sponsor Employee
- Yes
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- NA
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
November 10, 2022
First Posted
November 21, 2022
Study Start
February 20, 2023
Primary Completion
December 26, 2024
Study Completion
September 26, 2025
Last Updated
March 6, 2026
Results First Posted
March 6, 2026
Record last verified: 2026-02
Data Sharing
- IPD Sharing
- Will not share