Pathways for Healing: An Online Therapeutic Support Group Program (OTSG) is for women, ages 18 to 65 years old, diagnosed with chronic pelvic floor dysfunction (PFD). The program focuses on women living in Texas rural communities with limited access to mental health providers. The aim for this study is to determine if an OTSG program, utilizing narrative therapy (NT) within a biopsychosocial-spiritual lens (BPS-S) will improve overall health-related quality of life (HRQOL). Support groups are provided in English and Spanish, over the course of 12 weeks, facilitated by a licensed marriage and family therapist (LMFT) and licensed pelvic floor physical therapist (PFPT). Administering pre and post-tests (before 1st session, after the 6th and 12th session, and 3- and 6-months post group participation), data is collected utilizing: 1) The Functional Assessment of Chronic Illness Therapy Measurement System (FACIT-SP), 2) Pelvic Floor Impact Questionnaire-Short Form 7 (PFIQ), 3) Pelvic Floor Distress Inventory- Short Form 20 (PFDI-20), 4) Beck Depression Inventory-II (BDI-II), 5) RAND 36-Item Health Survey (SF-36), 6) Check-In, Check-Out Oral Report (CICO), and 7) Survey for Participants. Data will determine if the OTSG program decreases anxiety and depression, improves overall HRQOL, and decreases chronic PFD symptoms.
Keywords: pelvic floor dysfunction, online therapeutic support group, health-related quality of life, medical family therapy, Texas rural communities and therapy, integrative therapy, biopsychosocial-spiritual, narrative therapy.
Marital and Family Therapy
Counseling and Family Sciences
School of Behavioral Health
Nichola Seaton Ribadu
Doctor of Marital and Family Therapy (DMFT)
Year Degree Awarded
Date (Title Page)
Library of Congress/MESH Subject Headings
Narrative therapy; Online Therapy; Pelvic Floor Disorders; Support Groups
xiii, 172 p.
Loma Linda University Libraries
This title appears here courtesy of the author, who has granted Loma Linda University a limited, non-exclusive right to make this publication available to the public. The author retains all other copyrights.
Salazar, Lisa Yvette, "Pathways for Healing: An Online Therapeutic Support Group Program" (2022). Loma Linda University Electronic Theses, Dissertations & Projects. 1631.
Loma Linda University Electronic Theses and Dissertations
Loma Linda University. Del E. Webb Memorial Library. University Archives