Surgery
Conditions
Keywords
Perioperative Care, Minority Mental Health, Anxiety, Depression, Polypharmacy, Behavioral Treatment, Medication Counseling, Coordination
Brief summary
In this study, the investigators will evaluate the feasibility of the Wellness Program, including patient recruitment, screening and outcome measures, and feasibility of adapting the intervention with older Black surgical patients who endorse clinically significant symptoms of depression and/or anxiety.
Interventions
BEHAVIORALWellness Program
The BCBT intervention consists of 8 to 10 structured sessions delivered remotely via phone or Zoom, beginning in the preoperative period and continuing for approximately three months after surgery. The interventionist will offer a protocolized review of current medications with feedback as appropriate, under guidance by the study psychiatrist. As additional optional components of the Wellness Program, the study team will also offer faith-based counseling as well as the option to involve family and friends as active or passive participants in the program.
Sponsors
Washington University School of Medicine
The Foundation for Barnes-Jewish Hospital
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
SUPPORTIVE_CARE
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
60 Years to No maximum
Healthy volunteers
No
Inclusion criteria
Patients: * Age ≥60 years * Scheduled surgical procedure at BJH or BJWCH (oncologic, cardiac; orthopedic) * Clinically significant depression or anxiety symptoms screened by the PHQ-ADS (Patient Health Questionnaire Anxiety and Depression Scale) ≥10 * Black or African American.
Exclusion criteria
Patients: * Inability to provide informed consent; * Severe cognitive impairment screened by the SBT (Short Blessed Test) ≥10 * Acutely suicidal * Considered ineligible per the discretion of the surgeon or study PI * Considered ineligible per the discretion of the surgeon or study PI Caregiver participants: If patients identify a caregiver that the patient would like to include in their Wellness Program, the caregiver will be invited to consent. Patients will provide contact information for their caregiver.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Reach of the study as measured by number of patients who agree to participate in the study out of total eligible to participate | Through completion of enrollment for all participants (estimated to be 9 months, time for participant 1 day) |
| Reach of the intervention as measured by number of patients who completed the intervention out of patients who agreed to participate in the study | Through completion of follow-up for all participants (estimated to be 12 months, time for participant 3 months) |
Secondary
| Measure | Time frame |
|---|---|
| Percentage of instrument or data fields completed for Patient Health Questionnaire Anxiety and Depression Scale (PHQ-ADS) | Baseline, 1 month after surgery, and 3 months after surgery |
Countries
United States
Contacts
CONTACTAlicia Meng, MA
CONTACTJoanna Abraham, Ph.D., FACMI, FAMIA
PRINCIPAL_INVESTIGATORJoanna Abraham, Ph.D., FACMI, FAMIA
Washington University School of Medicine
Outcome results
None listed