RecruitingNot ApplicableNCT06174701

Building Resilience for Surgical Recovery

Building Resilience for Surgical Recovery: Feasibility and Acceptability Pilot Study

Sponsor

The University of Texas Health Science Center, Houston

Enrollment

90 participants

Start Date

Jun 4, 2024

Study Type

INTERVENTIONAL

Conditions

Surgery Older Adults Depressive Symptoms Psychosocial Functioning Physical Function Postoperative Outcome

Summary

The goal of this clinical trial is to test problem solving therapy (PST) in older adults who are undergoing major surgery. The main question it aims to answer is: What is the feasibility and acceptability of delivering PST to older surgical patients with depressive symptoms or report lacking social support in the pre-operative and post-operative setting?

Eligibility

Min Age: 65 Years

Inclusion Criteria3

≥ 65 years of age on the day of surgery
Scheduled major surgery with an anticipated hospital stay of 3+ days. Major operations include: orthopedic, thoracic or abdominal, cardiac procedures
Depressive symptoms - Patient Health Questionnaire (PHQ-9) screening with a score of 5+, 5-9 being subclinical depression and scores up to 27 indicating increasing depression. If the score is 5-9, we need to have at least one of these items included: "at least one of the endorsed items needs to be depressed mood or diminished activities" (questions #1 and #2)

Exclusion Criteria4

Those with severe cognitive impairment - Short Portable Mental Status Questionnaire (SPMSQ) screening with a score of 5+ errors, 5-8 being moderate to severe cognitive impairment
Unable to read, speak, and understand English
Current alcohol or other substance abuse (scoring 2+ on CAGE questionnaire or answering yes to "Do you currently use any non-prescription drugs or substances?")
Life expectancy is 6 months or less

Interventions

BEHAVIORALProblem Solving Therapy (PST)

PST intervention in the form of one-on-one coaching in preparation for surgery and post-operative care. This coaching consists of educating and guiding the patient in developing problem-solving skills. Please refer to the PST Handbook for further detail on the therapy sessions.

BEHAVIORALEnhanced Usual Care

Participants in the control arm will receive "enhanced usual care". They will receive additional mental health education in the form of educational handouts mailed or emailed to them.