RECRUITINGINTERVENTIONAL

INCLUDE Program: A Perioperative Wellness Program Tailored for Black Surgical Patients

About This Trial

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.

Who May Be Eligible (Plain English)

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 willing to sign a consent form; - 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. Always talk to your doctor about whether this trial is right for you.

Original Eligibility Criteria

View original clinical language

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.

Treatments Being Tested

BEHAVIORAL

Wellness 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.

Locations (1)

Washington University School of Medicine

St Louis, Missouri, United States