Status:

RECRUITING

Building Resilience for Surgical Recovery

Lead Sponsor:

The University of Texas Health Science Center, Houston

Collaborating Sponsors:

National Institute on Aging (NIA)

University of California, San Francisco

Conditions:

Psychosocial Functioning

Surgery

Eligibility:

All Genders

65+ years

Phase:

NA

Brief 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 acceptabi...

Detailed Description

A pilot test of a 9-session psychosocial intervention (Problem Solving Treatment, PST) will be conducted at the University of Texas, Southwestern Medical Center (UTSW). Ninety older surgical patients ...

Eligibility Criteria

Inclusion

  • Inclusion criteria:
  • ≥ 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 criteria:
  • 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

Exclusion

    Key Trial Info

    Start Date :

    June 4 2024

    Trial Type :

    INTERVENTIONAL

    Allocation :

    ESTIMATED

    End Date :

    June 4 2025

    Estimated Enrollment :

    90 Patients enrolled

    Trial Details

    Trial ID

    NCT06174701

    Start Date

    June 4 2024

    End Date

    June 4 2025

    Last Update

    May 1 2025

    Active Locations (1)

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    University of California, San Francisco

    San Francisco, California, United States, 94143