At a glance
ClinicalIndex Comparison Record- ✓Age ≥60 years
- ✓Scheduled major thoracic, breast, or abdominal surgery for suspected or confirmed malignancy
- ✓Clinically significant depression or anxiety symptoms (PHQ-ADS ≥10)
- ✕Unable to read, speak, and understand English
- ✕Severe cognitive impairment (Short Blessed Test >10)
- ✕Acutely suicidal
- ✕Ineligible per discretion of oncologic surgeon or study PI
Standardized by ClinicalIndex from the ClinicalTrials.gov record · verify against the source.
Behavioral Activation and Medication Optimization For Improving Perioperative Mental Health In Older Adults Undergoing Oncologic Surgery
In Brief
A clinical study evaluating Behavioral Activation, Medication Optimization, and 1 other intervention for Older Adults and 4 related conditions. Completed, enrolled 105 participants across 1 site.
Detailed Summary
Using a Hybrid Type 1 Effectiveness-Implementation randomized control trial (RCT) design, the investigators will test the effectiveness of a bundled behavioral activation and medication optimization in reducing symptoms of depression and anxiety in older adults undergoing oncologic surgery (compared with usual care), while examining implementation outcomes.
Study Details
Timeline
Interventions
The behavioral intervention will consist of behavioral activation (BA), the basic premise of which is to help people with mental health problems to engage in activities that are reinforcing or meaningful and guided by their personal values
Medication optimization consists of a simple set of principles: reconcile patient's medications, identify the patient's likely need for, and interest in, a medication adjustment, make the adjustment, and assess the response to that adjustment.
List of resources that the patient can explore on their own