Building Resilience for Surgical Recovery

Part of paid clinical trials in San Francisco, California.

Sponsor
The University of Texas Health Science Center, Houston
Study ID
NCT06174701
Status
Recruiting
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Conditions

  • Depressive Symptoms
  • Older Adults
  • Physical Function
  • Postoperative Outcome
  • Psychosocial Functioning
  • Surgery

Eligibility Criteria

Sex
ALL
Age
65 Years - N/A
Healthy Volunteers
Not accepted

Interventions

  • Problem Solving Therapy (PST) — BEHAVIORAL
    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.
  • Enhanced Usual Care — BEHAVIORAL
    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.

Study Details

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?

Key Dates

Start date
Jun 4, 2024
Status verified
Apr 2025
Primary completion
Jun 4, 2025
Completion
Jun 4, 2025

Study Design

Enrollment
90 participants (estimated)
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION

Arms

  • Experimental: Problem Solving Therapy (PST)
    Participants in the intervention arm will receive Problem Solving Therapy (PST). Meetings via videoconferencing or phone will occur at a frequency of 1 time every week for an estimated 2-3 sessions before surgery and 6-7 sessions after surgery for a total of 9 sessions. Essential components of the PST that the patient will be taught include: (1) define the nature of the problem, (2) generate wide range of possible solutions, (3) systematically evaluate the potential solutions and select the most optimal ones to implement, and (4) monitor and evaluate the actual solution outcome after implementation.
  • Experimental: Enhanced 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.

Primary Outcome Measure

Functional Recovery as Assessed by Score on the World Health Organization Disability Assessment Schedule (Brief-WHODAS) [ Time Frame: 6 months after baseline ]

Central Contacts

Locations (1)

FacilityCityStateZIPSite coordinators
University of California, San FranciscoSan FranciscoCalifornia94143
Erika Higuchi, MBChB, MPH, DrPH, CPH
[email protected]
415-689-6275
Victoria Tang, MD, MAS (PRINCIPAL_INVESTIGATOR)

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