Recruiting

Wellness Program

Sponsor:

Washington University School of Medicine

Code:

NCT07283783

Conditions

Surgery

Eligibility Criteria

Sex: All

Age: 60+

Healthy Volunteers: Not accepted

Interventions

Wellness Program

Study Details

Brief summary:

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.

Conditions

Surgery

Study ID

NCT07283783

Start date

Jan 5, 2026

Status verified date

Mar, 2026

Completion date

Dec 30, 2026

Anticipated

Primary completion date

Dec 30, 2026

Anticipated

Eligibility Criteria

Eligibility Criteria

Sex: All

Age: 60+

Healthy Volunteers: Not accepted

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.

Study Design

Enrollment

50 participants

Anticipated

Intervention Model

Single group

Primary purpose

Supportive Care

Interventions and Outcome Measures

Arms

experimental: Wellness Program for Perioperative Mental Health

Enrolled participants will participate in the study for approximately 3 months after surgery. The participants will complete questionnaires at baseline, 1 month after surgery, and 3 months after surgery. The Wellness Program will consist of Cognitive Behavioral Therapy (CBT) and medication optimization.

Interventions

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.

Primary outcome measure

  • Reach of the study as measured by number of patients who agree to participate in the study out of total eligible to participate [ Time Frame: Through completion of enrollment for all participants (estimated to be 9 months, time for participant 1 day) ]
  • Reach of the intervention as measured by number of patients who completed the intervention out of patients who agreed to participate in the study [ Time Frame: Through completion of follow-up for all participants (estimated to be 12 months, time for participant 3 months) ]

Central Contacts and Locations

Central contacts

Alicia Meng, MA

314-273-5016aliciameng@wustl.edu

Joanna Abraham, Ph.D., FACMI, FAMIA

314-362-5129joannaa@wustl.edu

Locations

Washington University School of Medicine

Recruiting

St Louis, Missouri, United States, 63110

Contacts

Alicia Meng, MA

314-273-5016aliciameng@wustl.edu

Joanna Abraham, Ph.D., FACMI, FAMIA

314-362-5129joannaa@wustl.edu

Principal Investigator:

Joanna Abraham, Ph.D., FACMI, FAMIA

More Information

Sponsor

Washington University School of Medicine

Last update posted

Mar 25, 2026

Last verified

Mar, 2026

Keywords

  • Perioperative Care
  • Minority Mental Health
  • Anxiety
  • Depression
  • Polypharmacy
  • Behavioral Treatment
  • Medication Counseling
  • Coordination

Trial information was received from ClinicalTrials.gov and was last updated on 2026-09-09. This information was provided to ClinicalTrials.gov by Washington University School of Medicine on 2026-03-25.