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N/A N=105 Randomized Single-blind Treatment

Behavioral Activation and Medication Optimization For Improving Perioperative Mental Health In Older Adults Undergoing Oncologic Surgery

Older Adults · Anxiety · Depression · Major Surgical Resection of a Thoracic Malignancy · Major Surgical Resection of an Abdominal Malignancy

Enrolled (actual)
105
Serious AEs
0.0%
Results posted
Mar 2026
Primary outcome: Primary: PHQ-ADS — 18.35; 16.67; 17.51; 10.95 points

Study Design & Population

Study type
Interventional
Phase
N/A
Interventions
Behavioral Activation (Behavioral); Medication Optimization (Other); Usual care resources (Other)
Age
Adult, Older Adult · 60+ yrs
Sex
All
Sponsor
Washington University School of Medicine
Primary completion
Jul 2024

Outcome Measures

OutcomeResultp-value
PRIMARY
PHQ-ADS
18.35; 16.67; 17.51; 10.95; 12.52; 11.74

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.

Eligibility Criteria

Inclusion Criteria

Pre-screening:

To be considered for participation, patients will be screened using PHQ-4 questionnaire. Scores >3 will indicate positive pre-screen (i.e. can be considered for participation and formal screening). Scores 10

  • Acutely suicidal
  • Considered ineligible per the discretion of the oncologic surgeon or study PI
  • Previous participation in this study or another CPMH study of the intervention bundle or its feasibility.
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT05685511). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.

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