NCT05697835

Perioperative Mental Health in Orthopedic Surgery

Behavioral Activation and Medication Optimization for Perioperative Mental Health in Orthopedic Surgery

• Status: Completed
• Phase: N/A
• Study type: Interventional
• Enrollment: 116 (actual)
• Sponsor: Washington University School of Medicine · Academic / Other
• Sex: All
• Age: 60 Years
• Healthy volunteers: Not accepted

Summary

This Hybrid 1 Study will test the effectiveness of a bundled intervention comprised of behavioral activation and medication optimization in reducing symptoms of depression and anxiety in older adults undergoing Orthopedic surgery (compared with usual care), while examining implementation outcomes.

Conditions

• Orthopedic Surgery
• Older Adults
• Depression
• Anxiety

Interventions

Type	Name	Description
BEHAVIORAL	Behavioral activation	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
OTHER	Medication optimzation	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.
OTHER	Care as usual	Care as usual, with written resources provided

Timeline

• Start date: 2023-02-27
• Primary completion: 2025-03-19
• Completion: 2025-03-19
• First posted: 2023-01-26
• Last updated: 2026-04-09
• Results posted: 2026-04-09

Locations

1 site across 1 country: United States