The goal of this project is to examine initial effectiveness of a brief (2 preoperative, 2 postoperative session) cognitive behaviorally-based telephone intervention compared to standard care on postoperative outcomes for patients who are scheduled to undergo a cancer-related surgery in 12 or more days and screen positive for distress (4 or higher on 0-10 Distress Thermometer). The intervention focuses on improving emotional and physical health through relaxation, behavioral activation, increased physical activity, and adherence to medication and wound care. Participants will be randomly assigned to receive the intervention or to receive standard care. Outcomes assessed 4 and 6 weeks post-operatively will include: Depression (Patient Health Questionnaire-8), anxiety (Generalized Anxiety Disorder-7), health-related QOL (SF-36 MCS and PCS), number and type of complications, length of stay, and 30-day readmission.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
16
Behavioral Intervention for Wellness and Engaged Living (Be-WEL) is a 4-session (2 preoperative, 2 postoperative) telephone intervention focused on improving emotional and physical health through relaxation, behavioral activation, increased physical activity, and adherence to medication and wound care.
Baylor College of Medicine
Houston, Texas, United States
Patient Health Questionnaire-8
PHQ-8 assesses depression symptoms; A total score (range: 0-24) will be used with higher scores representing more depressive symptoms.
Time frame: 4-weeks post-operation (+/-1 week)
Generalized Anxiety Disorder-7
The GAD-7 measures anxiety symptoms; A total score (range: 0-21) will be used with higher scores representing more anxiety symptoms.
Time frame: 4-weeks post-operation (+/-1 week)
Medical Outcomes Study Short Form-36 (SF-36) Physical Health Component Scale (PCS)
The SF-36 PCS assesses physical health-related quality of life (QOL) on a 0-100 scale (with a mean of 50 and standard deviation of 10 for general population). Higher scores represent higher physical health-related QOL.
Time frame: 4-weeks post-operation (+/-1 week)
Medical Outcomes Study Short Form-36 (SF-36) Mental Health Component Scale (MCS)
The SF-36 MCS assesses mental health-related quality of life (QOL) on a 0-100 scale (with a mean of 50 and standard deviation of 10 for general population). Higher scores represent higher mental health-related QOL.
Time frame: 4-weeks post-operation (+/-1 week)
Number of Complications
Occurrence of: perioperative mortality, cardiac complications, postoperative pneumonia, intubation for \>48-hours postoperatively unplanned reintubation, venous thromboembolic events, renal dysfunction, or surgical-site infections
Time frame: 30 days post-operation
Length of post-operative hospital stay
Number of days inpatient hospital stay after operation
Time frame: 30 days post-operation
Hospital Readmission
Number of times readmitted to a hospital after operation
Time frame: 30 days post-operation
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