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Insufficient funding for research personnel prevented adequate recruitment and retention of research participants.
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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.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Be-WEL Intervention | Experimental | 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. |
|
| Standard Care | No Intervention | Standard Care consists of the standard care patients typically receive from their medical team. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Behavioral Intervention for Wellness and Engaged Living (Be-WEL) | Behavioral | 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. |
| Measure | Description | Time Frame |
|---|---|---|
| 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. | 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. | 4-weeks post-operation (+/-1 week) |
| Measure | Description | Time Frame |
|---|---|---|
| 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. | 4-weeks post-operation (+/-1 week) |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Chelsea G Ratcliff, PhD | Baylor College of Medicine/Sam Houston State University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Baylor College of Medicine | Houston | Texas | 77030 | United States |
There is not currently a plan to make individual participant data available to other researchers.
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| ID | Term |
|---|---|
| D009369 | Neoplasms |
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| ID | Term |
|---|---|
| D001521 | Behavior Therapy |
| D006262 | Health |
| ID | Term |
|---|---|
| D011613 | Psychotherapy |
| D004191 | Behavioral Disciplines and Activities |
| D011154 | Population Characteristics |
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Randomized Controlled Trial (intervention vs. standard care)
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|
| 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. |
| 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 | 30 days post-operation |
| Length of post-operative hospital stay | Number of days inpatient hospital stay after operation | 30 days post-operation |
| Hospital Readmission | Number of times readmitted to a hospital after operation | 30 days post-operation |