Perioperative Mental Health in Orthopedic Surgery

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

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.

Inclusion criteria:

• Adults ≥ 60 years
• Scheduled primary hip or primary knee arthroplasty procedure
• PHQ-ADS ≥ 10, indicating clinically significant depression or anxiety symptoms

Exclusion criteria:

• Barrier to communication (Unable to read, speak, and understand English)
• Severe cognitive impairment screened by the SBT (Short Blessed Test) >10
• Acutely suicidal
• Previous participation in this study or another CPMH study of the intervention bundle or its feasibility.