In this study, the investigators will evaluate the feasibility of the Wellness Program, including patient recruitment, screening and outcome measures, and feasibility of adapting the intervention with older Black surgical patients who endorse clinically significant symptoms of depression and/or anxiety.

Inclusion Criteria Patients:

• Age ≥60 years
• Scheduled surgical procedure at BJH or BJWCH (oncologic, cardiac; orthopedic)
• Clinically significant depression or anxiety symptoms screened by the PHQ-ADS (Patient Health Questionnaire Anxiety and Depression Scale) ≥10
• Black or African American.

Exclusion Criteria Patients:

• Inability to provide informed consent;
• Severe cognitive impairment screened by the SBT (Short Blessed Test) ≥10
• Acutely suicidal
• Considered ineligible per the discretion of the surgeon or study PI
• Considered ineligible per the discretion of the surgeon or study PI

Caregiver participants:

If patients identify a caregiver that the patient would like to include in their Wellness Program, the caregiver will be invited to consent. Patients will provide contact information for their caregiver.

Individual participant data collected during the trial, after deidentification, will be available, upon request. In addition, the study protocol will be available upon request.

Immediately following publication. No end date.

Researchers must provide a methodologically sound proposal that meets the approval of the author. Proposals should be directed to joannaa@wustl.edu. To gain access, data requestors will need to sign a data access agreement. Data will be available to the requestor indefinitely via encrypted e-mail service.