Brief CBT for psychological distress in the elderly after orthopaedic surgery

Recruiting

• Conditions: Diseases of the musculoskeletal system and connective tissue,

• Registration Number: CTRI/2023/08/056414
• Lead Sponsor: Founder Chancellor Shri NPV Ramasamy Udayar Research Fellowship SRIHER

Brief Summary

the research is focused on the elderly who are above the age of 55 and are admitted for orthopaedic surgery at sri ramachandra hospital will be admitted to the study.

the admission process will happen within 24-48 hours of the patient arriving at the hospital. the researcher will utilise questionnaires such as Montreal cognitive assessment and DASS 21 on the patient. the MoCA is a test of cognitive function and a score of 26 and above is preferred,  the DASS 21 is a test of current levels of depression, anxiety and stress in the patient in which a score of 10 in Depression OR 8 in Anxiety OR 15 in Stress and above is preferred, MoCA will be administered once to determine eligibility in the study, DASS21 will be utilised twice during the course of the study, once at the beginning and once at the end of 7 sessions, Barthel’s index is a test of performance of daily living. this is done to measure mobility levels post surgery in both the groups to see which group scores highest.

Detailed Description

Not available

Study Timeline

• Study Start: 2023-08-18
• Last Update Posted: 2024-03-18

Recruitment & Eligibility

• Status: Open to Recruitment
• Sex: All
• Target Recruitment: 100

Inclusion Criteria

• Elderly population aged 60 years and above.
• Closed musculoskeletal trauma Obtain a score of 20 in Depression, 14 in Anxiety and 25 in Stress in the DASS 21 scale and a score of 26 above in the MoCA scale.
• Able to read and write Tamil or English.
• Willing to participate in the study.

Exclusion Criteria

• Congenital absence of limb(s) Birth defects Open and pathological fractures Musculoskeletal and neuromuscular disorders Presence of cerebrovascular accident Having neurological deficits such as dementia, Alzheimer’s disease, Parkinson’s disease etc Presence of schizophrenia or other psychotic disorder based on medical record or patient self report.
• Already undergoing another form of psychotherapy Those who have difficulty maintaining follow up ( E.g living far away from the hospital, transportation issues etc.) Poly trauma with head injury.

Study & Design

• Study Type: Interventional
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
The anticipated outcome from this study would be to see a reduction of the intensity of Depression, Anxiety & Stress through the use of B-CBT that was caused by Psychological distress through surgery.	the scales will be administered once within 24-48 hours of admission & then at the end of 7 weeks in the seventh outcome assessor session.
To report the treatment effectiveness of B-CBT for elderly participants with PD.	the scales will be administered once within 24-48 hours of admission & then at the end of 7 weeks in the seventh outcome assessor session.
To report an increase in the Barthels index score in the experimental group as a result of B-CBT.
	the scales will be administered once within 24-48 hours of admission & then at the end of 7 weeks in the seventh outcome assessor session.

Secondary Outcome Measures

Name	Time	Method
To report an increase in the Barthels index score in the experimental group as a result of B-CBT.
	This will be measured at the end of 7th session.

Trial Locations

Locations (1)

Sri Ramachandra Instititute of Higher Education and Researhc; 🇮🇳 Kancheepuram, TAMIL NADU, India

Sri Ramachandra Instititute of Higher Education and Researhc

🇮🇳Kancheepuram, TAMIL NADU, India

Vivek Prasanna

Principal investigator

9003264820

vivekprasannar@sriramachandra.edu.in