ACT for CABGAcceptance and Commitment Therapy for the Perioperative Period of Coronary Artery Bypass Graft Surgery: a Randomized Controlled Feasibility Trial

This study focuses on helping patients who are undergoing coronary artery bypass graft (CABG) surgery, a procedure often needed when medications aren't enough to manage heart disease symptoms such as chest pain. Heart disease is a leading cause of death and carries a high economic cost. CABG can be lifesaving, but it also tends to increase inflammation and is associated with high levels of anxiety and depression around the time of surgery. These emotional challenges can worsen health outcomes and increase healthcare costs. The study aims to explore the use of Acceptance and Commitment Therapy (ACT), a type of psychological therapy, during the surgical period to help improve mental well-being and potentially improve physical health outcomes for these patients. Participants in this study are randomly assigned to one of two groups. One group receives a brief, two-session ACT therapy via telehealth, while the other group continues with their usual care without the additional therapy. The study measures the feasibility of delivering this therapy around the time of surgery and evaluates its preliminary effectiveness. Researchers look at various factors, including levels of anxiety, depression, overall well-being, and the quality of life related to heart health. They also check for changes in inflammation by measuring specific markers in the body. The findings could guide future, larger studies to support heart surgery patients better.