Dialectical Behavioural Therapy for Dialysis Anxiety
What You Need to Know Before You Apply
What is the purpose of this trial?
This trial tests a 13-week therapy program designed to help individuals who feel anxious about starting or recently starting dialysis. The goal is to determine if Dialectical Behavioural Therapy (DBT), which includes skills like mindfulness and stress management, can improve mental well-being. Individuals who have recently begun facility-based hemodialysis or plan to start soon and feel stressed about it might be a good fit. Participants will attend weekly sessions either in person or online. As an unphased trial, this study provides a unique opportunity to explore new methods for enhancing mental well-being during a challenging time.
Will I have to stop taking my current medications?
The trial information does not specify whether you need to stop taking your current medications. It's best to discuss this with the study team or your healthcare provider.
What prior data suggests that this therapy is safe for addressing dialysis anxiety?
Research has shown that Dialectical Behavioural Therapy (DBT) is generally safe for patients. Studies have found that people tolerate DBT well. For instance, reports indicate significant reductions in anxiety and depression among patients on hemodialysis who completed similar group therapy. Major negative effects are not commonly associated with DBT; instead, most people experience improvements in their mental health.
DBT is a type of talk therapy that helps individuals learn new skills to better manage emotions and stress. Since it doesn't involve medication, the risks are usually lower compared to drug treatments. While staying informed and asking questions is always advisable, current research suggests that DBT is a safe option for those considering this type of therapy.12345Why are researchers excited about this trial?
Researchers are excited about Dialectical Behavioural Therapy (DBT) for dialysis anxiety because it offers a unique approach compared to traditional treatments like medication or basic counseling. Unlike standard therapies, DBT focuses on teaching practical skills such as mindfulness, emotional regulation, distress tolerance, and interpersonal communication, which patients can use to manage anxiety more effectively. The program's structured group format, enhanced by both virtual and in-person sessions, promotes social support and engagement, aiming to create a more holistic improvement in patients' mental well-being. This innovative method could significantly improve the quality of life for dialysis patients by providing them with tools to cope with anxiety in real-time.
What evidence suggests that this Dialectical Behavioural Therapy program is effective for dialysis anxiety?
Research has shown that Dialectical Behavioral Therapy (DBT) can improve mental health. Studies have found that DBT techniques enhance mental health across various situations. While specific data on using DBT for dialysis-related anxiety is limited, it has proven helpful for managing anxiety and depression in general. This trial will evaluate the effectiveness of a 13-week DBT Skills Training Program specifically for dialysis-related anxiety. DBT teaches skills like mindfulness and emotion regulation, which can reduce stress and enhance well-being. Overall, DBT appears promising for helping people manage anxiety, including those on dialysis.13678
Who Is on the Research Team?
Clara J Bohm
Principal Investigator
University of Manitoba
Are You a Good Fit for This Trial?
This trial is for people who have recently started hemodialysis at a clinic or are expected to start within the next 6-12 months. It focuses on those experiencing mental health challenges related to dialysis.Inclusion Criteria
Exclusion Criteria
Timeline for a Trial Participant
Screening
Participants are screened for eligibility to participate in the trial
DBT Skills Training Program
Participants undergo a 13-week dialectical behavioural therapy (DBT) skills training program to address mental health challenges
Follow-up
Participants complete questionnaires to assess mental health outcomes and provide feedback on the DBT program
What Are the Treatments Tested in This Trial?
Interventions
- Dialectical Behavioural Therapy Skills Training Program
Trial Overview
The study is testing a 13-week Dialectical Behavioural Therapy (DBT) skills training program designed to help improve mental wellbeing and quality of life in people undergoing or about to undergo hemodialysis.
How Is the Trial Designed?
1
Treatment groups
Experimental Treatment
DBT Skills Training weekly sessions for 13 weeks. Groups will meet for a maximum of 2 hours per week, including snack or meal and social time, with 5-11 other participants, the DBT therapist who is leading the group (will attend virtually using MS Teams) and three in -person co-facilitators (individual who has a professional healthcare degree e.g. occupational therapist, social worker, MD, nursing). In-person sessions will be held at the Seven Oaks General Hospital campus but outside of clinical areas and away from the hemodialysis unit. Virtual sessions will be held using MS Teams. Skills Training Modules will include Orientation, Mindfulness, Emotional Regulation, Distress Tolerance and Interpersonal Communications. Group participants will have weekly homework exercise to complete and bring back to the next session.
Find a Clinic Near You
Who Is Running the Clinical Trial?
University of Manitoba
Lead Sponsor
Canadian Institutes of Health Research (CIHR)
Collaborator
Citations
The influence of cognitive-behavioral therapy on depression ...
This meta-analysis aimed to assess the effects of cognitive-behavioral therapy on depressive symptoms in dialysis patients. The main hypothesis of this study is ...
A systematic review and meta-analysis of randomized ...
The results of this meta-analysis showed that CBT could have an effective role in reducing symptoms of depression and anxiety as well as improving quality of ...
E-HEalth treatment in Long-term Dialysis (E-HELD): study ...
ICBT is found to be as effective as face-to-face CBT in improving both mental (e.g., anxiety and depression) [38, 39] and physical functioning ( ...
Effectiveness of cognitive behaviour therapy on depression ...
Chan et al. (Citation2016) showed that internet-delivered CBT (iCBT) is effective in reducing depression symptoms in ESRD patients undergoing haemodialysis.
5.
cme.kidney.org
cme.kidney.org/spa/courses/resource/dialectical-behavioral-therapy-and-mindfulness-in-dialysisDialectical Behavioral Therapy and Mindfulness in Dialysis
The presenters will share their experience of introducing the DBT philosophy and implementing DBT techniques with patients across a range of center settings.
NCT07628309 | CanSOLVE 2.0 Theme 3.1 Mind the Gap
The goal of this pilot implementation study is to implement and evaluate a 13-week dialectical behavioural therapy (DBT) skills training ...
Pain Coping Skills Training for Patients Receiving ...
This randomized clinical trial evaluates the effectiveness of pain coping skills training, a cognitive behavioral intervention, ...
8.
behavioraltech.org
behavioraltech.org/wp-content/uploads/2023/07/Non-RCTs-Research-Data-to-Date-2013.12.pdfSUMMARY OF NON-RCT STUDIES 1. Published Quasi ...
Additional outcome measures from DBT. (pre/post within DBT group): significant decreases in suicidal ideation, significant reductions in global severity index ...
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