CanSOLVE 2.0 Theme 3.1 Mind the Gap: Addressing Mental Health Care Gaps for Canadians Receiving Facility-Based Hemodialysis - Dialectical Behavioural Therapy (DBT) Skills Training Program Pilot Intervention
试验速览
- 阶段
- 不适用
- 状态
- 暂停
- 入组人数
- 35
- 试验地点
- 1
研究概览
简要总结
The goal of this pilot implementation study is to implement and evaluate a 13-week dialectical behavioural therapy (DBT) skills training program to address challenges to mental health and mental wellbeing in people who have recently started facility-based hemodialysis or those who may start within the next 6-12 months.
详细描述
BACKGROUND:
Mental health "Mental health" refers to the state of one's psychological and emotional well-being. It's about one's feelings and thoughts, whether they are experiencing positive emotions, such as happiness and contentment, or facing challenges like stress, sadness, or anxiety. This is not the same as mental illness, but poor mental health can lead to physical and mental illness.
People with chronic kidney disease face a significant burden on their mental health and although recognized as a serious issue, an approach to addressing mental health care for people with kidney disease and kidney failure is lacking. New models are needed to meet the mental health needs of people with kidney disease in Canada.
In earlier stages of the Mind the Gap project, we identified that the top 5 challenges to mental health in people receiving hemodialysis were:
- Loss of control
- Lack of acceptance and/or adjustment to the situation
- Lack of trust and/or confidence in the healthcare system and providers
- Dialysis-related symptoms
- Feeling overwhelmed
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Supportive Care
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Age > 18 years old
- •Individuals followed in the Manitoba Kidney Health Program at Seven Oaks General Hospital or Health Sciences Centre sites with advanced chronic kidney disease not yet on facility-based hemodialysis but with plans to start within 1 month; OR
- •Individuals followed in the Manitoba Kidney Health Program at the SOGH or HSC sites who have initiated facility-based hemodialysis within the last 90 days
- •Able and willing to attend weekly DBT sessions (either virtually or in-person)
- •Experiencing self-reported psychological distress related to advanced kidney disease or initiation of hemodialysis
- •Deemed eligible to participate by study clinical psychologist
排除标准
- •Unable to complete intervention due to planned relocation/transplant/modality change
- •Unable to communicate in English
- •Deemed by hemodialysis unit staff/physician/study psychologist to be unable to participate fully in study activities due to:
- •Actively participating in psychiatric care with psychiatric (DSM-5) diagnosis
- •Requiring referral for psychiatric care as per facility-based HD care provider assessment
- •Current psychotic symptoms
- •Cognitive impairment that would limit ability to participate in group or complete homework
- •Safety risk to staff (e.g. physical aggression)
- •Antisocial personality disorder or other issues that may limit ability to constructively participate in peer group
- •Severe comorbid substance use disorder (if present will offer referral to addictions resources or Addictions Psychiatry)
研究组 & 干预措施
13-Week DBT Skills Training Program
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.
干预措施: Dialectical Behavioural Therapy Skills Training (Behavioral)