RecruitingNot ApplicableNCT07628309

CanSOLVE 2.0 Theme 3.1 Mind the Gap - Dialectical Behavioural Therapy (DBT) Skills Training Program Pilot

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

Sponsor

University of Manitoba

Enrollment

35 participants

Start Date

Mar 5, 2026

Study Type

INTERVENTIONAL

Conditions

Hemodialysis Mental Health Health-related Quality of Life Mental Health Care DIALYSIS SYMPTOMS AND ANXIETY

Summary

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.

Eligibility

Min Age: 18 Years

Inclusion Criteria6

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

Exclusion Criteria10

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)

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Interventions

BEHAVIORALDialectical Behavioural Therapy Skills Training

We will use a quasi-experimental pre/post study design to pilot two 13-week group DBT sessions in Manitoba that will be led by a licensed clinical psychologist who is trained and certified in delivery of DBT Skills Training. Additional staff (e.g. Licensed Kidney Health Manitoba Social Worker at Seven Oaks General Hospital and/or a clinical psychology practicum student supervised by the licensed psychologist) may also co-facilitate the group depending on timing and human resources availability. An initial DBT Skills training group will meet in person at Seven Oaks General Hospital weekly for 13 weeks (including initial orientation session). Following completion of and incorporating feedback from the first session, a second virtual 13-week DBT skills training group session will be implemented. Modules included in this training will be orientation, Mndfulness, Distress Tolerance, Emotional Regulation, Interpersonal Communication.