16 Participants Needed

Dialectical Behavior Therapy for Smoking in Cancer Patients

Recruiting at 1 trial location
JM
Overseen ByJames Morgan
Age: 18+
Sex: Any
Trial Phase: Academic
Sponsor: Wake Forest University Health Sciences
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial explores how Dialectical Behavior Therapy (DBT), a type of talk therapy, can assist cancer patients in reducing or quitting smoking. It focuses on patients currently undergoing treatment with curative intent or those in remission. Ideal participants smoke at least one cigarette daily and have smoked at least 100 cigarettes in their lifetime. The goal is to determine if learning new skills through DBT can facilitate cutting back or quitting smoking altogether. As an unphased trial, this study allows patients to contribute to innovative research that could enhance cancer care and smoking cessation strategies.

Will I have to stop taking my current medications?

The trial does not specify if you need to stop taking your current medications, but you cannot participate if you are using tobacco cessation medications or receiving external tobacco use counseling.

What prior data suggests that Dialectical Behavior Therapy is safe for cancer patients who smoke?

Research has shown that Dialectical Behavior Therapy (DBT) is safe for patients, including those with cancer who smoke. Studies have found that DBT aids individuals with substance use and emotional challenges, suggesting it might help cancer patients who smoke to reduce or quit. A review highlighted enthusiasm for a shorter version of DBT for this purpose. Patients and healthcare providers support its use because it helps people manage emotions better, which can boost confidence in quitting smoking. No reports of serious side effects make DBT a well-tolerated option.12345

Why are researchers excited about this trial?

Dialectical Behavior Therapy (DBT) is unique because it combines cognitive-behavioral techniques with mindfulness practices to help cancer patients who smoke. Unlike traditional smoking cessation methods such as nicotine replacement therapy or medications like varenicline, DBT targets the emotional and psychological aspects of smoking, which can be particularly relevant for individuals dealing with the stress of cancer treatment or remission. Researchers are excited about DBT because it offers a holistic approach that not only addresses smoking cessation but also helps improve emotional regulation and stress management, potentially leading to better overall health outcomes for cancer patients.

What evidence suggests that Dialectical Behavior Therapy is effective for smoking cessation in cancer patients?

Research has shown that Dialectical Behavior Therapy (DBT) might help cancer patients quit smoking. In this trial, participants will receive DBT-Skills Training (DBT-ST), which has assisted people with challenges related to substance use and emotions, including smoking. Some patients who tried DBT-ST successfully quit smoking, and these positive effects persisted over time. Early findings suggest that DBT-ST can be adjusted to help cancer patients reduce or stop smoking completely. These studies offer hope that DBT could be a useful tool for those trying to quit smoking while managing cancer.12356

Who Is on the Research Team?

MM

Marcia McCall, PhD

Principal Investigator

Wake Forest University Health Sciences

Are You a Good Fit for This Trial?

This trial is for adult cancer patients who are currently smoking and have smoked at least 100 cigarettes in their lifetime. They should be undergoing or have completed treatment with a hope to cure, able to use video conferencing, and not using other tobacco cessation methods or medications.

Inclusion Criteria

Smoke ≥1 cigarettes every day in the past 30 days per participant report
Smoked at least 100 cigarettes (5 packs) in lifetime
I am 18 years old or older.
See 3 more

Exclusion Criteria

I am currently getting help or taking medication to quit smoking.
I have completed more than five DBT-ST sessions.
Have active and severe suicidal ideation at time of eligibility assessment or suicide attempt within the past month
See 3 more

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Treatment

Participants undergo eight 60-minute sessions of Dialectical Behavior Therapy - Skills Training (DBT-ST) to help reduce or stop smoking

8 weeks
8 visits (in-person)

Follow-up

Participants complete a survey on their intervention experience and ongoing use of DBT-ST, and engage in a one-hour qualitative interview

4 weeks
1 visit (in-person)

What Are the Treatments Tested in This Trial?

Interventions

  • Dialectical Behavior Therapy
Trial Overview The study tests Dialectical Behavior Therapy - Skills Training (DBT-ST) as a group intervention to help cancer patients reduce or quit smoking. It's an open trial where participants learn skills aimed at controlling their smoking habits.
How Is the Trial Designed?
1Treatment groups
Experimental Treatment
Group I: Patients with cancer who smokeExperimental Treatment1 Intervention

Find a Clinic Near You

Who Is Running the Clinical Trial?

Wake Forest University Health Sciences

Lead Sponsor

Trials
1,432
Recruited
2,506,000+

Atrium Health Wake Forest Baptist

Collaborator

Trials
3
Recruited
250+

Atrium Health Wake Forest Baptist

Collaborator

Citations

Qualitative Evaluation of a Novel Dialectical Behavior ...Conclusion. These results suggest our DBT-ST intervention has potential to provide an effective smoking cessation intervention for patients ...
2.pubmed.ncbi.nlm.nih.govpubmed.ncbi.nlm.nih.gov/40894165/
Qualitative Evaluation of a Novel Dialectical Behavior Therapy ...Introduction: Despite evidence that quitting smoking improves cancer treatment and outcomes, about one in eight patients with cancer smokes ...
3.pubmed.ncbi.nlm.nih.govpubmed.ncbi.nlm.nih.gov/39777828/
Dialectical Behavior Therapy Skills Training as a Brief ...DBT-ST as a brief intervention for people with substance use, cancer, or emotion dysregulation demonstrates sufficient positive outcomes to adapt this approach.
Qualitative Review of a Dialectical Behavior Therapy Skills ...Conclusions: These results indicate early enthusiasm and promise for our DBT–ST brief intervention for patients with cancer who smoke cigarettes ...
Dialectical Behavior Therapy Skills Training as a Brief ...All studies found at least one improvement in a main outcome following DBT-ST intervention, with results maintained at follow-up. Qualitative ...
Dialectical Behavior Therapy for Smoking in Cancer PatientsTrial Overview The study tests Dialectical Behavior Therapy - Skills Training (DBT-ST) as a group intervention to help cancer patients reduce or quit smoking.
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