© 1999 Evidence-Based Mental Health
Coping skills training was effective in adolescents with type 1 diabetes
Grey M, Boland EA, Davidson M, et al. Coping skills training for youths with diabetes on intensive therapy. Appl Nurs Res 1999 Feb;12:3–12.[Medline]
Question In adolescents with type 1 diabetes mellitus, does the addition of a behavioural programme of coping skills training (CST) to intensive diabetes management improve metabolic and psychosocial outcomes?
Randomised, blinded (clinicians and outcome assessors), controlled trial with 6 months of follow up.
The Yale Pediatric Diabetes Service in New Haven, Connecticut, USA.
77 adolescents who were 13–20 years of age (mean age 16 y, 58% girls), had type 1 diabetes (mean duration 8.4 y) with no other health problems except for treated hypothyroidism, had been treated with insulin for 
1 year, had haemoglobin A1c (HbA1c) concentration of 7–14%, had no severe hypoglycaemic events in the previous 6 months, and were in an appropriate school grade for their age (within 1 year). Follow up was 100%.
Adolescents were allocated to intensive management plus CST (n=42) or intensive management alone (n=35). Intensive management consisted of 3 daily insulin injections or an external insulin pump, self monitoring of blood glucose 4 times daily, monthly outpatient visits, and interim telephone contacts. CST was given in small groups of 2–3 adolescents who
Research Associate and Instructor Joslin Diabetes Center and Harvard Medical School Boston, Massachusetts, USA
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