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Coping skills training reduced haemoglobin A1c and improved self efficacy in youths with diabetes

https://doi.org/10.1136/ebn.2.4.115

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    Grey M, Boland EA, Davidson M, et al. Coping skills training for youths with diabetes on intensive therapy.Appl Nurs Res1999 Feb; 12:3–12.OpenUrlCrossRefPubMedWeb of Science

    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?

    Design

    Randomised, double blind (clinicians and outcome assessors), controlled trial with 6 months follow up.

    Setting

    Yale Pediatric Diabetes Service in New Haven, Connecticut, USA.

    Patients

    77 adolescents who were 12.5–20 years of age (mean age 16 y, 58% girls, 92% white), 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 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%.

    Intervention

    Adolescents were allocated to intensive management …

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    Footnotes

    • Sources of funding: National Institute for Nursing Research and the Yale Children's Clinical Research Center.

    • For correspondence: Dr M Grey, Yale University School of Nursing, 100 Church Street South, PO Box 9740, New Haven, CT 06536-0740, USA. Fax +1 203 737 4480.

    • Abstract and commentary also appear in Evidence-Based Mental Health.