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  • Intensive diabetes management plus coping skills training improved metabolic control and quality of life in adolescents

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Intensive diabetes management plus coping skills training improved metabolic control and quality of life in adolescents

https://doi.org/10.1136/ebn.4.1.11

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    Grey M, Boland EA, Davidson M, et al.Coping skills training for youth with diabetes mellitus has long-lasting effects on metabolic control and quality of life.J Pediatr2000 Jul;137:107–13OpenUrlCrossRefPubMedWeb of Science

    QUESTION: Is a behavioural programme of intensive diabetes management (IDM) plus coping skills training (CST) more effective than IDM alone for improving metabolic and psychosocial outcomes in adolescents with type 1 diabetes mellitus?

    Design

    Randomised (unclear allocation concealment), blinded (clinicians and outcome assessors), controlled trial with 12 months of follow up.

    Setting

    A diabetes clinic in New Haven, Connecticut, USA.

    Patients

    77 patients who were 12–20 years of age, had no other health problems except for treated hypothyroidism, had been treated with insulin for ≥1 year, had a recent glycated haemoglobin concentration (HbA1c) of 7% to 14%, had no severe hypoglycaemic events in the previous 6 months, and were in a school grade appropriate to age within 1 year. Follow up was 97% (mean age 14 y, 57% girls, 92% white).

    Intervention

    42 participants were allocated to IDM plus …

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    Footnotes

    • Sources of funding: US National Institute of Nursing Research; Culpeper Foundation.

    • 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.