Effects of coping skills training in school-age children with type 1 diabetes


  • This work was supported by a grant from the National Institute for Nursing Research (National Institute of Health R01NR004009; PI: M.G., Dr. P.H., R.N., F.A.A.N.).


Children with type 1 diabetes are at risk for negative psychosocial and physiological outcomes, particularly as they enter adolescence. The purpose of this randomized trial (n = 82) was to determine the effects, mediators, and moderators of a coping skills training intervention (n = 53) for school-aged children compared to general diabetes education (n = 29). Both groups improved over time, reporting lower impact of diabetes, better coping with diabetes, better diabetes self-efficacy, fewer depressive symptoms, and less parental control. Treatment modality (pump vs. injections) moderated intervention efficacy on select outcomes. Findings suggest that group-based interventions may be beneficial for this age group. © 2009 Wiley Periodicals, Inc. Res Nurs Health 32: 405–418, 2009