Short-term effects of coping skills training as adjunct to intensive therapy in adolescents

Margaret Grey, Elizabeth A. Boland, Maryanne Davidson, Chang Yu, Susan Sullivan-Bolyai, William V. Tamborlane

Research output: Contribution to journalArticle

Abstract

OBJECTIVE - Given the urgent need to develop effective programs that improve the ability for adolescents to achieve metabolic control equivalent to programs studied in the Diabetes Control and Complications Trial, we have undertaken a clinical trial to determine if a behavioral intervention (coping skills training [CST]) combined with intensive diabetes management can improve metabolic control and quality of life in adolescents implementing intensive therapy regimens. RESEARCH DESIGN AND METHODS - A total of 65 youths between the ages of 13 and 27 years. who elected to initiate intensive insulin therapy, were randomly assigned to one of two groups: the intensive management with CST group and the intensive management without CST group. CST consists of a series of small group efforts designed to teach adolescents the coping skills of social problem-solving, social skills training, cognitive behavior modification, and conflict resolution. Data were collected at pre- intervention and at 3 months following the use of the Self-Efficacy for Diabetes scale, Children's Depression Inventory, issues in Coping with IDDM scale, and the Diabetes Quality of Life: Youth scale. Clinical data (HbA(1c), adverse effects) were collected monthly. RESULTS - The experimental and control groups were comparable on all measures at base-line. Results show that adolescents who received CST had lower HbA(1c) and better diabetes self- efficacy and were less upset about coping with diabetes than adolescents receiving intensive management alone. In addition, adolescents who received the CST found it easier to cope with diabetes and experienced less of a negative impact of diabetes on quality of life than those who did not receive CST. CONCLUSIONS - CST is useful in improving not only an adolescent's metabolic control, but also their quality of life. As more pediatric providers aim for improved control in adolescents with diabetes, the addition of this behavioral intervention may be helpful in achieving metabolic and life goals.

Original languageEnglish (US)
Pages (from-to)902-908
Number of pages7
JournalDiabetes Care
Volume21
Issue number6
DOIs
StatePublished - 1998

Fingerprint

Psychological Adaptation
Quality of Life
Therapeutics
Self Efficacy
Metabolic Equivalent
Aptitude
Behavior Therapy
Social Problems
Negotiating
Diabetes Complications
Type 1 Diabetes Mellitus
Research Design
Clinical Trials
Insulin
Depression
Pediatrics
Equipment and Supplies
Control Groups

ASJC Scopus subject areas

  • Internal Medicine
  • Endocrinology, Diabetes and Metabolism

Cite this

Grey, M., Boland, E. A., Davidson, M., Yu, C., Sullivan-Bolyai, S., & Tamborlane, W. V. (1998). Short-term effects of coping skills training as adjunct to intensive therapy in adolescents. Diabetes Care, 21(6), 902-908. https://doi.org/10.2337/diacare.21.6.902

Short-term effects of coping skills training as adjunct to intensive therapy in adolescents. / Grey, Margaret; Boland, Elizabeth A.; Davidson, Maryanne; Yu, Chang; Sullivan-Bolyai, Susan; Tamborlane, William V.

In: Diabetes Care, Vol. 21, No. 6, 1998, p. 902-908.

Research output: Contribution to journalArticle

Grey, M, Boland, EA, Davidson, M, Yu, C, Sullivan-Bolyai, S & Tamborlane, WV 1998, 'Short-term effects of coping skills training as adjunct to intensive therapy in adolescents', Diabetes Care, vol. 21, no. 6, pp. 902-908. https://doi.org/10.2337/diacare.21.6.902
Grey, Margaret ; Boland, Elizabeth A. ; Davidson, Maryanne ; Yu, Chang ; Sullivan-Bolyai, Susan ; Tamborlane, William V. / Short-term effects of coping skills training as adjunct to intensive therapy in adolescents. In: Diabetes Care. 1998 ; Vol. 21, No. 6. pp. 902-908.
@article{8b7da7788e104e939f5f6d1578863fea,
title = "Short-term effects of coping skills training as adjunct to intensive therapy in adolescents",
abstract = "OBJECTIVE - Given the urgent need to develop effective programs that improve the ability for adolescents to achieve metabolic control equivalent to programs studied in the Diabetes Control and Complications Trial, we have undertaken a clinical trial to determine if a behavioral intervention (coping skills training [CST]) combined with intensive diabetes management can improve metabolic control and quality of life in adolescents implementing intensive therapy regimens. RESEARCH DESIGN AND METHODS - A total of 65 youths between the ages of 13 and 27 years. who elected to initiate intensive insulin therapy, were randomly assigned to one of two groups: the intensive management with CST group and the intensive management without CST group. CST consists of a series of small group efforts designed to teach adolescents the coping skills of social problem-solving, social skills training, cognitive behavior modification, and conflict resolution. Data were collected at pre- intervention and at 3 months following the use of the Self-Efficacy for Diabetes scale, Children's Depression Inventory, issues in Coping with IDDM scale, and the Diabetes Quality of Life: Youth scale. Clinical data (HbA(1c), adverse effects) were collected monthly. RESULTS - The experimental and control groups were comparable on all measures at base-line. Results show that adolescents who received CST had lower HbA(1c) and better diabetes self- efficacy and were less upset about coping with diabetes than adolescents receiving intensive management alone. In addition, adolescents who received the CST found it easier to cope with diabetes and experienced less of a negative impact of diabetes on quality of life than those who did not receive CST. CONCLUSIONS - CST is useful in improving not only an adolescent's metabolic control, but also their quality of life. As more pediatric providers aim for improved control in adolescents with diabetes, the addition of this behavioral intervention may be helpful in achieving metabolic and life goals.",
author = "Margaret Grey and Boland, {Elizabeth A.} and Maryanne Davidson and Chang Yu and Susan Sullivan-Bolyai and Tamborlane, {William V.}",
year = "1998",
doi = "10.2337/diacare.21.6.902",
language = "English (US)",
volume = "21",
pages = "902--908",
journal = "Diabetes Care",
issn = "1935-5548",
publisher = "American Diabetes Association Inc.",
number = "6",

}

TY - JOUR

T1 - Short-term effects of coping skills training as adjunct to intensive therapy in adolescents

AU - Grey, Margaret

AU - Boland, Elizabeth A.

AU - Davidson, Maryanne

AU - Yu, Chang

AU - Sullivan-Bolyai, Susan

AU - Tamborlane, William V.

PY - 1998

Y1 - 1998

N2 - OBJECTIVE - Given the urgent need to develop effective programs that improve the ability for adolescents to achieve metabolic control equivalent to programs studied in the Diabetes Control and Complications Trial, we have undertaken a clinical trial to determine if a behavioral intervention (coping skills training [CST]) combined with intensive diabetes management can improve metabolic control and quality of life in adolescents implementing intensive therapy regimens. RESEARCH DESIGN AND METHODS - A total of 65 youths between the ages of 13 and 27 years. who elected to initiate intensive insulin therapy, were randomly assigned to one of two groups: the intensive management with CST group and the intensive management without CST group. CST consists of a series of small group efforts designed to teach adolescents the coping skills of social problem-solving, social skills training, cognitive behavior modification, and conflict resolution. Data were collected at pre- intervention and at 3 months following the use of the Self-Efficacy for Diabetes scale, Children's Depression Inventory, issues in Coping with IDDM scale, and the Diabetes Quality of Life: Youth scale. Clinical data (HbA(1c), adverse effects) were collected monthly. RESULTS - The experimental and control groups were comparable on all measures at base-line. Results show that adolescents who received CST had lower HbA(1c) and better diabetes self- efficacy and were less upset about coping with diabetes than adolescents receiving intensive management alone. In addition, adolescents who received the CST found it easier to cope with diabetes and experienced less of a negative impact of diabetes on quality of life than those who did not receive CST. CONCLUSIONS - CST is useful in improving not only an adolescent's metabolic control, but also their quality of life. As more pediatric providers aim for improved control in adolescents with diabetes, the addition of this behavioral intervention may be helpful in achieving metabolic and life goals.

AB - OBJECTIVE - Given the urgent need to develop effective programs that improve the ability for adolescents to achieve metabolic control equivalent to programs studied in the Diabetes Control and Complications Trial, we have undertaken a clinical trial to determine if a behavioral intervention (coping skills training [CST]) combined with intensive diabetes management can improve metabolic control and quality of life in adolescents implementing intensive therapy regimens. RESEARCH DESIGN AND METHODS - A total of 65 youths between the ages of 13 and 27 years. who elected to initiate intensive insulin therapy, were randomly assigned to one of two groups: the intensive management with CST group and the intensive management without CST group. CST consists of a series of small group efforts designed to teach adolescents the coping skills of social problem-solving, social skills training, cognitive behavior modification, and conflict resolution. Data were collected at pre- intervention and at 3 months following the use of the Self-Efficacy for Diabetes scale, Children's Depression Inventory, issues in Coping with IDDM scale, and the Diabetes Quality of Life: Youth scale. Clinical data (HbA(1c), adverse effects) were collected monthly. RESULTS - The experimental and control groups were comparable on all measures at base-line. Results show that adolescents who received CST had lower HbA(1c) and better diabetes self- efficacy and were less upset about coping with diabetes than adolescents receiving intensive management alone. In addition, adolescents who received the CST found it easier to cope with diabetes and experienced less of a negative impact of diabetes on quality of life than those who did not receive CST. CONCLUSIONS - CST is useful in improving not only an adolescent's metabolic control, but also their quality of life. As more pediatric providers aim for improved control in adolescents with diabetes, the addition of this behavioral intervention may be helpful in achieving metabolic and life goals.

UR - http://www.scopus.com/inward/record.url?scp=3643053998&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=3643053998&partnerID=8YFLogxK

U2 - 10.2337/diacare.21.6.902

DO - 10.2337/diacare.21.6.902

M3 - Article

C2 - 9614605

AN - SCOPUS:3643053998

VL - 21

SP - 902

EP - 908

JO - Diabetes Care

JF - Diabetes Care

SN - 1935-5548

IS - 6

ER -