Effectiveness of the Coping Skills Training in Youth With Type 1 Diabetes: A Systematic Review and Meta-Analysis
- Forfatter(e)
- Luo, J. X., Jiang, Y., Grey, M., Whittemore, R., Guo, J.
- År
- 2026
- Tidsskrift
- Pediatric Diabetes
- Volum
- 2026
- Sider
- 18
- Kategori(er)
- Livskvalitet og trivselSomatisk sykdom (inkl. smertetilstander)
- Tiltakstype(r)
- Psykodynamisk/interpersonlig terapi
- Abstract
Objectives
This study aimed to synthesize the effectiveness of coping skills training (CST) interventions on glycemic control, psychosocial variables, and diabetes self-management over 3, 6, and 12 months in youth with type 1 diabetes mellitus (T1DM).
Method
CINAHL, PubMed, Web of Science, Embase, PsycINFO, the Cochrane Central Register of Controlled Trials, and other gray literature sources were searched up to March 2025. The Grading of Recommendations Assessment, Development, and Evaluation (GRADE) was used to assess the certainty of evidence. A narrative synthesis was performed to evaluate the effectiveness of CST interventions on key outcomes, including glycemic control, psychosocial variables, and diabetes self-management compared with conventional diabetes education. Subgroup analyses were conducted using Review Manager 5.4 software to assess the effectiveness of CST over 3, 6, and 12 months for key outcomes.
Results
Ten randomized controlled trials (RCTs) from western and eastern countries, involving 1029 participants, were included. Compared with conventional diabetes education, CST reduced HbA1c levels over 3 months (mean difference [MD]: -0.29, 95% confidence interval [CI]: -0.56 to -0.02), with this effectiveness sustained at 6 (MD: -0.55, 95% CI: -0.88 to -0.21) and 12 months (MD: -0.56, 95% CI: -1.03 to -0.10). Significant improvements in self-efficacy (standardized MD [SMD]: 0.35, 95% CI: 0.01-0.68) and quality of life (SMD: 0.27, 95% CI: 0.01-0.54) were observed over 12 months. No significant differences were found in stress, depressive symptoms, or coping between groups over 3, 6, or 12 months. The quality of evidence ranged from very low to moderate.
Conclusion
The available evidence suggests that CST may contribute to improved glycemic control over 3 months, with possible sustained benefits observed over 6 and 12 months. For self-efficacy and quality of life, no significant improvements were observed over 3 or 6 months, though some positive effects emerged over 12 months. More RCTs are needed to evaluate the effectiveness of CST on anxiety and diabetes self-management.