Taking Evidence-Based Coping Skills Training to the Internet

Abstract

Coping skills training (CST) addresses adolescents’ coping skills and behavior patterns related to type 1 diabetes management and has demonstrated improved health and quality of life outcomes [1, 2]. CST is delivered in small groups and attempts to promote adaptive coping skills that translate to improved abilities to solve problems around diabetes management. CST trials have evidenced a large effect size, making this approach one of the best supported among adherence-promoting interventions for this population [3]. Internet-based health promotion interventions are growing in popularity, with benefits including wide accessibility, appeal to teenagers, potential for individualized content and contact between users, and demonstrated impact on health and mental health outcomes [4]. Considering the established efficacy of CST and the potential advantages of intervention delivery via the Internet, a team of investigators set about adapting CST for Internet delivery.