Highlights
- •A CST-US program was adapted for youth with T1D in China through a multi-phase process, and guided by a heuristic framework.
- •The adapted program is culturally relevant, acceptable to stakeholders, and aligned with the healthcare system in China.
- •Youth had a high attendance at the sessions, and reported high satisfaction with the program.
Abstract
Purpose
To adapt an evidence-based coping skills training program to the cultural context
and healthcare system for youth with T1D in China, and to evaluate the feasibility,
acceptability, and preliminary efficacy of the modified program.
Design and methods
A multiphase process was used based on a heuristic framework for program modification.
This included information gathering, preliminary adaptation, and feasibility evaluation.
Results
In Stage 1, the coping skills training protocol was translated and evaluated for relevance by
the stakeholders (youth diagnosed with T1D, parents, and healthcare providers). Recommendations
for revisions and culturally relevant scenarios were identified. In Stage 2, the program was adapted for youth with a wider age range. Scenarios and logistics
of the program were changed, and a session on blood glucose management was added to
enhance cultural relevance. In Stage 3, the feasibility of the modified program was evaluated with 15 youth participants
diagnosed with T1D (mean age: 13.88 years). Problem-solving coping and the self-efficacy
of the youth improved over time (p < .05). High attendance, engagement, and satisfaction
were achieved.
Practice implications
The CST-China program has the potential to provide Chinese youth with T1D an interactive
and engaging program to improve health outcomes. The adaptation process of a CST program
can provide a reference for pediatric nurses to develop programs which are culturally
relevant, acceptable to stakeholders, and aligned with the healthcare system in China.
Conclusions
A coping skills training program was systematically adapted and aligned to the healthcare
system in China, with evidence of feasibility and acceptability in Chinese youth with
T1D.
Keywords
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Article info
Publication history
Published online: May 27, 2020
Accepted:
May 8,
2020
Received in revised form:
May 6,
2020
Received:
January 12,
2020
Identification
Copyright
© 2020 Elsevier Inc. All rights reserved.
