Article| Volume 30, ISSUE 5, P424-434, September 2016

Critical Analysis of Interventional Research Designs to Promote Coping in Pediatric Patients

Published:November 24, 2015DOI:



      The purpose of this article is to analyze the strengths and limitations of research designs of studies implementing coping based training interventions in adolescents.


      Quantitative and mixed methods studies were selected and reviewed for critical analysis of strengths, limitations, and validity concerns.


      Methodological strengths and weaknesses were assessed. The major limitation to the studies reviewed is selection bias in both quasi-experimental studies and randomized controlled trials.

      Practice implications

      Improved coping strategies and skills were found in participants of coping skill training intervention programs. Decreased depressive symptoms and less impact of individual disease burden was found in the treatment intervention groups.

      Key Words

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        • Armstrong M.
        • Birnie-Lefcovitch S.
        • Ungar M.
        Pathways between social support, family well-being, quality of parenting, and child resilience: What we know.
        Journal of Child and Family Studies. 2005; 14: 269-281
        • Bellg A.J.
        • Borrelli B.
        • Resnick B.
        • Hecht J.
        • Minicucci D.S.
        • Ory M.
        • Czajkowski S.
        • et al.
        Enhancing treatment fidelity in health behavior change studies: Best practices and recommendations from the NIH Behavior Change Consortium.
        Health Psychology. 2004; 23: 443-451
        • Blount R.L.
        • Simons L.E.
        • Devine K.A.
        • Jaaniste T.
        • Cohen L.L.
        • Chambers C.T.
        • Hayutin L.G.
        Evidence-based assessment of coping and stress in pediatric psychology.
        Journal of Pediatric Psychology. 2008; 33: 1021-1045
        • Davidson M.
        • Boland E.A.
        • Grey M.
        Teaching teens to cope: Coping skills training for adolescents with diabetes mellitus.
        Journal of the Society of Pediatric Nurses. 1997; 2: 65-72
        • Dunst C.J.
        • Trivette C.M.
        • Cross A.H.
        Mediating influences of social support: Personal, family, and child outcomes.
        American Journal of Mental Deficiencies. 1986; 90: 403-417
        • Forman S.G.
        Coping skills interventions for children and adolescents.
        Jossey-Bass Publishers, San Francisco, CA1993
        • Gil K.M.
        • Anthony K.K.
        • Carson J.W.
        • Redding-Lallinger R.
        • Daeschner C.W.
        • Ware R.E.
        Daily coping practice predicts treatment effects in children with sickle cell disease.
        Journal of Pediatric Psychology. 2001; 26: 163-173
        • Grey M.
        Coping skills training for youths with diabetes.
        Diabetes Spectrum. 2011; 24: 70-75
        • Grey M.
        • Boland E.A.
        • Davidson M.
        • Yu C.
        • Sullivan-Bolyai S.
        • Tamborlane W.V.
        Short-term effects of coping skills training as adjunct to intensive therapy in adolescents.
        Diabetes Care. 1998; 21: 902-908
        • Grey M.
        • Boland E.A.
        • Davidson M.
        • Yu C.
        • Tamborlane W.V.
        Coping skills training for youths with diabetes on intensive therapy.
        Applied Nursing Research. 1999; 12: 3-12
        • Grey M.
        • Whittemore R.
        • Jaser S.
        • Ambrosino J.
        • Lindemann E.
        • Liberti L.
        • Dziura J.
        • et al.
        Effects of coping skills training in school-age children with type 1 diabetes.
        Research in Nursing and Health. 2009; 32: 405-418
        • Hamdan-Mansour A.M.
        • Puskar K.
        • Bandak A.G.
        Effectiveness of cognitive-behavioral therapy on depressive symptomatology, stress and coping strategies among Jordanian university students.
        Issues in Mental Health Nursing. 2009; 30: 188-196
        • Jefferson V.
        • Jaser S.S.
        • Lindemann E.
        • Galasso P.
        • Beale A.
        • Holl M.G.
        • Grey M.
        Coping skills training in a telephone health coaching program for youth at risk for type 2 diabetes.
        Journal of Pediatric Health Care. 2011; 25: 153-161
        • Mendez F.J.
        • Belendez M.
        Effects of a behavioral intervention on treatment adherence and stress management in adolescents with IDDM.
        Diabetes Care. 1997; 20: 1370-1375
        • Moreira P.
        • Crusellas L.
        • Sa I.
        • Gomes P.
        • Matias C.
        Evaluation of a manual-based programme for the promotion of social and emotional skills in elementary school children: Results from a 4-year study in Portugal.
        Health Promotion International. 2010; 25: 309-317
      1. National Institute of Mental Health. (2012). Any disorder among children. Retrieved from

        • Puskar K.
        • Grabiak B.R.
        • Bernardo L.M.
        • Ren D.
        Adolescent coping across time: Implications for psychiatric mental health nurses.
        Issues in Mental Health Nursing. 2009; 30: 581-586
        • Puskar K.
        • Sereika S.
        • Tusaie-Mumford K.
        Effect of the Teaching Kids to Cope (TKC) program on outcomes of depression and coping among rural adolescents.
        Journal of Child and Adolescent Psychiatric Nursing. 2003; 16: 71-80
        • Santacroce S.
        • Asmus K.
        • Kadan-Lottick N.
        • Grey M.
        Feasibility and preliminary outcomes from a pilot study of coping skills training for adolescent-young adult survivors of childhood cancer and their parents.
        Journal of Pediatric Oncology Nursing. 2010; 27: 10-20
        • Schildmann E.K.
        • Higginson I.J.
        Evaluating psycho-educational interventions for informal carers of patients receiving cancer care or palliative care: Strengths and limitations of different study designs.
        Palliative Medicine. 2011; 25: 345-356
        • Shadish W.R.
        Campbell and Rubin: A primer and comparison of their approaches to causal inference in field settings.
        Psychological Methods. 2010; 15: 3-17
        • Shadish W.R.
        • Cook T.D.
        • Campbell D.T.
        Experimental and quasi-experimental designs for generalized causal inference.
        Houghton Mifflin, Boston, MA2002
        • Sidani S.
        • Epstein D.R.
        • Moritz P.
        An alternative paradigm for clinical nursing research: An exemplar.
        Research in Nursing and Health. 2003; 26: 244-255
        • Trochim W.M.K.
        Research methods: The concise knowledge base.
        Atomic Dog Publishers, Cincinnati, OH2005
        • van Meijel B.
        • Gamel C.
        • van Swieten-Duijfjes B.
        • Grypdonck M.H.
        The development of evidence-based nursing interventions: Methodological considerations.
        Journal of Advanced Nursing. 2004; 48: 84-92
        • Wyatt T.H.
        • Hauenstein E.J.
        Pilot testing Okay With Asthma: An online asthma intervention for school-age children.
        Journal of School Nursing. 2008; 24: 145-150


      Anna Tielsch-Goddard, Doctoral Candidate, School of Nursing, Vanderbilt University, Nashville, TN.


      Sheila H. Ridner, Martha Rivers Ingram Professor, School of Nursing, Vanderbilt University, Nashville, TN.