title: Effect of coping strategies training on its use by thalassemia major adolescents: a randomized controlled clinical trial.
abstract: BACKGROUND
  Thalassemia is a chronic disease with serious clinical and psychological challenges. The incidence of thalassemia in a family member may cause a psychological crisis in all family members and in this case coping strategies are required. This clinical trial study aimed to determine the impact of training coping strategies on their use by major thalassemic adolescents referred to Dastgheib Hospital in Shiraz.
  
  
  METHODS
  In this randomized clinical trial, 87 adolescents with major thalassemia who were randomly assigned to two groups of experiment and control were enrolled. Then the experiment group attended six sessions of coping strategies training program in isolation, each lasting for one and half hour. In order to examine the coping strategies, Jalowice's coping strategy questionnaire was used in three periods including pre-intervention period and one month and two months after the intervention. The collected data were analyzed using independent t-test and Chi-square.
  
  
  RESULTS
  Mean scores of problem-focused coping strategies in the experiment group increased in one month and two months after the intervention from 45±12.7 to 54.8±7.3 and 55.7±7.2, respectively. Also, the difference in mean scores of problem-focused coping strategies was significant in the two groups (P<0.001).  Furthermore, the difference in mean scores of emotion-focused coping strategies was significantly different between the two groups in two months after the intervention (P=0.007).
  
  
  CONCLUSIONS
  Based on the obtained results, teaching coping strategies has improved the use of problem-focused coping strategies and also effective coping with stress and disease problems in patients with thalassemia major. Therefore, it is recommended that authorities should consider this as a part of treatment program.
  
  
  BACKGROUND
  IRCT2013112215484N1.
authors.affiliation: Department of Pediatric Nursing, School of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran;
authors.forename: Fatemeh
authors.initials: F
authors.lastname: Hashemi
authors.affiliation: Department of Pediatric Nursing, School of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran;
authors.forename: Afie
authors.initials: A
authors.lastname: Naderi Darshori
authors.affiliation: Community Based Psychiatric Care Research Center, Department of Mental Health and Psychiatric Nursing, School of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran;
authors.forename: Farkhondeh
authors.initials: F
authors.lastname: Sharif
authors.affiliation: Hematology Research Center, Shiraz University of Medical Sciences, Shiraz, Iran;
authors.forename: Mehran
authors.initials: M
authors.lastname: Karimi
authors.affiliation: Department of Biostatistics, School of Medicine, Infertility Research Center, Shiraz University of Medical Sciences, Shiraz, Iran.
authors.forename: Najaf
authors.initials: N
authors.lastname: Zare
keywords: Coping; Education; Thalassemia major