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88 years). Problem-solving coping and the self-efficacy of the youth improved over time (p less then .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.