Tehran University of Medical Sciences Health Technology Assessment in Action 2645-3835 9 1 2025 01 15 240 240 Hossein Sahebdel Department of Counseling, Qaenat Branch, Islamic Azad University, Qaenat, Iran Hossein Kareshki Department of Educational and Counseling Psychology, Ferdowsi University of Mashhad, Mashhad, Iran Hossein Mehrabi Department of Educational Psychology, Qaenat Branch, Islamic Azad University, Qaenat, Iran 2024 02 12 2024 07 09 Background: This study aimed to investigate the effectiveness of motivational psychotherapy on the social emotional competencies of students with type 1 diabetes. Methods: The research employed a mixed-method approach. The first phase involved qualitative and deductive content analysis. During a multi-step process, an educational package was developed and validated by the researchers using written sources and guidance from psychology experts and knowledgeable professors. The quantitative phase utilized a quasi-experimental pre-test and post-test design with a control group. The study population included all secondary school students in Gonabad during 2022 - 2023. Fifty male students were randomly selected and divided into two groups of 25 (experimental and control groups). The research instrument used was the Social-Emotional Competence questionnaire by Zuo and Ji (2012). The experimental group participated in eight 90-minute sessions of motivational psychotherapy, held twice a week, while the control group received no intervention. Data analysis was performed using SPSS- 24 software and multivariate analysis of variance. Results: The findings revealed that the motivational psychotherapy program significantly increased the social-emotional competencies of the experimental group compared to the control group (P < 0.01). These results indicate that the educational package of motivational psychotherapy is an effective method for enhancing the social-emotional competencies of secondary school students with type 1 diabetes. Conclusions: This study highlights the effectiveness of motivational psychotherapy in improving social-emotional competencies in students with type 1 diabetes. The findings underscore the importance of targeted interventions in fostering emotional and social skills among this demographic. findings: The findings showed that the mentioned program has significantly increased the social-emotional competencies of the experimental group compared to the control group (P<0.01). Results: Based on the results, the educational package of  motivational psychotherapy was an effective method for increasing emotional-social competencies of primary school students with type 1 diabetes. https://htainaction.tums.ac.ir/index.php/hta/article/view/240 https://htainaction.tums.ac.ir/index.php/hta/article/download/240/180