Thank you for your useful comment regarding participant adherence. Although formal tracking of daily practice was not included in this pilot study, the intervention was designed to encourage skill application beyond the sessions, as participants shared their self-compassion skill practice and home application experiences during small group discussions at each session. A postintervention questionnaire also captured the techniques they used most often. We agree that formal tracking of the daily practices should be captured in future studies. This information could be used to enhance intervention efficacy.

We appreciate the suggestion to include biomarkers such as cortisol or C-reactive protein. Although our pilot focused on psychological and behavioral outcomes, we agree that combining subjective and objective markers will strengthen future studies. The information could provide mechanistic pathways in which the intervention improves glycemic control.

We acknowledge the limitation in the demographic diversity of our study sample. Our focus was on Thai adolescents and young adults with type 1 diabetes. We performed further analysis exploring the differences in A1c reduction among educational levels and health insurances in those who received the intervention. We did not find differences among groups, but it is likely that the number of participants in each category was too small to achieve statistical power. Nonetheless, we agree that broader inclusion of diverse ethnic and socioeconomic groups is necessary for future work to assess cross-cultural applicability.

We concur that mobile apps and artificial intelligence-based platforms offer promising avenues for delivering scalable self-compassion interventions, especially for youth. This aligns with our ongoing efforts to explore digital formats to enhance engagement and adherence beyond in-person sessions.

Once again, we thank the reader for their insightful comments, which will help shape the direction of future research in this important area.