Executive Functioning, Treatment Adherence, and Glycemic Control in Children With Type 1 Diabetes-Reference-Cited by-同舟云学术

Executive Functioning, Treatment Adherence, and Glycemic Control in Children With Type 1 Diabetes

Published:2010-03-09 Issue:6 Volume:33 Page:1159-1162
ISSN:0149-5992
Container-title:Diabetes Care
language:en
Short-container-title:

Author:

McNally Kelly¹,Rohan Jennifer²,Pendley Jennifer Shroff³,Delamater Alan⁴,Drotar Dennis²

Affiliation:

1. Department of Pediatrics, Nationwide Children's Hospital, Columbus, Ohio;

2. Department of Pediatrics, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio;

3. Department of Pediatrics, A.I. duPont Hospital for Children/Nemours Children's Clinic, Wilmington, Delaware;

4. Department of Pediatrics, University of Miami School of Medicine, Miami, Florida.

Abstract

OBJECTIVE The primary aim of the study was to investigate the relationship among executive functioning, diabetes treatment adherence, and glycemic control. RESEARCH DESIGN AND METHODS Two hundred and thirty-five children with type 1 diabetes and their primary caregivers were administered the Diabetes Self-Management Profile to assess treatment adherence. Executive functioning was measured using the Behavior Rating Inventory of Executive Functioning and glycemic control was based on A1C. RESULTS Structural equation modeling indicated that a model in which treatment adherence mediated the relationship between executive functioning and glycemic control best fit the data. All paths were significant at P < 0.01. CONCLUSIONS These results indicate that executive functioning skills (e.g., planning, problem-solving, organization, and working memory) were related to adherence, which was related to diabetes control. Executive functioning may be helpful to assess in ongoing clinical management of type 1 diabetes.

Publisher

American Diabetes Association

Subject

Advanced and Specialized Nursing,Endocrinology, Diabetes and Metabolism,Internal Medicine

Link

https://diabetesjournals.org/care/article-pdf/33/6/1159/606056/zdc00610001159.pdf

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