Executive functioning, treatment adherence, and glycemic control in children with type 1 diabetes.

  • Ally K
  • Ohan J
  • McNally K
 et al. 
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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.

Author-supplied keywords

  • Blood Glucose
  • Blood Glucose: metabolism
  • Child
  • Diabetes Mellitus
  • Executive Function
  • Executive Function: physiology
  • Female
  • Glycosylated
  • Glycosylated: metabolism
  • Hemoglobin A
  • Humans
  • Male
  • Memory
  • Patient Compliance
  • Problem Solving
  • Problem Solving: physiology
  • Short-Term
  • Short-Term: physiology
  • Type 1
  • Type 1: blood
  • Type 1: drug therapy
  • Type 1: metabolism
  • Type 1: physiopathology
  • Type 1: therapy

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Authors

  • K Elly M C N Ally

  • J Ennifer R Ohan

  • Kelly McNally

  • Jennifer Rohan

  • Jennifer Shroff Pendley

  • Alan Delamater

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