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

Kelly McNally, Jennifer Rohan, Jennifer Shroff Pendley, Alan M Delamater, Dennis Drotar

Research output: Contribution to journalArticle

95 Citations (Scopus)

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.

Original languageEnglish
Pages (from-to)1159-1162
Number of pages4
JournalDiabetes Care
Volume33
Issue number6
DOIs
StatePublished - Jun 1 2010

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Type 1 Diabetes Mellitus
Self Care
Short-Term Memory
Caregivers
Research Design
Therapeutics
Equipment and Supplies

ASJC Scopus subject areas

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

Cite this

Executive functioning, treatment adherence, and glycemic control in children with type 1 diabetes. / McNally, Kelly; Rohan, Jennifer; Pendley, Jennifer Shroff; Delamater, Alan M; Drotar, Dennis.

In: Diabetes Care, Vol. 33, No. 6, 01.06.2010, p. 1159-1162.

Research output: Contribution to journalArticle

McNally, Kelly ; Rohan, Jennifer ; Pendley, Jennifer Shroff ; Delamater, Alan M ; Drotar, Dennis. / Executive functioning, treatment adherence, and glycemic control in children with type 1 diabetes. In: Diabetes Care. 2010 ; Vol. 33, No. 6. pp. 1159-1162.
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