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

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

Research output: Contribution to journalArticlepeer-review

108 Scopus citations


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 (US)
Pages (from-to)1159-1162
Number of pages4
JournalDiabetes care
Issue number6
StatePublished - Jun 2010

ASJC Scopus subject areas

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


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