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Published on: June 11, 2012
Executive functioning, treatment adherence, and glycemic control in children with type 1 diabetes
Kelly McNally1, Jennifer Rohan, Jennifer Shroff Pendley
1Department of Pediatrics, Nationwide Children's Hospital, Columbus, Ohio, USA.
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.
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