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The relationship between perceived executive function and self-reported self-management behaviour in adults with type
Lynne Shanley1, Daniel Powell1, Julia Allan2
1University of Aberdeen, UK.
Journal of Health Psychology
|June 25, 2025
Summary
Stronger executive function (EF) is linked to better self-management in adults with Type 1 diabetes (T1D). Interventions should reduce cognitive demands for improved diabetes self-care.
Area of Science:
- Endocrinology
- Neuropsychology
- Behavioral Medicine
Background:
- Type 1 diabetes (T1D) self-management requires complex cognitive skills.
- Executive functions (EF) play a crucial role in daily decision-making and behavior regulation.
Purpose of the Study:
- To investigate the relationship between perceived executive function (EF) and self-reported self-management in adults with T1D.
- To identify specific EF challenges and effective management strategies for T1D.
Main Methods:
- Mixed-method approach combining a cross-sectional survey (n=173) with thematic analysis of qualitative interviews (n=11).
- Statistical analysis to determine the predictive value of global EF on self-management.
- Qualitative analysis to explore lived experiences and challenges.
Main Results:
- Higher perceived global EF significantly predicted better overall self-management in T1D.
- Stronger EF correlated with improved adherence to diet, glucose monitoring, and physical activity.
- Qualitative data revealed planning, sustained attention, and cognitive flexibility as key EF demands in T1D self-management.
Conclusions:
- Impaired perceived EF may hinder effective T1D self-management.
- Interventions should focus on reducing cognitive load and supporting EF in T1D management.
- Strategies like establishing routines can enhance self-management by lowering EF demands.
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