较低的独立自我护理准备能力在患有1型糖尿病和执行功能挑战的青少年中随着时间的推移而持续
Rebecca J Vitale1,2, Liane J Tinsley1, Lisa K Volkening1
1Section on Clinical, Behavioral, and Outcomes Research, Joslin Diabetes Center, Boston, MA 02215, USA.
The Journal of clinical endocrinology and metabolism
|June 12, 2024
概括
执行功能 (EF) 技能,特别是元认知,对于患有1型糖尿病的青少年来说至关重要,以发展自我照顾能力. 识别青少年的EF挑战可以帮助为成功的糖尿病管理提供有针对性的支持.
科学领域:
- 儿科内分泌学 儿科内分泌学
- 神经科学是一个神经科学.
- 行为科学 行为科学
背景情况:
- 1型糖尿病的管理需要重要的执行功能 (EF) 技能,如规划和解决问题.
- 具有执行功能障碍的青少年可能很难获得必要的糖尿病自我护理技能.
研究的目的:
- 研究1型糖尿病青少年执行功能 (EF) 与为独立自我照顾做好准备之间的关系.
- 确定影响自我护理行为发展的特定EF领域.
主要方法:
- 18个月的长度研究,涉及169名患有1型糖尿病的青少年 (13-17岁) 的父母.
- 父母填写了调查问卷,评估青少年EF (执行功能的行为评分清单 - BRIEF),家庭责任 (DFRQ) 和准备自我照顾 (RISQ).
- 使用纵向混合建模来分析自我护理准备的预测指标,并根据人口统计和糖尿病相关的变量进行调整.
主要成果:
- 大约三分之一的青少年表现出父母报告的执行功能挑战 (BRIEF全球执行综合评分≥60).
- 较低的EF分数,特别是在元认知 (MI) 中,与较低的独立自我护理准备度 (RISQ) 有显著的关联.
- 年龄较大和父母参与程度较低也与更高的自我照顾准备度有关.
结论:
- 对于1型糖尿病青少年来说,执行功能技能,特别是超级认知,对于实现自我照顾行为至关重要.
- 在1型糖尿病青少年中评估EF可以帮助识别那些在过渡到独立期间需要额外支持的人.
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