Executive functioning, treatment adherence, and glycemic control in children with type 1 diabetes.
OBJECTIVE
The primary aim of the study was to investigate the relationship among executive functioning, diabetes treatment adherence, and glycemic control.


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.
McNally
Kelly
K
Department of Pediatrics, Nationwide Children's Hospital, Columbus, Ohio, USA.
Rohan
Jennifer
J
Pendley
Jennifer Shroff
JS
Delamater
Alan
A
Drotar
Dennis
D
D001786:Blood Glucose / Q000378:metabolism*; D002648:Child; D003922:Diabetes Mellitus, Type 1 / Q000097:blood / Q000188:drug therapy / Q000378:metabolism / Q000503:physiopathology* / Q000628:therapy*; D056344:Executive Function / Q000502:physiology*; D005260:Female; D006442:Glycated Hemoglobin / Q000378:metabolism; D006801:Humans; D008297:Male; D008570:Memory, Short-Term / Q000502:physiology; D010349:Patient Compliance; D011340:Problem Solving / Q000502:physiology
D001786:Blood Glucose; D006442:Glycated Hemoglobin