Associations of Executive Function With Diabetes Management and Glycemic Control in Adolescents With Type 1 Diabetes.

Q3 Medicine

Diabetes Spectrum Pub Date : 2023-01-01 DOI:10.2337/ds21-0107

Merel Hansmann, Lisa K Volkening, Rebecca K Snelgrove, Zijing Guo, Lori M Laffel

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引用次数: 0

Abstract

Aims: The aims of this study were to assess domains of executive function in relation to diabetes management and glycemic control in adolescents with type 1 diabetes and to compare adolescent self-report and parent proxy-report of adolescent executive function.

Methods: Adolescents with type 1 diabetes (N = 169, 46% female, age 15.9 ± 1.3 years) and their parents completed self-report and parent proxy-report versions of the Behavior Rating Inventory of Executive Function (BRIEF).

Results: Self-report and parent proxy-report BRIEF T scores were moderately to strongly correlated; parent proxy scores were significantly higher than self-report scores. Executive function problems (Global Executive Composite T score ≥60) occurred in 9% of adolescents by self-report and 26% by parent proxy-report. For almost all Metacognition Index scales, elevated (T score ≥60) parent proxy scores were associated with lower adherence, lower adolescent diabetes self-efficacy, and more parent involvement in diabetes management. Elevated scores on several Metacognition Index scales were associated with less pump use (Plan/Organize by self-report, Initiate by parent proxy-report, and Monitor by parent proxy-report) and higher A1C (Plan/Organize by self-report and parent proxy-report and Organization of Materials by parent proxy-report). The only significant associations for the Behavioral Regulation Index scales occurred for adherence (by parent proxy-report) and diabetes self-efficacy (by self-report and parent-report).

Conclusion: Adolescents with type 1 diabetes who have problems with metacognition may need additional support for diabetes self-management.

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青少年1型糖尿病患者的执行功能与糖尿病管理和血糖控制的关系

目的:本研究的目的是评估青少年1型糖尿病患者的执行功能与糖尿病管理和血糖控制的关系，并比较青少年自我报告和父母代理报告的青少年执行功能。方法:1型糖尿病青少年(N = 169，女性46%，年龄15.9±1.3岁)及其父母完成执行功能行为评定量表(BRIEF)的自我报告和父母代理报告两种版本。结果:自我报告与父母代理报告BRIEF T得分呈中至强相关;家长代理得分明显高于自我报告得分。青少年执行功能问题(Global Executive Composite T score≥60)的发生率为9%，家长代理报告的发生率为26%。对于几乎所有的元认知指数量表，较高的家长代理评分(T评分≥60)与较低的依从性、较低的青少年糖尿病自我效能感和更多的家长参与糖尿病管理相关。几个元认知指数量表得分升高与泵使用减少(自我报告计划/组织，父母代理报告发起，父母代理报告监测)和A1C升高(自我报告计划/组织，父母代理报告和父母代理报告材料组织)相关。行为调节指数量表的唯一显著关联发生在依从性(通过父母代理报告)和糖尿病自我效能(通过自我报告和父母报告)。结论:有元认知问题的青少年1型糖尿病患者可能需要额外的糖尿病自我管理支持。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Diabetes Spectrum Medicine-Internal Medicine

CiteScore

2.70

自引率

0.00%

发文量

期刊介绍： The mission of Diabetes Spectrum: From Research to Practice is to assist health care professionals in the development of strategies to individualize treatment and diabetes self-management education for improved quality of life and diabetes control. These goals are achieved by presenting review as well as original, peer-reviewed articles on topics in clinical diabetes management, professional and patient education, nutrition, behavioral science and counseling, educational program development, and advocacy. In each issue, the FROM RESEARCH TO PRACTICE section explores, in depth, a diabetes care topic and provides practical application of current research findings.