Lower Independent Self-Care Readiness Persists Over Time in Teens With Type 1 Diabetes and Executive Function Challenges
Main finding · RISQ scoreResult — go to the resultDifference 4.1 pointsAuthors' conclusion
EF skills, especially metacognition, appear important for the acquisition of self-care behaviors in teens with type 1 diabetes. Evaluating EF during adolescence may identify teens needing extra support during the transition process.
Study context
- Population
- Teens aged 13 to 17 with T1D; mean age 15.9 ± 1.3 years, 54% male, diabetes duration 8.4 ± 3.7 years, A1c 8.6 ± 1.2%
- Participants
- 169 teens
- Exposure
- Executive function (EF) challenges vs no EF challenges
- Outcome
- Readiness for Independent Self-Care Questionnaire (RISQ) score over time
- Follow-up
- 18 months
Methodological details18-month follow-up, parent-reported questionnaires every 6 months, longitudinal mixed modeling with false discovery rate adjustment
- 18-month follow-up
- Parent-reported questionnaires every 6 months
- Longitudinal mixed modeling with false discovery rate adjustment
Main finding
RISQ score
Difference
4.1 points
P = 0.016
As reported in the abstract
Observational data: associations, not effects.
Further findings
| Outcome | Difference (points) | P value |
|---|---|---|
| RISQ score by Metacognition index (MI)MI <60 vs MI ≥60 · adjusted for age, sex and DFRQ | 5.3 | P < 0.001 |
RISQ score by behavioral regulation index
- Behavioral regulation index did not predict RISQ (adjusted for age, CGM use, Diabetes Family Responsibility Questionnaire (DFRQ) and A1c)
Prevalence of EF challenges
- Teens with parent-reported Behavior Rating Inventory of Executive Function (BRIEF) Global Executive Composite (GEC) scores ≥60
- 31.4%
Other predictors of RISQ score
- Older teen age predicted higher RISQ score (all models)
- P < 0.05
- Less parental involvement predicted higher RISQ score (all models)
- P < 0.001
Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.
Original publication
Lower Independent Self-Care Readiness Persists Over Time in Teens With Type 1 Diabetes and Executive Function Challenges. J Clin Endocrinol Metab. Published 12 June 2024. doi:10.
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