Use this URL to cite or link to this record in EThOS:
Title: Executive functioning and self-management in adolescents with Type 1 diabetes
Author: Wells, Eleanor
ISNI:       0000 0004 5993 9936
Awarding Body: University of East Anglia
Current Institution: University of East Anglia
Date of Award: 2016
Availability of Full Text:
Access from EThOS:
Access from Institution:
Background Deterioration in Type 1 diabetes self-management and glycaemic control has been identified during adolescence, at a time when individuals begin to adopt greater responsibility for their diabetes care. Emerging literature has started to explore the association between executive function and self-management in adolescents with Type 1 diabetes. However, this literature is limited by the variability in the age ranges investigated and an over-reliance upon parent-report measures. Aims This research study explored whether adolescent executive function and responsibility for diabetes care are associated with self-management and glycaemic control. The study also explored if executive function and responsibility for diabetes care are associated. Method A cross-sectional design was adopted. Participants were aged 11-18 years with a diagnosis of Type 1 diabetes (n = 67) and accompanying parents/caregivers (n = 41). All participants completed self-report questionnaires measuring adolescent executive function, diabetes self-management and responsibility for diabetes care. HbA1c values provided a measure of glycaemic control. Results Better adolescent executive function was associated with better diabetes selfmanagement, but not glycaemic control. Metacognitive components of executive function were identified as the strongest predictor of self-management. Adolescent responsibility for diabetes care did not predict self-management or glycaemic control. No association was found between responsibility for diabetes care and executive function. Adolescent-completed and parent-completed measures were positively associated. Adolescents reported better executive function and elevated responsibility for diabetes care than their parents/caregivers. Conclusion The results suggest that executive functioning abilities are important to consider when addressing adolescents’ diabetes self-management. Metacognitive aspects of executive function were suggested to be of greater importance for adolescents in achieving effective self-management than behavioural components. The absence of a relationship between executive functioning, responsibility for diabetes care and glycaemic control suggests that other factors may be involved in predicting this outcome. Theoretical and clinical implications of these findings are discussed.
Supervisor: Not available Sponsor: Not available
Qualification Name: Thesis (D.Clin.Psy.) Qualification Level: Doctoral
EThOS ID:  DOI: Not available