Publication

Youth With Type 1 Diabetes Taking Responsibility for Self-Management: The Importance of Executive Functioning in Achieving Glycemic Control: Results From the Longitudinal DINO Study

Vloemans, A. F., Eilander, M. M. A., Rotteveel, J., Bakker-van Waarde, W. M., Houdijk, E. C. A. M., Nuboer, R., Winterdijk, P., Snoek, F. J. & De Wit, M., 1-Feb-2019, In : Diabetes Care. 42, 2, p. 225-231 7 p.

Research output: Contribution to journalArticleAcademicpeer-review

APA

Vloemans, A. F., Eilander, M. M. A., Rotteveel, J., Bakker-van Waarde, W. M., Houdijk, E. C. A. M., Nuboer, R., ... De Wit, M. (2019). Youth With Type 1 Diabetes Taking Responsibility for Self-Management: The Importance of Executive Functioning in Achieving Glycemic Control: Results From the Longitudinal DINO Study. Diabetes Care, 42(2), 225-231. https://doi.org/10.2337/dc18-1143

Author

Vloemans, Anne F. ; Eilander, Minke M. A. ; Rotteveel, Joost ; Bakker-van Waarde, Willie M. ; Houdijk, Euphemia C. A. M. ; Nuboer, Roos ; Winterdijk, Per ; Snoek, Frank J. ; De Wit, Maartje. / Youth With Type 1 Diabetes Taking Responsibility for Self-Management : The Importance of Executive Functioning in Achieving Glycemic Control: Results From the Longitudinal DINO Study. In: Diabetes Care. 2019 ; Vol. 42, No. 2. pp. 225-231.

Harvard

Vloemans, AF, Eilander, MMA, Rotteveel, J, Bakker-van Waarde, WM, Houdijk, ECAM, Nuboer, R, Winterdijk, P, Snoek, FJ & De Wit, M 2019, 'Youth With Type 1 Diabetes Taking Responsibility for Self-Management: The Importance of Executive Functioning in Achieving Glycemic Control: Results From the Longitudinal DINO Study', Diabetes Care, vol. 42, no. 2, pp. 225-231. https://doi.org/10.2337/dc18-1143

Standard

Youth With Type 1 Diabetes Taking Responsibility for Self-Management : The Importance of Executive Functioning in Achieving Glycemic Control: Results From the Longitudinal DINO Study. / Vloemans, Anne F.; Eilander, Minke M. A.; Rotteveel, Joost; Bakker-van Waarde, Willie M.; Houdijk, Euphemia C. A. M.; Nuboer, Roos; Winterdijk, Per; Snoek, Frank J.; De Wit, Maartje.

In: Diabetes Care, Vol. 42, No. 2, 01.02.2019, p. 225-231.

Research output: Contribution to journalArticleAcademicpeer-review

Vancouver

Vloemans AF, Eilander MMA, Rotteveel J, Bakker-van Waarde WM, Houdijk ECAM, Nuboer R et al. Youth With Type 1 Diabetes Taking Responsibility for Self-Management: The Importance of Executive Functioning in Achieving Glycemic Control: Results From the Longitudinal DINO Study. Diabetes Care. 2019 Feb 1;42(2):225-231. https://doi.org/10.2337/dc18-1143


BibTeX

@article{36730a3e272741b9af2a94240169d83b,
title = "Youth With Type 1 Diabetes Taking Responsibility for Self-Management: The Importance of Executive Functioning in Achieving Glycemic Control: Results From the Longitudinal DINO Study",
abstract = "OBJECTIVESuccessful self-management of type 1 diabetes requires cognitive skills such as executive functioning (EF). In the transition to adolescence, youth take over responsibility for diabetes management. We set out to test: 1) the association between EF and glycemic control over time and 2) whether this association was moderated by: a) youth, shared, or parent responsibility for diabetes management and b) youth's age.RESEARCH DESIGN AND METHODSWithin the Diabetes IN DevelOpment study (DINO), parents of youth with type 1 diabetes (8-15 years at baseline; N = 174) completed a yearly assessment over 4 years. Glycemic control (HbA(1c)) was derived from hospital charts. Youth's EF was measured using the Behavior Rating Inventory of Executive Functioning (BRIEF)-parent report. The Diabetes Family Responsibility Questionnaire (DFRQ)-parent report was used to assess diabetes responsibility (youth, shared, and parent). Linear generalized estimating equations were used to analyze data including youth's sex, age, and age of diabetes onset as covariates.RESULTSRelatively more EF problems are significantly associated with higher HbA(1c) over time ( = 0.190; P = 0.002). More EF problems in combination with less youth responsibility ( = 0.501; P = 0.048) or more parental responsibility ( = -0.767; P = 0.006) are significantly associated with better glycemic control over time. Only age significantly moderates the relationship among EF problems, shared responsibility, and glycemic control ( = -0.024; P = 0.019).CONCLUSIONSPoorer EF is associated with worse glycemic control over time, and this association is moderated by responsibility for diabetes management tasks. This points to the importance of EF when youth take over responsibility for diabetes management in order to achieve glycemic control.",
keywords = "BEHAVIOR RATING INVENTORY, QUALITY-OF-LIFE, METABOLIC-CONTROL, CARE, ADOLESCENCE, ADHERENCE, CHILDREN, PERFORMANCE, PREDICTORS, PARENT",
author = "Vloemans, {Anne F.} and Eilander, {Minke M. A.} and Joost Rotteveel and {Bakker-van Waarde}, {Willie M.} and Houdijk, {Euphemia C. A. M.} and Roos Nuboer and Per Winterdijk and Snoek, {Frank J.} and {De Wit}, Maartje",
year = "2019",
month = "2",
day = "1",
doi = "10.2337/dc18-1143",
language = "English",
volume = "42",
pages = "225--231",
journal = "Diabetes Care",
issn = "0149-5992",
publisher = "AMER DIABETES ASSOC",
number = "2",

}

RIS

TY - JOUR

T1 - Youth With Type 1 Diabetes Taking Responsibility for Self-Management

T2 - The Importance of Executive Functioning in Achieving Glycemic Control: Results From the Longitudinal DINO Study

AU - Vloemans, Anne F.

AU - Eilander, Minke M. A.

AU - Rotteveel, Joost

AU - Bakker-van Waarde, Willie M.

AU - Houdijk, Euphemia C. A. M.

AU - Nuboer, Roos

AU - Winterdijk, Per

AU - Snoek, Frank J.

AU - De Wit, Maartje

PY - 2019/2/1

Y1 - 2019/2/1

N2 - OBJECTIVESuccessful self-management of type 1 diabetes requires cognitive skills such as executive functioning (EF). In the transition to adolescence, youth take over responsibility for diabetes management. We set out to test: 1) the association between EF and glycemic control over time and 2) whether this association was moderated by: a) youth, shared, or parent responsibility for diabetes management and b) youth's age.RESEARCH DESIGN AND METHODSWithin the Diabetes IN DevelOpment study (DINO), parents of youth with type 1 diabetes (8-15 years at baseline; N = 174) completed a yearly assessment over 4 years. Glycemic control (HbA(1c)) was derived from hospital charts. Youth's EF was measured using the Behavior Rating Inventory of Executive Functioning (BRIEF)-parent report. The Diabetes Family Responsibility Questionnaire (DFRQ)-parent report was used to assess diabetes responsibility (youth, shared, and parent). Linear generalized estimating equations were used to analyze data including youth's sex, age, and age of diabetes onset as covariates.RESULTSRelatively more EF problems are significantly associated with higher HbA(1c) over time ( = 0.190; P = 0.002). More EF problems in combination with less youth responsibility ( = 0.501; P = 0.048) or more parental responsibility ( = -0.767; P = 0.006) are significantly associated with better glycemic control over time. Only age significantly moderates the relationship among EF problems, shared responsibility, and glycemic control ( = -0.024; P = 0.019).CONCLUSIONSPoorer EF is associated with worse glycemic control over time, and this association is moderated by responsibility for diabetes management tasks. This points to the importance of EF when youth take over responsibility for diabetes management in order to achieve glycemic control.

AB - OBJECTIVESuccessful self-management of type 1 diabetes requires cognitive skills such as executive functioning (EF). In the transition to adolescence, youth take over responsibility for diabetes management. We set out to test: 1) the association between EF and glycemic control over time and 2) whether this association was moderated by: a) youth, shared, or parent responsibility for diabetes management and b) youth's age.RESEARCH DESIGN AND METHODSWithin the Diabetes IN DevelOpment study (DINO), parents of youth with type 1 diabetes (8-15 years at baseline; N = 174) completed a yearly assessment over 4 years. Glycemic control (HbA(1c)) was derived from hospital charts. Youth's EF was measured using the Behavior Rating Inventory of Executive Functioning (BRIEF)-parent report. The Diabetes Family Responsibility Questionnaire (DFRQ)-parent report was used to assess diabetes responsibility (youth, shared, and parent). Linear generalized estimating equations were used to analyze data including youth's sex, age, and age of diabetes onset as covariates.RESULTSRelatively more EF problems are significantly associated with higher HbA(1c) over time ( = 0.190; P = 0.002). More EF problems in combination with less youth responsibility ( = 0.501; P = 0.048) or more parental responsibility ( = -0.767; P = 0.006) are significantly associated with better glycemic control over time. Only age significantly moderates the relationship among EF problems, shared responsibility, and glycemic control ( = -0.024; P = 0.019).CONCLUSIONSPoorer EF is associated with worse glycemic control over time, and this association is moderated by responsibility for diabetes management tasks. This points to the importance of EF when youth take over responsibility for diabetes management in order to achieve glycemic control.

KW - BEHAVIOR RATING INVENTORY

KW - QUALITY-OF-LIFE

KW - METABOLIC-CONTROL

KW - CARE

KW - ADOLESCENCE

KW - ADHERENCE

KW - CHILDREN

KW - PERFORMANCE

KW - PREDICTORS

KW - PARENT

U2 - 10.2337/dc18-1143

DO - 10.2337/dc18-1143

M3 - Article

VL - 42

SP - 225

EP - 231

JO - Diabetes Care

JF - Diabetes Care

SN - 0149-5992

IS - 2

ER -

ID: 78046788