The relationship between perceived executive function and self-reported self-management behaviour in adults with type 1 diabetes
Bibliographic Data
| ID | 4229033 |
|---|---|
| Authors | Lynne Shanley (0009-0009-3113-1867, University of Aberdeen), Darci Powell (0000-0003-4995-6057, University of Aberdeen), Julia Allan (0000-0001-7287-8363, University of Stirling) |
| Year | 2025 |
| Pages | 13591053251341787-13591053251341787 |
| Publication date | 2025-06-25 |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Journal of Health Psychology (JOURNAL) |
| Journal identifiers | ISSN: 1359-1053 • E-ISSN: 1461-7277 |
| Publisher | SAGE Publications Inc (PUBLISHER) |
| DOI | 10.1177/13591053251341787 |
| PMID | 40559629 |
| OpenAlex | W4411625132 |
| Language | EN |
| References cited | 38 |
This mixed-method study examined whether and how perceived executive function (EF) is linked to self-reported self-management in 173 people diagnosed with Type 1 diabetes (T1D) during adulthood, combining a cross-sectional survey with thematic analysis of 11 interviews. Stronger global EF significantly predicted better self-management ( B = −0.04, t (165) = 4.15; p < 0.001) after controlling for demographic factors. Stronger perceptions of EF correlated with better self-reported adherence to dietary behaviour, glucose monitoring and physical activity, but not medication-taking or cooperation with healthcare teams. Qualitative interviews identified key challenges in self-management requiring stronger EF including planning behaviours, maintaining attention and vigilance over time and responding flexibly to changing demands. Strategies which reduce demands on EF, such as establishing routines and delegating control of tasks, helped to improve self-management. Adults with perceived EF impairments may struggle to effectively manage T1D, suggesting supportive interventions should aim to reduce the cognitive demands of self-management
Cognition · Cognitive psychology · Developmental psychology · Diabetes management · Diabetes mellitus · Perception · Psychiatry · Psychological intervention · Qualitative research · Self-management · Thematic analysis · Type 1 diabetes · Type 2 diabetes · Vigilance (psychology · Diabetes Management and Education · Diabetes Management and Research · Diabetes Treatment and Management · Medicine · Psychology · Clinical Psychology
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The Unity and Diversity of Executive Functions and Their Contributions to Complex “Frontal Lobe” Tasks
The Behavior Change Technique Taxonomy (v1) of 93 Hierarchically Clustered Techniques
| Highly cited | No |
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