Maria Stoianova1, Elizabeth C Tampke1, Amy Hughes Lansing1, Catherine Stanger2. 1. Department of Psychiatry, Geisel School of Medicine at Dartmouth, Lebanon, NH, 03766, United States. 2. Department of Psychiatry, Geisel School of Medicine at Dartmouth, Lebanon, NH, 03766, United States. Electronic address: Catherine.Stanger@Dartmouth.edu.
Abstract
INTRODUCTION: Many young adults with type 1 diabetes (T1D) face challenges in adherence to self-management practices and have above-target HbA1c. Poorer decision-making skills, indicated by greater delay discounting, may be linked to these factors. METHODS: An online survey using social media ads targeted young adults aged 18-26 with T1D. Participants completed the Self-Care Inventory and the 5-trial delay discounting task and self-reported their last HbA1c value. RESULTS: Discounting was significantly associated with treatment adherence (r = -.14, p < .05) and HbA1c (r = .18, p < .01). Adherence was also associated with HbA1c (r = -.26, p < .01). In a hierarchical regression, adding discounting explained significant additional variance in HbA1c after controlling demographics (F(1, 257) = 3.99, p < .05); adding adherence next explained significant additional variance in HbA1c (F(1, 256) = 12.96, p < .01). In the final model, adherence significantly explained HbA1c variance (β = -.21, p < .01). DISCUSSION: These results expand the literature on cognitive factors and glycemic control among patients with T1D. Factors like delay discounting represent potentially modifiable risk factors targetable through interventions.
INTRODUCTION: Many young adults with type 1 diabetes (T1D) face challenges in adherence to self-management practices and have above-target HbA1c. Poorer decision-making skills, indicated by greater delay discounting, may be linked to these factors. METHODS: An online survey using social media ads targeted young adults aged 18-26 with T1D. Participants completed the Self-Care Inventory and the 5-trial delay discounting task and self-reported their last HbA1c value. RESULTS: Discounting was significantly associated with treatment adherence (r = -.14, p < .05) and HbA1c (r = .18, p < .01). Adherence was also associated with HbA1c (r = -.26, p < .01). In a hierarchical regression, adding discounting explained significant additional variance in HbA1c after controlling demographics (F(1, 257) = 3.99, p < .05); adding adherence next explained significant additional variance in HbA1c (F(1, 256) = 12.96, p < .01). In the final model, adherence significantly explained HbA1c variance (β = -.21, p < .01). DISCUSSION: These results expand the literature on cognitive factors and glycemic control among patients with T1D. Factors like delay discounting represent potentially modifiable risk factors targetable through interventions.
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