Access Type
Open Access Dissertation
Date of Award
January 2024
Degree Type
Dissertation
Degree Name
Ph.D.
Department
Nursing
First Advisor
Debra D. Schutte
Abstract
Background. Cognitive dysfunction is an important comorbidity of diabetes, which may reflect brain changes as a consequence of diabetes. Objective The purpose of this study was to examine the association between specific cognitive domains and diabetes self-management behaviors in individuals with diabetes and mild cognitive impairment (MCI). Furthermore, the association between social determinats of health and MCI was investigated. Design A cross-sectional descriptive correlational design was used to address the study aims using data extracted from the 2022 Health and Retirement Study (HRS) and 2016 Harmonized Cognitive Assessment Protocol (HCAP) datasets. Participants Of the total HRS and HCAP participants, 2035 individuals aged 65 and older were selected. Results Among people with diabetes and MCI, executive function and processing speed predicted A1C (t = -2.978, p = .003; t = -1.759, p = .079, respectively). In addition, physical activities were predicted by executive function and immediate episodic memory (t = -2.25, p < .025; t = 2.25, p = .027, respectively). Activities of daily living was predicted by language and verbal skills (t = 11.97, p = .001), executive function (t = 8.27, p < .004), immediate episodic memory (t = -4.92, p = .016), sensation and perception (t = 7.57, p = .005), processing speed ( t = 8.28, p = .004), orientation (t = 8.98, p = .003), and visuospatial domain ( t = -1163, p = .001). Depression was predicted by executive function (t = -2.82, p = .005), immediate episodic memory (t = -1.95, p = .051), processing speed (t = -5.028, p < .001), and visuospatial domain ( t = -2.22, p = .026). Furthermore, individuals with MCI had lower educational levels (z = -6.44, p < .0001). Moreover, social support was significantly associated with A1C (F = 2.061, p = .005). Conclusion Diabetes is strongly associated with specific cognitive domain impairment.
Recommended Citation
Hafezi Nia, Hossein, "The Relationship Between Mild Cognitive Dysfunction And Diabetes Self-Management In Community Dwelling Older Adults" (2024). Wayne State University Dissertations. 4073.
https://digitalcommons.wayne.edu/oa_dissertations/4073
