{
  "abstract": "In this study, we report how adults with type 2 diabetes maintained cognitive strategies learned in the Memory, Attention, and Problem-Solving Skills for Diabetes (MAPSS-DM) intervention. We identify three patterns of strategy maintenance that emerged from follow-up interviews with 19 participants: sustained use, partial use, and discontinuation. Factors that supported long-term use of strategies include consistent routines, social support, and personal value placed on cognitive improvements. Barriers include inconsistent routines, lack of support, and negative emotions such as guilt. This study emphasizes the need for personalized, adaptable cognitive interventions and ongoing support to promote lasting benefits in both cognitive function and diabetes self-care.",
  "abstract_shown": true,
  "affiliations": [
    "The School of Nursing, The University of Texas at Austin, Austin, Texas, United States of America",
    "Department of Physical Medicine and Rehabilitation, The University of Michigan, Ann Arbor, Michigan, United States of America",
    "Division of Allied Health, Victoria College, Victoria, Texas, United States of America"
  ],
  "article_type": "Research Article",
  "arxiv": null,
  "author_total": 3,
  "authors": [
    {
      "affs": [
        0
      ],
      "name": "Heather E. Cuevas"
    },
    {
      "affs": [
        1
      ],
      "name": "Jeeyeon Kim"
    },
    {
      "affs": [
        2
      ],
      "name": "Shenell T. Wood"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/a5dfxsd42jwhp.bib",
  "cited_by": 0,
  "doi": "10.1371/journal.pone.0349848",
  "fulltext_url": null,
  "id": "a5dfxsd42jwhp",
  "issns": [
    "1932-6203"
  ],
  "landing_url": "https://doi.org/10.1371/journal.pone.0349848",
  "language": null,
  "licence": "CC-BY-4.0",
  "licence_label": "CC BY 4.0",
  "licence_source": "journal",
  "licence_url": "https://creativecommons.org/licenses/by/4.0/",
  "metadata_licence": null,
  "native_subjects": [
    [
      "openalex",
      "2712|Diabetes Management and Education"
    ],
    [
      "plos",
      "/Biology and life sciences/Neuroscience/Cognitive science/Cognition/Memory"
    ],
    [
      "plos",
      "/Biology and life sciences/Neuroscience/Learning and memory/Memory"
    ],
    [
      "plos",
      "/Biology and life sciences/Psychology/Behavior"
    ],
    [
      "plos",
      "/Biology and life sciences/Psychology/Behavior/Habits"
    ],
    [
      "plos",
      "/Medicine and health sciences/Endocrinology/Endocrine disorders/Diabetes mellitus"
    ],
    [
      "plos",
      "/Medicine and health sciences/Endocrinology/Endocrine disorders/Diabetes mellitus/Type 2 diabetes"
    ],
    [
      "plos",
      "/Medicine and health sciences/Medical conditions/Metabolic disorders/Diabetes mellitus"
    ],
    [
      "plos",
      "/Medicine and health sciences/Medical conditions/Metabolic disorders/Diabetes mellitus/Type 2 diabetes"
    ],
    [
      "plos",
      "/Medicine and health sciences/Public and occupational health/Behavioral and social aspects of health"
    ],
    [
      "plos",
      "/Physical sciences/Chemistry/Chemical compounds/Organic compounds/Carbohydrates/Monosaccharides/Glucose"
    ],
    [
      "plos",
      "/Physical sciences/Chemistry/Organic chemistry/Organic compounds/Carbohydrates/Monosaccharides/Glucose"
    ],
    [
      "plos",
      "/Research and analysis methods/Research design/Qualitative studies"
    ],
    [
      "plos",
      "/Social sciences/Psychology/Behavior"
    ],
    [
      "plos",
      "/Social sciences/Psychology/Behavior/Habits"
    ]
  ],
  "openalex": "W7220362380",
  "pdf_url": "https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0349848&type=printable",
  "pmcid": null,
  "pmid": null,
  "published": "2026-10-05",
  "publisher": "Public Library of Science",
  "ris": "https://research.draconitic.com/paper/a5dfxsd42jwhp.ris",
  "sources": [
    {
      "first_seen": "2026-10-30T12:17:37Z",
      "native_id": "10.1371/journal.pone.0349848",
      "source": "plos",
      "url": "https://doi.org/10.1371/journal.pone.0349848"
    }
  ],
  "subjects": [
    {
      "field": "biology",
      "origin": "plos:neuroscience",
      "subfield": "neuroscience"
    },
    {
      "field": "medicine",
      "origin": "plos:endocrinology",
      "subfield": "endocrinology-metabolism"
    }
  ],
  "title": "Maintaining cognitive gains in type 2 diabetes: Barriers, supports, and patterns of strategy use",
  "title_text": "Maintaining cognitive gains in type 2 diabetes: Barriers, supports, and patterns of strategy use",
  "type": "peer-reviewed",
  "updated_at": "2026-10-30T12:17:37Z",
  "url": "https://research.draconitic.com/paper/a5dfxsd42jwhp",
  "venue": "PLOS One",
  "versions": []
}