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Peer-reviewedCC BY 4.0PLOS One

Maintaining cognitive gains in type 2 diabetes: Barriers, supports, and patterns of strategy use

  • Heather E. Cuevas1
  • Jeeyeon Kim2
  • Shenell T. Wood3
  1. 1The School of Nursing, The University of Texas at Austin, Austin, Texas, United States of America
  2. 2Department of Physical Medicine and Rehabilitation, The University of Michigan, Ann Arbor, Michigan, United States of America
  3. 3Division of Allied Health, Victoria College, Victoria, Texas, United States of America
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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.

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Cite

BibTeXRIS
BibTeX
@article{cuevas2026maintaining,
  title = {{Maintaining cognitive gains in type 2 diabetes: Barriers, supports, and patterns of strategy use}},
  author = {Heather E. Cuevas and Jeeyeon Kim and Shenell T. Wood},
  journal = {PLOS One},
  year = {2026},
  month = oct,
  doi = {10.1371/journal.pone.0349848},
  url = {https://doi.org/10.1371/journal.pone.0349848},
  note = {CC BY 4.0},
}
RIS
TY  - JOUR
TI  - Maintaining cognitive gains in type 2 diabetes: Barriers, supports, and patterns of strategy use
AU  - Heather E. Cuevas
AU  - Jeeyeon Kim
AU  - Shenell T. Wood
PY  - 2026
DA  - 2026/10/05
JO  - PLOS One
DO  - 10.1371/journal.pone.0349848
UR  - https://doi.org/10.1371/journal.pone.0349848
AB  - 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.
SN  - 1932-6203
ER  -