{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T00:48:07Z","timestamp":1787014087028,"version":"build-2736575974"},"reference-count":34,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2024,3,17]],"date-time":"2024-03-17T00:00:00Z","timestamp":1710633600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"DOI":"10.13039\/100000056","name":"National Institute of Nursing Research","doi-asserted-by":"publisher","award":["K01NR018907"],"award-info":[{"award-number":["K01NR018907"]}],"id":[{"id":"10.13039\/100000056","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000056","name":"National Institute of Nursing Research","doi-asserted-by":"publisher","award":["R01 NR016235"],"award-info":[{"award-number":["R01 NR016235"]}],"id":[{"id":"10.13039\/100000056","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000912","name":"March of Dimes Foundation","doi-asserted-by":"publisher","award":["12\u2010FY13\u2010271"],"award-info":[{"award-number":["12\u2010FY13\u2010271"]}],"id":[{"id":"10.13039\/100000912","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100009633","name":"Eunice Kennedy Shriver National Institute of Child Health and Human Development","doi-asserted-by":"publisher","award":["R01 HD048629"],"award-info":[{"award-number":["R01 HD048629"]}],"id":[{"id":"10.13039\/100009633","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Develop Med Child Neuro"],"published-print":{"date-parts":[[2024,10]]},"abstract":"Abstract<\/jats:title>\n \n Aim<\/jats:title>\n To examine socioeconomic, condition\u2010related, and neuropsychological predictors of self\u2010management trajectories in adolescents and young adults with spina bifida.<\/jats:p>\n <\/jats:sec>\n \n Method<\/jats:title>\n In this longitudinal study, participants completed the Adolescent\/Young Adult Self\u2010Management and Independence Scale interview. Socioeconomic status (SES), shunt status, lesion level, and executive functioning were assessed. Growth in self\u2010management was estimated using linear mixed\u2010effects models.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n Participants (\n n<\/jats:italic>\n \u2009=\u200999) were aged 18 to 27\u2009years. Approximately half (52.5%) were female and White; 15.2% were Black; and 32.3% Hispanic or Latino. Although none of the predictors were associated with growth in self\u2010management from ages 18 to 27\u2009years (\n p<\/jats:italic>\n \u2009>\u20090.05), several factors were associated with the intercept at age 18\u2009years for total self\u2010management. Higher SES at baseline predicted a higher total self\u2010management score at age 18\u2009years (\n b<\/jats:italic>\n \u2009=\u20090.03, standard error [SE]\u2009=\u20090.01;\n p<\/jats:italic>\n \u2009<\u20090.001). On average, participants at age 18\u2009years with a shunt scored lower than those without a shunt (\n b<\/jats:italic>\n \u2009=\u2009\u22120.90, SE\u2009=\u20090.32;\n p\u2009=<\/jats:italic>\n \u20090.01); those with a thoracic lesion scored lower than those with lower lesion levels (lumbar:\n b<\/jats:italic>\n \u2009=\u2009\u22121.22, SE\u2009=\u20090.34; sacral:\n b<\/jats:italic>\n \u2009=\u2009\u22121.20, SE\u2009=\u20090.36;\n p<\/jats:italic>\n \u2009=\u20090.001 for both). Better parent\u2010reported and teacher\u2010reported executive functions predicted higher total self\u2010management (metacognitive:\n b<\/jats:italic>\n \u2009=\u2009\u22120.03, SE\u2009=\u20090.01; behavioral regulation:\n b<\/jats:italic>\n \u2009=\u2009\u22120.04, SE\u2009=\u20090.01;\n p<\/jats:italic>\n \u2009<\u20090.05 for both).\n <\/jats:p>\n <\/jats:sec>\n \n Interpretation<\/jats:title>\n On average, all participants improved in self\u2010management over time. Additionally, baseline superiority in self\u2010management for adolescents and young adults without a shunt, less severe lesions, better executive functions, and higher SES persisted over time.<\/jats:p>\n <\/jats:sec>\n \n What this paper adds<\/jats:title>\n \n \n \n Higher socioeconomic status at baseline predicted higher self\u2010management scores at age 18\u2009years.<\/jats:p>\n <\/jats:list-item>\n \n Participants with a shunt scored lower than those without a shunt.<\/jats:p>\n <\/jats:list-item>\n \n Participants with a thoracic lesion scored lower than those with other, less severe lesions.<\/jats:p>\n <\/jats:list-item>\n \n Better parent\u2010reported and teacher\u2010reported executive functions predicted higher self\u2010management scores at age 18\u2009years.<\/jats:p>\n <\/jats:list-item>\n \n Growth in self\u2010management was not moderated by socioeconomic, condition\u2010related, or neuropsychological variables.<\/jats:p>\n <\/jats:list-item>\n <\/jats:list>\n <\/jats:p>\n <\/jats:sec>","DOI":"10.1111\/dmcn.15900","type":"journal-article","created":{"date-parts":[[2024,3,18]],"date-time":"2024-03-18T01:12:18Z","timestamp":1710724338000},"page":"1329-1339","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Contextual predictors of self\u2010management and independence trajectories in adolescents and young adults with spina bifida"],"prefix":"10.1111","volume":"66","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2621-6710","authenticated-orcid":false,"given":"Monique M.","family":"Ridosh","sequence":"first","affiliation":[{"name":"Marcella Niehoff School of Nursing Loyola University Chicago Chicago IL USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"William","family":"Adams","sequence":"additional","affiliation":[{"name":"Stritch School of Medicine Loyola University Chicago Chicago IL 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