Neuropsychological predictors of growth in condition-related self-management skill mastery in youth with spina bifida

Youth with SB exhibited gains in condition-related self-management skill mastery over time. Neuropsychological functioning was found to be a stronger predictor of skill mastery at 11.5 years than growth over time, suggesting that youth with better neuropsychological functioning master self-management skills earlier in development. Findings have important implications for clinical monitoring and interventions to support the transfer of medical responsibility and reduce medical nonadherence and secondary health complications.