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Examining the Behaviour subscale of the Hypoglycaemia Fear Survey: an international study

Identifieur interne : 000E84 ( Istex/Corpus ); précédent : 000E83; suivant : 000E85

Examining the Behaviour subscale of the Hypoglycaemia Fear Survey: an international study

Auteurs : L. A. Gonder-Frederick ; K. A. Vajda ; K. M. Schmidt ; D. J. Cox ; J. H. Devries ; O. Erol ; K. Kanc ; H. Sch Chinger ; F. J. Snoek

Source :

RBID : ISTEX:4ACD4C2389B79054226CFCD09840788954082890

Abstract

The Hypoglycemia Fear Survey (HFS)‐II Behaviour and Worry subscales were developed to measure behaviours and anxiety related to hypoglycaemia in diabetes. However, previous studies found lower reliability in the HFS Behaviour subscale and inconsistent relationships with glucose control. The purpose of this study was to conduct extensive analyses of the internal structure of the HFS Behaviour subscale's internal structure and its relationships with diabetes outcomes, including HbA1c and episodes of severe hypoglycaemia.

Url:
DOI: 10.1111/dme.12129

Links to Exploration step

ISTEX:4ACD4C2389B79054226CFCD09840788954082890

Le document en format XML

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<div type="abstract">The Hypoglycemia Fear Survey (HFS)‐II Behaviour and Worry subscales were developed to measure behaviours and anxiety related to hypoglycaemia in diabetes. However, previous studies found lower reliability in the HFS Behaviour subscale and inconsistent relationships with glucose control. The purpose of this study was to conduct extensive analyses of the internal structure of the HFS Behaviour subscale's internal structure and its relationships with diabetes outcomes, including HbA1c and episodes of severe hypoglycaemia.</div>
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<p>The Hypoglycemia Fear Survey (HFS)‐II Behaviour and Worry subscales were developed to measure behaviours and anxiety related to hypoglycaemia in diabetes. However, previous studies found lower reliability in the HFS Behaviour subscale and inconsistent relationships with glucose control. The purpose of this study was to conduct extensive analyses of the internal structure of the HFS Behaviour subscale's internal structure and its relationships with diabetes outcomes, including HbA1c and episodes of severe hypoglycaemia.</p>
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<p>A three‐factor solution showed the best fit for the HFS, with two subscales emerging from the HFS Behaviour representing tendencies towards (1) maintenance of high blood glucose and (2) avoidance of hypoglycaemic risks by other behaviours, and a third single HFS Worry subscale. Subscale item analysis showed excellent fit, separation and good point–measure correlations. All subscales demonstrated acceptable (0.75) to excellent (0.94) internal reliability. HbA1c correlated with Maintain High Blood Glucose subscale scores, r = 0.14, P < 0.001, and severe hypoglycaemia frequency correlated with all subscales.</p>
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<p>The HFS Worry subscale measures one construct of anxiety about various aspects of hypoglycaemia. In contrast, the HFS Behaviour subscale appears to measure two distinct aspects of behavioural avoidance to prevent hypoglycaemia, actions which maintain high blood glucose and other behaviours to avoid hypoglycaemic risk. These results demonstrate the clinical importance of the HFS Behaviour subscales and their differential relationships with measures of diabetes outcome such as HbA1c.</p>
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<fc>II</fc>
Behaviour and Worry subscales were developed to measure behaviours and anxiety related to hypoglycaemia in diabetes. However, previous studies found lower reliability in the
<fc>HFS</fc>
Behaviour subscale and inconsistent relationships with glucose control. The purpose of this study was to conduct extensive analyses of the internal structure of the
<fc>HFS</fc>
Behaviour subscale's internal structure and its relationships with diabetes outcomes, including HbA
<sub>1c</sub>
and episodes of severe hypoglycaemia.</p>
</section>
<section xml:id="dme12129-sec-0002">
<title type="main">Methods</title>
<p>
<fc>HFS</fc>
<fc>II</fc>
survey data from 1460 adults with Type 1 diabetes were collected from five countries. This aggregated sample underwent exploratory factor analysis and item analysis to determine the internal structure of the survey and subscales.</p>
</section>
<section xml:id="dme12129-sec-0003">
<title type="main">Results</title>
<p>A three‐factor solution showed the best fit for the
<fc>HFS</fc>
, with two subscales emerging from the
<fc>HFS</fc>
Behaviour representing tendencies towards (1) maintenance of high blood glucose and (2) avoidance of hypoglycaemic risks by other behaviours, and a third single
<fc>HFS</fc>
Worry subscale. Subscale item analysis showed excellent fit, separation and good point–measure correlations. All subscales demonstrated acceptable (0.75) to excellent (0.94) internal reliability. HbA
<sub>1c</sub>
correlated with Maintain High Blood Glucose subscale scores,
<i>r</i>
 = 0.14,
<i>P</i>
 < 0.001, and severe hypoglycaemia frequency correlated with all subscales.</p>
</section>
<section xml:id="dme12129-sec-0004">
<title type="main">Conclusions</title>
<p>The
<fc>HFS</fc>
Worry subscale measures one construct of anxiety about various aspects of hypoglycaemia. In contrast, the
<fc>HFS</fc>
Behaviour subscale appears to measure two distinct aspects of behavioural avoidance to prevent hypoglycaemia, actions which maintain high blood glucose and other behaviours to avoid hypoglycaemic risk. These results demonstrate the clinical importance of the
<fc>HFS</fc>
Behaviour subscales and their differential relationships with measures of diabetes outcome such as HbA
<sub>1c</sub>
.</p>
</section>
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<title>Examining the Behaviour subscale of the Hypoglycaemia Fear Survey: an international study</title>
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<namePart type="given">L. A.</namePart>
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<affiliation>Health Sciences Center, University of Virginia, VA, Charlottesville, USA</affiliation>
<affiliation>E-mail: lag3g@virginia.edu</affiliation>
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<namePart type="given">K. M.</namePart>
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<name type="personal">
<namePart type="given">D. J.</namePart>
<namePart type="family">Cox</namePart>
<affiliation>Health Sciences Center, University of Virginia, VA, Charlottesville, USA</affiliation>
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<namePart type="given">O.</namePart>
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<affiliation>Department of Nursing, Faculty of Health Sciences, Trakya University, Edirne, Turkey</affiliation>
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<name type="personal">
<namePart type="given">K.</namePart>
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<namePart type="given">H.</namePart>
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<name type="personal">
<namePart type="given">F. J.</namePart>
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<affiliation>Department of Medical Psychology, Diabetes Psychology Research Group, VU University Medical Centre, Amsterdam, the Netherlands</affiliation>
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<dateValid encoding="w3cdtf">2013-01-10</dateValid>
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<abstract>The Hypoglycemia Fear Survey (HFS)‐II Behaviour and Worry subscales were developed to measure behaviours and anxiety related to hypoglycaemia in diabetes. However, previous studies found lower reliability in the HFS Behaviour subscale and inconsistent relationships with glucose control. The purpose of this study was to conduct extensive analyses of the internal structure of the HFS Behaviour subscale's internal structure and its relationships with diabetes outcomes, including HbA1c and episodes of severe hypoglycaemia.</abstract>
<abstract>HFS‐II survey data from 1460 adults with Type 1 diabetes were collected from five countries. This aggregated sample underwent exploratory factor analysis and item analysis to determine the internal structure of the survey and subscales.</abstract>
<abstract>A three‐factor solution showed the best fit for the HFS, with two subscales emerging from the HFS Behaviour representing tendencies towards (1) maintenance of high blood glucose and (2) avoidance of hypoglycaemic risks by other behaviours, and a third single HFS Worry subscale. Subscale item analysis showed excellent fit, separation and good point–measure correlations. All subscales demonstrated acceptable (0.75) to excellent (0.94) internal reliability. HbA1c correlated with Maintain High Blood Glucose subscale scores, r = 0.14, P < 0.001, and severe hypoglycaemia frequency correlated with all subscales.</abstract>
<abstract>The HFS Worry subscale measures one construct of anxiety about various aspects of hypoglycaemia. In contrast, the HFS Behaviour subscale appears to measure two distinct aspects of behavioural avoidance to prevent hypoglycaemia, actions which maintain high blood glucose and other behaviours to avoid hypoglycaemic risk. These results demonstrate the clinical importance of the HFS Behaviour subscales and their differential relationships with measures of diabetes outcome such as HbA1c.</abstract>
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<identifier type="ISSN">0742-3071</identifier>
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<identifier type="DOI">10.1111/(ISSN)1464-5491</identifier>
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