Psychometric evaluation of the Swedish version of the Hypoglycaemia Fear Survey
Abstract
Objective The objective of this study was to evaluate the psychometric properties of the Swedish version of the Hypoglycaemia Fear Survey (Swe-HFS) for use among Swedish-speaking patients with type 1 diabetes.Methods The HFS was translated using the forward-backward translation method and was thereafter answered by 325 type 1 patients. The psychometric properties were investigated using exploratory factor analysis, Cronbach's alpha, content and convergent validity.Results The factor analysis showed that a three-factor solution was reasonable with the subscales Behaviour/Avoidance (10 items), Worry (6 items) and Aloneness (4 items). Cronbach's alpha coefficient for the total score was 0.85. The result also supports the instrument's content validity and convergent validity.Conclusion The Swedish version of the HFS appears to be a reliable and valid instrument for measuring fear of hypoglycaemia (FoH) in type 1 patients.Practice implications The results from this study suggest that the Swe-HFS, an instrument that is brief and easy to administer, may be valuable in clinically assessing FoH among patients with type 1 diabetes.
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The Swe-HFS is validated and shows good psychometric properties.
“The Swe-HFS is validated and shows good psychometric properties24 and will thus be used in this study.”
From Acceptance and commitment therapy (ACT) for adult type 1 diabetes management: Study protocol for a randomised controlled trial (2018) · cites this paper as [24]
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Self-citation
- Authors
- Anderbro, T., Amsberg, S., Wredling, R., Lins, P.-E., Adamson, U., Lisspers, J., & Johansson, U.-B.
- Affiliations
- Danderyds sjukhus (SE)
- Mid Sweden University (SE)
- Sophiahemmet University College (SE)
- Venue
- Patient Education and Counseling
- Publisher
- Elsevier BV
- Published
- 2008-10
- Volume
- 73
- Issue
- 1
- Pages
- 127-131
- ISSN
- 0738-3991 (ISSN-L)
- OpenAlex
- W2086880625
- Cited by
- 36
- References
- 15
- Citations by year
- 2026: 1 · 2023: 1 · 2022: 1 · 2021: 1 · 2020: 4 · 2018: 5 · 2017: 5 · 2016: 4 · 2015: 3 · 2014: 4 · 2013: 2
- FWCI
- 1.21
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Patient Education and Counseling (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Education
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Research
- Social Sciences › Education › Health Education and Validation
- Keywords
- fear of hypoglycemia, type 1 diabetes, Swedish translation, psychometric validation, factor structure, content validity, convergent validity, patient-reported outcome measures, worry, aloneness
- MeSH terms
- Diabetes Mellitus, Type 1, Factor Analysis, Statistical, Fear, Female, Humans, Hypoglycemia, Male, Middle Aged, Models, Psychological, Psychometrics, Surveys and Questionnaires, Sweden, Blood Glucose Self-Monitoring, Reproducibility of Results
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