Understanding the construct of fear of hypoglycemia in pediatric type 1 diabetes
Open accessAbstract
OBJECTIVE: Fear of hypoglycemia (FoH) can be a significant barrier to glycemic control in pediatric type 1 diabetes (T1D). This study aimed to explore underlying constructs of the Hypoglycemia Fear Survey (HFS) for parents (PHFS) and children (CHFS). METHODS: Data were aggregated from five studies of 259 youth with T1D and 250 parents. Exploratory Factor Analysis was used to determine the underlying factors of the CHFS and PHFS. RESULTS: Similar four-factor solutions were found for the CHFS and PHFS. Both subscales consisted of two factors: Behavior Subscale (1) behaviors used to keep blood glucose (BG) high to prevent hypoglycemia (Maintain High BG) and (2) other actions to avoid hypoglycemia (Avoidance); Worry Subscale (1) concerns about helplessness (Helplessness) and (2) negative social consequences associated with hypoglycemia (Social Consequences). CONCLUSIONS: These constructs provide a more comprehensive understanding of pediatric FoH and have implications for interventions aimed at reducing FoH in this population.
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HFS-P is a validated 25-item parent-report measure of hypoglycemia fear.
“The HFS-P is a validated 25-item parent-report measure of hypoglycemia fear.”
From A nonrandomized pilot of a group, video-based telehealth intervention to reduce diabetes distress in parents of youth with type 1 diabetes mellitus (2022) · cites this paper as [23]
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- Authors
- Shepard, J. A., Vajda, K., Nyer, M., Clarke, W., & Gonder-Frederick, L.
- Affiliations
- Harvard University (US)
- ORCID
- Nyer, M.
- Venue
- Journal of Pediatric Psychology
- Publisher
- Oxford University Press (OUP)
- Published
- 2014-09-11
- Volume
- 39
- Issue
- 10
- Pages
- 1115-1125
- ISSN
- 0146-8693 (ISSN-L)
- 1465-735X
- PMC
- PMC4201766
- OpenAlex
- W2167175707
- Cited by
- 82
- References
- 40
- Citations by year
- 2026: 5 · 2025: 12 · 2024: 8 · 2023: 7 · 2022: 8 · 2021: 12 · 2020: 8 · 2019: 7 · 2018: 5 · 2017: 4 · 2016: 2 · 2015: 4
- FWCI
- 2.68
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Journal of Pediatric Psychology (publishedVersion)
- Europe PMC (PubMed Central) (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institutes of Health
- National Institute of Diabetes and Digestive and Kidney Diseases (R21DK080896)
- Topics
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Research
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Education
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Diabetes and associated disorders
- Keywords
- fear of hypoglycemia, type 1 diabetes in children, factor structure, parental attitudes, children's perceptions, helplessness, glycemic control
- MeSH terms
- Adolescent, Anxiety, Attitude to Health, Blood Glucose, Child, Diabetes Mellitus, Type 1, Factor Analysis, Statistical, Fear, Female, Humans, Hypoglycemia, Male, Parents
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