2011
DOI: 10.2337/dc10-1343
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Psychometric Properties of the Hypoglycemia Fear Survey-II for Adults With Type 1 Diabetes

Abstract: OBJECTIVETo perform the first comprehensive psychometric evaluation of the Hypoglycemia Fear Survey-II (HFS-II), a measure of the behavioral and affective dimensions of fear of hypoglycemia, using modern test-theory methods, including item-response theory (IRT).RESEARCH DESIGN AND METHODSSurveys completed in four previous studies by 777 adults with type 1 diabetes were aggregated for analysis, with 289 subjects completing both subscales of the HFS-II and 488 subjects completing only the Worry subscale. The agg… Show more

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Cited by 276 publications
(228 citation statements)
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“…Responses are on a 5-point scale from 1 = ''never'' to 5 = ''always.'' The current study utilized the HFS-II versions for adult participants 16 and versions with slightly different wording for pediatric patients 17 and for the caregivers of pediatric patients. 18 Treatment satisfaction was assessed using the Insulin Delivery System Rating Questionnaire (IDSRQ), which assesses multiple dimensions of treatment consequences, satisfaction, and preference.…”
Section: Discussionmentioning
confidence: 99%
“…Responses are on a 5-point scale from 1 = ''never'' to 5 = ''always.'' The current study utilized the HFS-II versions for adult participants 16 and versions with slightly different wording for pediatric patients 17 and for the caregivers of pediatric patients. 18 Treatment satisfaction was assessed using the Insulin Delivery System Rating Questionnaire (IDSRQ), which assesses multiple dimensions of treatment consequences, satisfaction, and preference.…”
Section: Discussionmentioning
confidence: 99%
“…The original Fear of Hypoglycaemia Survey (HFS) was designed to measure fear of hypoglycaemia in adults with Type 1 diabetes [27] [28]. The HFS comprises 23 items rated on a five-point Likert scale resulting in a total sum score ranging from 0 to 92 with higher scores indicating a greater fear of hypoglycaemia.…”
Section: Fear Of Hypoglycaemia Surveymentioning
confidence: 99%
“…The HFS-W includes items describing fearprovoking aspects of hypoglycemia scored on a 5-point Likert scale, ranging from 0 (never) to 4 (all the time), with higher scores indicating higher levels of fear. Of note, HFS-W scores are comparable between patients with type 1 diabetes and patients with type 2 diabetes who use insulin, and scores are only moderately lower in patients with type 2 diabetes who use sulphonylureas (8,11,12).…”
mentioning
confidence: 99%
“…To assess FoH, researchers have most often used the Hypoglycemia Fear Survey (HFS) (7). The HFS is well validated (7)(8)(9), has a long tradition in diabetes research, and is increasingly used in type 2 diabetes. The HFS comprises a Worry subscale and a Behavior subscale, with many studies using only the Worry subscale (HFS-W) (10), which was done in this study.…”
mentioning
confidence: 99%