2017
DOI: 10.1136/bmjdrc-2016-000329
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Psychometric validation of the Hypoglycemia Fear Survey-II (HFS-II) in Singapore

Abstract: ObjectiveWe conducted a cross-sectional study to adapt and validate the Hypoglycemia Fear Survey-II (HFS-II) for use in Singapore among persons with type 1 and 2 diabetes mellitus.Research design and methodsA total of 144 patients with type 1 or 2 diabetes on insulin therapy for at least a year completed the HFS-II between September and December 2013 in the Diabetes Center at Singapore General Hospital. We examined the validity (content, concurrent and discriminant validity, and construct validity) and reliabi… Show more

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Cited by 21 publications
(18 citation statements)
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“…Most studies [ 32 , 33 , 35 , 38 , 39 , 41 , 42 ] had an ‘adequate’ COSMIN quality rating. Four studies had a ‘very good’ COSMIN quality rating [ 31 , 36 , 37 , 40 ].…”
Section: Resultsmentioning
confidence: 99%
“…Most studies [ 32 , 33 , 35 , 38 , 39 , 41 , 42 ] had an ‘adequate’ COSMIN quality rating. Four studies had a ‘very good’ COSMIN quality rating [ 31 , 36 , 37 , 40 ].…”
Section: Resultsmentioning
confidence: 99%
“…The original HFS questionnaire was developed in 1987 by Prof. Cox of the University of California, with the purpose of assessing the fear of hypoglycaemia and the related behaviours of patients with diabetes. Afterward, the author revised the scale and developed the commonly used HFS-II 22 , 23 , 25 . HFS-II has 33 items and two subscales: worry subscale (HFS-W) and behaviour subscale (HFS-B), covering fear of the consequences of hypoglycaemia for the former part and the measures taken to prevent hypoglycaemic episodes in the latter part.…”
Section: Methodsmentioning
confidence: 99%
“…HFS-II has 33 items and two subscales: worry subscale (HFS-W) and behaviour subscale (HFS-B), covering fear of the consequences of hypoglycaemia for the former part and the measures taken to prevent hypoglycaemic episodes in the latter part. The items in HFS-W part measure worry about hypoglycaemia and its negative effects (18 items), and the items in HFS-B part measure the behaviours to avoid hypoglycaemia and its negative consequences (15 items) 25 . The participants were asked to indicate their fear of hypoglycaemia in each of the 33 items on 5-point Likert-type HFS from 0 (never) to 4 (always).…”
Section: Methodsmentioning
confidence: 99%
“…In this population, HA is most often conceptualized as fear of hypoglycemia (FoH) comprised of specific worries associated with insulin reaction and the different behaviours to avoid hypoglycemia (see definition above) and measured with the Hypoglycemia Fear Survey [128]. Like other manifestations of HA, it is associated with lower QOL, distress, anxiety, and depressive symptoms [7,128,196,[265][266][267][268][269][270][271]. Hypoglycemia is a common adverse event for people living with diabetes and can have very severe consequences if untreated, leading to coma and death.…”
Section: Plos Onementioning
confidence: 99%