Validity and reliability of the hypoglycemia confidence scale for patients with type 1 diabetes

Yıl 2023, , 76 - 84, 29.07.2023

Gökhan Şahin , Barış Önder Pamuk , İsmail Demir

https://doi.org/10.56016/dahudermj.1253273

Öz

Background: This study aims to assess the validation and reliability of the Turkish adaptation of the Hypoglycemic Confident Scale and to investigate its relationship between the Hypoglycemia Fear survey, WHO Well-Being Index, Hba1c, sociodemographic characteristics and variables.
Methods: The survey consists of a total of 81 questions concerning the sociodemographic status, clinic status variables, and the Hypoglycemic Confidence Scale formed by 35 standard questions and 46 scale questions.
Result: In this study, assessment of the reliability of the scale was achieved by internal consistency and test-retest methods, and the Cronbach alpha internal consistency reliability coefficients were 0.814 in the first test and 0.885 in the second test. It was observed that the responses given to the items of the Hypoglycemic Confidence Scale at two separate times were consistent with one another. The overall correlation of the scale (r = 0.927, p < 0.0001) was positive and highly significant (p < 0001). A significant, inverse, and moderate correlation was found between HbA1c values and Hypoglycemic Confidence Scale total scores (p < 0,0001, r = -0,479). Similarly, a higher hypoglycemic confidence score was observed to be associated with higher WHO Well-Being Index score and lower hypoglycemic fear.
Conclusion: This study shows that the Hypoglycemia Confidence Scale created by Polonsky et al. is a valid and reliable scale that can be put into use in our country.1 The Hypoglycemic Confidence Scale may be beneficial in diabetic patient follow-up and achieving treatment goals in diabetic patients.

Anahtar Kelimeler

Hypoglycemia, Hypoglycemic Confidence Scale, Hypoglycemia Fear Scale, WHO Well-Being Index

Kaynakça

• Polonsky WH, Fisher L, Hessler D, Edelman SV. Investigating hypoglycemic confidence in type 1 and type 2 diabetes. Diabetes technology & therapeutics. 2017;19(2):131-6.
• Williams SA, Shi L, Brenneman SK, Johnson JC, Wegner JC, Fonseca V. The burden of hypoglycemia on healthcare utilization, costs, and quality of life among type 2 diabetes mellitus patients. Journal of Diabetes and its Complications. 2012;26(5):399-406.
• Cheung BM, Ong KL, Cherny SS, Sham P-C, Tso AW, Lam KS. Diabetes prevalence and therapeutic target achievement in the United States, 1999 to 2006. The American journal of medicine. 2009;122(5):443-53.
• Leiter LA, Yale J-F, Chiasson J, Harris S, Kleinstiver P, Sauriol L. Assessment of the impact of fear of hypoglycemic episodes on glycemic and hypoglycemia management. Can J Diabetes. 2005;29(3):186-92.
• Terkes N, Bektas H. Psychometric evaluation of the Diabetes Symptom Checklist–Revised in patients with type 2 diabetes in Turkey. Japan Journal of Nursing Science. 2016;13(2):273-83.
• Unit PR. WHO (Five) Well-Being Index. Hillerød, Denmark: WHO Collaborating Center for Mental Health, Frederiksborg …; 1998.
• Kahn JH. Factor analysis in counseling psychology research, training, and practice: Principles, advances, and applications. The counseling psychologist. 2006;34(5):684-718.
• Tabachnick BG, Fidell LS. Principal components and factor analysis. Using multivariate statistics. 2001;4(1):582-633.
• Gürbüz S, Şahin F. Sosyal bilimlerde araştırma yöntemleri. Ankara: Seçkin Yayıncılık. 2014;271.
• Polit DF, Beck CT. Generalization in quantitative and qualitative research: Myths and strategies. International journal of nursing studies. 2010;47(11):1451-8.
• Cox DJ, Irvine A, Gonder-Frederick L, Nowacek G, Butterfield J. Fear of hypoglycemia: quantification, validation, and utilization. Diabetes care. 1987;10(5):617-21.