McKechnie, Vicky;
Khan, Shaila;
Saunders, Rob;
Amiel, Stephanie A;
Gonder-Frederick, Linda A;
Oliver, Nick;
(2024)
Psychometric validation of the hyperglycaemia avoidance scale UK (HAS-UK).
Diabetic Medicine
, Article e15342. 10.1111/dme.15342.
(In press).
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Abstract
AIMS: Hyperglycaemia aversion in type 1 diabetes can be associated with severe hypoglycaemia and impaired awareness of hypoglycaemia but is not routinely assessed clinically. This study aimed to undertake the first psychometric validation of the UK version of the Hyperglycaemia Avoidance Scale (HAS‐UK). METHODS: The HAS‐UK was completed by adults with type 1 diabetes in three separate research studies. Psychometric properties were evaluated, using exploratory factor analysis, internal consistency, and convergent validity. RESULTS: Of the 431 participants who completed the HAS‐UK in the three studies, mean age was 49.5 years, and 58.0% were women. Mean duration of diabetes was 29 years, with 192 (44.5%) using multiple daily injections and 229 (53.1%) using an insulin pump. Five participants were excluded from analyses due to incomplete HAS‐UK responses. Exploratory factor analysis revealed a 3‐factor solution, with acceptable internal consistency for ‘worry’ and ‘blood glucose decisions’ factors. HAS‐UK total score was higher in those using insulin pumps versus multiple daily injections, and ‘blood glucose decisions’ score was higher in those using a continuous blood glucose sensor versus a meter. CONCLUSIONS: The HAS‐UK is a reliable measure with acceptable structural validity and is likely to be useful for evaluating hyperglycaemia aversion in people with type 1 diabetes. Future research would benefit from investigating further psychometric properties including test–retest reliability, sensitivity to change, and clinical significance of scores.
| Type: | Article |
|---|---|
| Title: | Psychometric validation of the hyperglycaemia avoidance scale UK (HAS-UK) |
| Open access status: | An open access version is available from UCL Discovery |
| DOI: | 10.1111/dme.15342 |
| Publisher version: | https://doi.org/10.1111/dme.15342 |
| Language: | English |
| Additional information: | © 2024 The Authors. Diabetic Medicine published by John Wiley & Sons Ltd on behalf of Diabetes UK. This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited. |
| Keywords: | Science & Technology, Life Sciences & Biomedicine, Endocrinology & Metabolism, hyperglycaemia, hypoglycaemia, psychometrics, questionnaire, type 1 diabetes, HYPOGLYCEMIA, FEAR |
| UCL classification: | UCL UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Div of Psychology and Lang Sciences UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Div of Psychology and Lang Sciences > Clinical, Edu and Hlth Psychology |
| URI: | https://discovery-pp.ucl.ac.uk/id/eprint/10192083 |
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