Validation of the “Hypoglycemia Fear Survey for Parents” in Spanish for the detection of fear of hypoglycemia in parents of children with type 1 diabetes mellitus
Introduction: Fear of hypoglycemia (FoH) in parents of children with type 1 diabetes mellitus (T1DM) has been described as a barrier that affects the achievement of therapeutic goals and adherence to treatment. Objective: validating the Hypoglycemia Fear Survey for Parents (HFS-P) in Spanish and ass...
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| Format: | Article |
| Language: | Spanish |
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Elsevier
2025-08-01
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| Series: | Anales de Pediatría (English Edition) |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2341287925002534 |
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| author | Johan Gregorio Reyes Quesada Cristina Rodríguez de Miguel Óscar Rey Luque Teresa Hernández Expósito Juana Rosa Espino Sánchez Natalia Rodríguez Novo María Mercedes Novo Muñoz |
| author_facet | Johan Gregorio Reyes Quesada Cristina Rodríguez de Miguel Óscar Rey Luque Teresa Hernández Expósito Juana Rosa Espino Sánchez Natalia Rodríguez Novo María Mercedes Novo Muñoz |
| author_sort | Johan Gregorio Reyes Quesada |
| collection | DOAJ |
| description | Introduction: Fear of hypoglycemia (FoH) in parents of children with type 1 diabetes mellitus (T1DM) has been described as a barrier that affects the achievement of therapeutic goals and adherence to treatment. Objective: validating the Hypoglycemia Fear Survey for Parents (HFS-P) in Spanish and assessing the relationship between scores and various clinical variables. Methods: We conducted a psychometric analysis of the instrument, evaluating its feasibility, internal consistency, validity and reliability in the intended setting and population. Results: The sample included a total of 149 participants (71.8% mothers). The mean age of the children was 9.9 years (SD, 3.2), with a mean duration of T1DM duration of 3.9 years (SD, 3.5) and a mean glycated hemoglobin (HbA1c) of 7.9% (SD, 1.9). Of all participants, 87.9% reported the use of new technologies for glucose monitoring. The adapted questionnaire consists of 20 items grouped into three dimensions. The Cronbach α for the total scale was 0.92. The HFS-P was significantly correlated to a general worry scale (ρ = 0.47; P < .001). The test-retest reliability analysis showed a strong positive correlation (ρ = 0.84; P < .001). Variables such as family history of T1DM, caregiver educational level, HbA1c level and use of a glucose monitoring system were significantly associated with HFS-P scores. Conclusion: The Spanish version of the HFS-P is a valid and reliable tool that may assist health care professionals in identifying parental FoH and guide the development of interventions aimed at improving disease management in children. Resumen: Introducción: El miedo a la hipoglucemia (MaH) en los padres de niños con Diabetes Mellitus tipo 1 (DM1) se ha descrito como una barrera que influye en el logro de los objetivos terapéuticos y en la adherencia al tratamiento. Objetivo: Validar al español el cuestionario Hypoglycemia Fear Survey for Parents (HFS-P) y establecer relación entre las puntuaciones y distintas variables clínicas. Material y metodo: Se realizó un análisis de las propiedades psicométricas del instrumento (factibilidad, consistencia interna, validez y fiabilidad) en el contexto de destino. Resultados: Participaron 149 sujetos (71.8% madres). La edad de los niños fue de 9.9 ± 3.2 años, con un tiempo de diagnóstico de la DM1 de 3.9 ± 3.5 años y una hemoglobina glicosilada (HbA1c) media de 7.9% ± 1,9. El 87.9% utilizaba nuevas tecnologías para el control de la glucosa. El nuevo cuestionario consta de 20 ítems y 3 dimensiones. El alfa de Cronbach para el cuestionario total fue de 0.92. Se correlacionó el cuestionario con otro sobre la preocupación general (ρ = 0.47; p < 0.001). Para la fiabilidad test-retest, se obtuvo una correlación positiva ρ = 0.84 (p < 0.001). Antecedentes familiares de DM1, nivel académico del cuidador, nivel de HbA1c o sistema de control de glucosa, se asociaron significativamente con las puntuaciones del cuestionario. Conclusion: La versión española del HFS-P se ha mostrado como una herramienta válida y fiable que podría ayudar a los profesionales sanitarios a detectar el MaH de los padres y orientarles en el desarrollo de intervenciones que mejoren el control de la enfermedad del menor. |
| format | Article |
| id | doaj-art-f975ca083a974b7fbc00d071bbefbecb |
| institution | Kabale University |
| issn | 2341-2879 |
| language | Spanish |
| publishDate | 2025-08-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Anales de Pediatría (English Edition) |
| spelling | doaj-art-f975ca083a974b7fbc00d071bbefbecb2025-08-25T04:14:32ZspaElsevierAnales de Pediatría (English Edition)2341-28792025-08-01103250393410.1016/j.anpede.2025.503934Validation of the “Hypoglycemia Fear Survey for Parents” in Spanish for the detection of fear of hypoglycemia in parents of children with type 1 diabetes mellitusJohan Gregorio Reyes Quesada0Cristina Rodríguez de Miguel1Óscar Rey Luque2Teresa Hernández Expósito3Juana Rosa Espino Sánchez4Natalia Rodríguez Novo5María Mercedes Novo Muñoz6Unidad de Gestión del Conocimiento, Hospital Universitario Nuestra Señora de Candelaria, Tenerife, Spain; Universidad Europea de Canarias. Faculty of Health Sciences, Tenerife, Spain; Corresponding author.Unidad de Gestión del Conocimiento, Hospital Universitario Nuestra Señora de Candelaria, Tenerife, SpainUnidad de Gestión del Conocimiento, Hospital Universitario Nuestra Señora de Candelaria, Tenerife, Spain; Universidad Europea de Canarias. Faculty of Health Sciences, Tenerife, SpainConsulta de Educación en Diabetes Infantil, Servicio de Pediatría, Hospital Universitario de Canarias, Tenerife, SpainConsulta de Educación en Diabetes Infantil, Servicio de Pediatría, Hospital Universitario Nuestra Señora de Candelaria, Tenerife, SpainDepartamento de Enfermería, Facultad de Ciencias de la Salud, Sección de Enfermería y Fisioterapia, Universidad de La Laguna, Tenerife, SpainDepartamento de Enfermería, Facultad de Ciencias de la Salud, Sección de Enfermería y Fisioterapia, Universidad de La Laguna, Tenerife, SpainIntroduction: Fear of hypoglycemia (FoH) in parents of children with type 1 diabetes mellitus (T1DM) has been described as a barrier that affects the achievement of therapeutic goals and adherence to treatment. Objective: validating the Hypoglycemia Fear Survey for Parents (HFS-P) in Spanish and assessing the relationship between scores and various clinical variables. Methods: We conducted a psychometric analysis of the instrument, evaluating its feasibility, internal consistency, validity and reliability in the intended setting and population. Results: The sample included a total of 149 participants (71.8% mothers). The mean age of the children was 9.9 years (SD, 3.2), with a mean duration of T1DM duration of 3.9 years (SD, 3.5) and a mean glycated hemoglobin (HbA1c) of 7.9% (SD, 1.9). Of all participants, 87.9% reported the use of new technologies for glucose monitoring. The adapted questionnaire consists of 20 items grouped into three dimensions. The Cronbach α for the total scale was 0.92. The HFS-P was significantly correlated to a general worry scale (ρ = 0.47; P < .001). The test-retest reliability analysis showed a strong positive correlation (ρ = 0.84; P < .001). Variables such as family history of T1DM, caregiver educational level, HbA1c level and use of a glucose monitoring system were significantly associated with HFS-P scores. Conclusion: The Spanish version of the HFS-P is a valid and reliable tool that may assist health care professionals in identifying parental FoH and guide the development of interventions aimed at improving disease management in children. Resumen: Introducción: El miedo a la hipoglucemia (MaH) en los padres de niños con Diabetes Mellitus tipo 1 (DM1) se ha descrito como una barrera que influye en el logro de los objetivos terapéuticos y en la adherencia al tratamiento. Objetivo: Validar al español el cuestionario Hypoglycemia Fear Survey for Parents (HFS-P) y establecer relación entre las puntuaciones y distintas variables clínicas. Material y metodo: Se realizó un análisis de las propiedades psicométricas del instrumento (factibilidad, consistencia interna, validez y fiabilidad) en el contexto de destino. Resultados: Participaron 149 sujetos (71.8% madres). La edad de los niños fue de 9.9 ± 3.2 años, con un tiempo de diagnóstico de la DM1 de 3.9 ± 3.5 años y una hemoglobina glicosilada (HbA1c) media de 7.9% ± 1,9. El 87.9% utilizaba nuevas tecnologías para el control de la glucosa. El nuevo cuestionario consta de 20 ítems y 3 dimensiones. El alfa de Cronbach para el cuestionario total fue de 0.92. Se correlacionó el cuestionario con otro sobre la preocupación general (ρ = 0.47; p < 0.001). Para la fiabilidad test-retest, se obtuvo una correlación positiva ρ = 0.84 (p < 0.001). Antecedentes familiares de DM1, nivel académico del cuidador, nivel de HbA1c o sistema de control de glucosa, se asociaron significativamente con las puntuaciones del cuestionario. Conclusion: La versión española del HFS-P se ha mostrado como una herramienta válida y fiable que podría ayudar a los profesionales sanitarios a detectar el MaH de los padres y orientarles en el desarrollo de intervenciones que mejoren el control de la enfermedad del menor.http://www.sciencedirect.com/science/article/pii/S2341287925002534Diabetes mellitus tipo 1MiedoHipoglucemiaPadresEstudio de validación |
| spellingShingle | Johan Gregorio Reyes Quesada Cristina Rodríguez de Miguel Óscar Rey Luque Teresa Hernández Expósito Juana Rosa Espino Sánchez Natalia Rodríguez Novo María Mercedes Novo Muñoz Validation of the “Hypoglycemia Fear Survey for Parents” in Spanish for the detection of fear of hypoglycemia in parents of children with type 1 diabetes mellitus Anales de Pediatría (English Edition) Diabetes mellitus tipo 1 Miedo Hipoglucemia Padres Estudio de validación |
| title | Validation of the “Hypoglycemia Fear Survey for Parents” in Spanish for the detection of fear of hypoglycemia in parents of children with type 1 diabetes mellitus |
| title_full | Validation of the “Hypoglycemia Fear Survey for Parents” in Spanish for the detection of fear of hypoglycemia in parents of children with type 1 diabetes mellitus |
| title_fullStr | Validation of the “Hypoglycemia Fear Survey for Parents” in Spanish for the detection of fear of hypoglycemia in parents of children with type 1 diabetes mellitus |
| title_full_unstemmed | Validation of the “Hypoglycemia Fear Survey for Parents” in Spanish for the detection of fear of hypoglycemia in parents of children with type 1 diabetes mellitus |
| title_short | Validation of the “Hypoglycemia Fear Survey for Parents” in Spanish for the detection of fear of hypoglycemia in parents of children with type 1 diabetes mellitus |
| title_sort | validation of the hypoglycemia fear survey for parents in spanish for the detection of fear of hypoglycemia in parents of children with type 1 diabetes mellitus |
| topic | Diabetes mellitus tipo 1 Miedo Hipoglucemia Padres Estudio de validación |
| url | http://www.sciencedirect.com/science/article/pii/S2341287925002534 |
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