Understanding hypoglycemia: Validation of the hypoglycemic attitudes and behavior scale in Turkish type 2 diabetes patients

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dc.authorid0000-0001-9509-4473
dc.authorid0000-0002-3049-2259
dc.contributor.authorUzlu, Gizem
dc.contributor.authorPulat Demir, Halime
dc.date.accessioned2026-01-31T15:08:43Z
dc.date.available2026-01-31T15:08:43Z
dc.date.issued2025
dc.departmentİstanbul Beykent Üniversitesi
dc.description.abstractBackground The Hypoglycemic Attitudes and Behavior Scale (HABS) is designed to assess key aspects of hypoglycemia-related experiences. Aim This study aimed to evaluate the validity and reliability of the Turkish version of HABS in patients with type 2 diabetes mellitus (T2DM), including both insulin users and nonusers. Methods A total of 181 patients with T2DM (mean age 58.76 +/- 10.17 years), including both insulin users and non-users, participated in this study. Exploratory factor analysis (EFA) was performed to determine the factor structure, while confirmatory factor analysis (CFA) was conducted to assess the model fit. Internal consistency reliability was evaluated via Cronbach's alpha (alpha) coefficient and the test-retest method. Convergent validity was examined by analyzing the correlation between the HABS and the Hypoglycemia Fear Scale (HFS). Results Cronbach's alpha coefficient values for the anxiety, avoidance, and confidence sub-dimensions were 0.68, 0.75, and 0.82, respectively. Test-retest correlations for the subdimensions were positive, moderate to high, and statistically significant (P < 0.001). EFA revealed a three-factor structure, similar to the original HABS, with three items removed. CFA confirmed that the modified model had a good fit. A significant positive correlation was found between HABS and HFS subdimensions (P < 0.001), supporting convergent validity. Conclusions The Turkish version of HABS demonstrates strong psychometric properties, making it a valuable tool for assessing hypoglycemia-related attitudes and behaviors in Turkish T2DM patients and informing clinical practice.
dc.identifier.doi10.1177/02601060251384724
dc.identifier.issn0260-1060
dc.identifier.issn2047-945X
dc.identifier.pmid41092023
dc.identifier.scopus2-s2.0-105019251285
dc.identifier.scopusqualityQ1
dc.identifier.urihttps://doi.org./10.1177/02601060251384724
dc.identifier.urihttps://hdl.handle.net/20.500.12662/10741
dc.identifier.wosWOS:001596194500001
dc.identifier.wosqualityQ4
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherSage Publications Inc
dc.relation.ispartofNutrition And Health
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.snmzKA_WoS_20260128
dc.subjectHypoglycemia
dc.subjecttype 2 diabetes mellitus
dc.subjecthypoglycemic attitudes and behavior scale
dc.subjectpsychometric validation
dc.subjecthealth psychology
dc.subjectpatient self-management
dc.titleUnderstanding hypoglycemia: Validation of the hypoglycemic attitudes and behavior scale in Turkish type 2 diabetes patients
dc.typeArticle

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