Fear of hyperglycaemia in parents of children with type 1 diabetes mellitus - A multi-centre multinational study.

Autor: Liberman A; Jesse Z. and Sara Lea Shafer Institute of Endocrinology and Diabetes, National Center for Childhood Diabetes, Schneider Children's Medical Center of Israel, Petah Tikvah, Israel., Shenker MN; Jesse Z. and Sara Lea Shafer Institute of Endocrinology and Diabetes, National Center for Childhood Diabetes, Schneider Children's Medical Center of Israel, Petah Tikvah, Israel., Bello R; Jesse Z. and Sara Lea Shafer Institute of Endocrinology and Diabetes, National Center for Childhood Diabetes, Schneider Children's Medical Center of Israel, Petah Tikvah, Israel., Yackobovitch-Gavan M; Jesse Z. and Sara Lea Shafer Institute of Endocrinology and Diabetes, National Center for Childhood Diabetes, Schneider Children's Medical Center of Israel, Petah Tikvah, Israel.; Department of Epidemiology and Preventive Medicine, School of Public Health, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel., Shachar-Lavie I; Psychological Medicine, Schneider Children's Medical Center of Israel, Petah Tikvah, Israel., Wójcik M; Department of Pediatric and Adolescent Endocrinology, Jagiellonian University Medical College, Children's University Hospital, Kraków, Poland., Starmach A; Department of Pediatric and Adolescent Endocrinology, Jagiellonian University Medical College, Children's University Hospital, Kraków, Poland., Starzyk JB; Department of Pediatric and Adolescent Endocrinology, Jagiellonian University Medical College, Children's University Hospital, Kraków, Poland., Kostopoulou E; Division of Pediatric Endocrinology and Diabetes, Department of Pediatrics, University General Hospital of Patras, Rio, Greece., Chrysis D; Division of Pediatric Endocrinology and Diabetes, Department of Pediatrics, University General Hospital of Patras, Rio, Greece., Phillip M; Jesse Z. and Sara Lea Shafer Institute of Endocrinology and Diabetes, National Center for Childhood Diabetes, Schneider Children's Medical Center of Israel, Petah Tikvah, Israel.; Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
Jazyk: angličtina
Zdroj: Diabetic medicine : a journal of the British Diabetic Association [Diabet Med] 2023 Jul; Vol. 40 (7), pp. e15114. Date of Electronic Publication: 2023 Apr 25.
DOI: 10.1111/dme.15114
Abstrakt: Aims: Study aims: (1) developing and validating a novel questionnaire for measuring fear of hyperglycaemia among parents of children with type 1 diabetes (T1D) - the Hyperglycaemia Fear Survey - Parent version (FoHyper-P); (2) investigating correlations between parental fear of hyperglycaemia and objective measures of glycaemic control.
Methods: A multi-centre, multinational study of 152 parents of children with T1D was conducted in three large diabetes clinics from Israel, Poland, and Greece. Inclusion criteria were parents of children aged 6-16 years, at least 6 months from diagnosis, at least 3 months of CGM use and parental involvement in care. Parents filled the FoHyper-P and the Hypoglycaemia Fear Survey - Parent Version (HFS-P). Patient data were obtained via electronic medical records and informative questionnaires. Bonferroni correction was performed to counteract multiple comparisons.
Results: Significant strong-moderate correlations were found between FoHyper-P and HFS-P including total questionnaires scoring (r = 0.747, p Bonf  < 0.001), worries subscales (r = 0.735, p Bonf  <0.001), and behaviour subscales (r = 0.532, p Bonf  <0.001). Using linear regression models, we found a positive association between the worry subscale and HbA1C. Weak correlations (p < 0.05, not significant after Bonferroni correction) were found between time in range, time above range and parental fear of hyperglycaemia as well as between worry subscales and a higher HbA1C in the past year, percent of hyperglycaemia and lower TIR.
Conclusions: The FoHyper-P is a novel, validated tool for assessing parental fear of hyperglycaemia. Integrating it into clinical practice addresses an underestimated aspect of parental diabetes management, enabling better care for children with T1D.
(© 2023 Diabetes UK.)
Databáze: MEDLINE
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