Hypoglycemia Concerns
Documentation: HABS, HCS, Partner-HCS
Hypoglycemia Attitudes and Behavior Scales (HABS)
The HABS is a 14-item self-report scale that highlights two critical dimensions of hypoglycemia-related concerns (anxiety and avoidance) and one positive dimension (confidence). It has only been validated for use in adults with type 1 diabetes and type 2 diabetes.
First published in 2015, it is recommended for use as a clinical instrument for opening conversations with patients about their hypoglycemic concerns as well as a potentially important outcome measure in appropriate studies.
We have many translations available for download. It has come to our attention that several of the translated versions have changed the order and some content of the scale items. This may make the order and content of the subscales unreliable. We caution anyone who is using translated versions and who wishes to make use of the subscales to make certain that the order and content of the items match the original English version
The key HABS publication for type 2 diabetes is:
Title: Identifying the worries and concerns about hypoglycemia in adults with type 2 diabetes
Date: 2015
Authors: Polonsky WH, Fisher L, Hessler D, Edelman SV
The key HABS publication for type 1 diabetes is:
Date: 2020
Authors: Polonsky WH, Fisher L, Hessler D, Liu J, Fan L, McAuliffe-Fogarty AH
Hypoglycemia Confidence Scale (HCS)
The HCS is a 9-item self-report scale that examines the degree to which people with diabetes feel able, secure, and comfortable regarding their ability to stay safe from hypoglycemic-related problems. It has been validated for use in adults with type 1 diabetes and insulin-using type 2 diabetes.First published in 2017, it is already been selected as an important outcome measures in upcoming studies.
This copyrighted scale is available free of charge to non-profit institutions for use in clinical care and research.However, payment of a per use licensing fee is required for all for-profit companies and other for-profit institutions. To find out more about licensing procedures and fees in regards to for-profit organizations, please contact us at info@behavioraldiabetes.org.
The key HCS publication is:
Title: Investigating Hypoglycemic Confidence in Type 1 and Type 2 Diabetes
Date: 2017
Authors: Polonsky WH, Fisher L, Hessler D, Edelman SV
We have many translations available for download. It has come to our attention that several of the translated versions have changed the order and some content of the scale items. This may make the order and content of the subscales unreliable. We caution anyone who is using translated versions and who wishes to make use of the subscales to make certain that the order and content of the items match the original English version
Hypoglycemia Confidence Scale for Partners of Adults with Type 1 Diabetes (Partner-HCS)
The Partner HCS is a 12-item self-report scale that examines the degree to which partners of adults with type 1 diabetes (T1D) feel able, secure, and comfortable regarding their ability to help their T1D partner stay safe from hypoglycemic-related problems.
This copyrighted scale is available free of charge to non-profit institutions for use in clinical care and research.However, payment of a per use licensing fee is required for all for-profit companies and other for-profit institutions. To find out more about licensing procedures and fees in regards to for-profit organizations, please contact us at info@behavioraldiabetes.org.
The key HCS publication is:
Title: Hypoglycemic Confidence in the Partners of Adults with Type 1 Diabetes
Date: 2020
Authors: Polonsky WH, Fortmann AL, Johnson KE, Nguyen A, Beebe C
At this time, the HCS is only available in English.
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