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Risk\u2010of\u2010bias was assessed using the Joanna Briggs Institute Critical Appraisal Tools. Data were synthesized using random\u2010effects meta\u2010analyses for randomized controlled trials (RCTs) and narrative synthesis for observational studies.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Five RCTs (<jats:italic>N<\/jats:italic>\u00a0=\u00a0682) and seven observational studies (<jats:italic>N<\/jats:italic>\u00a0=\u00a01519) met the inclusion criteria, reporting on behavioural, structured education and cognitive\u2010behavioural therapy (CBT) interventions. Most studies assessed fear of hypoglycaemia using the Hypoglycaemia Fear Survey Worry (HFS\u2010W) and Behaviour (HFS\u2010B) subscales. Mean fear of hypoglycaemia at baseline was relatively low across studies. Meta\u2010analyses showed a significant effect of interventions on HFS\u2010W (SMD\u00a0=\u00a0\u22120.17, <jats:italic>p<\/jats:italic>\u00a0=\u00a00.032) but not on HFS\u2010B scores (SMD\u00a0=\u00a0\u22120.34, <jats:italic>p<\/jats:italic>\u00a0=\u00a00.113). Across RCTs, Blood Glucose Awareness Training (BGAT) had the largest effect on HFS\u2010W and HFS\u2010B scores, and one CBT\u2010based program was as effective as BGAT in reducing HFS\u2010B scores. Observational studies showed that Dose Adjustment for Normal Eating (DAFNE) was associated with significant fear of hypoglycaemia reductions.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Current evidence suggests that educational and behavioural interventions can reduce fear of hypoglycaemia. However, no study to date has examined these interventions among people with high fear of hypoglycaemia.<\/jats:p><\/jats:sec>","DOI":"10.1111\/dme.15071","type":"journal-article","created":{"date-parts":[[2023,2,18]],"date-time":"2023-02-18T18:03:14Z","timestamp":1676743394000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":18,"title":["Effectiveness of educational and behavioural interventions for reducing fear of hypoglycaemia among adults with type 1 diabetes: Systematic review and meta\u2010analyses"],"prefix":"10.1111","volume":"40","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7248-8568","authenticated-orcid":false,"given":"Hannah","family":"Chatwin","sequence":"first","affiliation":[{"name":"Department of Psychology University of Southern Denmark  Odense Denmark"},{"name":"National Centre for Register\u2010Based Research Aarhus University  Aarhus Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4408-6304","authenticated-orcid":false,"given":"Melanie","family":"Broadley","sequence":"additional","affiliation":[{"name":"Department of Psychology University of Southern Denmark  Odense Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1255-7741","authenticated-orcid":false,"given":"Bastiaan","family":"de Galan","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine Radboud University Medical Centre  Nijmegen Netherlands"},{"name":"Department of Internal Medicine Maastricht University Medical Center+  Maastricht Netherlands"},{"name":"CARIM School for Cardiovascular Disease Maastricht University  Maastricht Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ellen","family":"Bazelmans","sequence":"additional","affiliation":[{"name":"Department of Medical Psychology Radboud University Medical Center, Radboud Institute for Health Sciences  Nijmegen Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1204-6896","authenticated-orcid":false,"given":"Jane","family":"Speight","sequence":"additional","affiliation":[{"name":"Department of Psychology University of Southern Denmark  Odense Denmark"},{"name":"School of Psychology Deakin University  Geelong Australia"},{"name":"The Australian Centre for Behavioural Research in Diabetes, Diabetes Victoria  Melbourne Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8172-9818","authenticated-orcid":false,"given":"Frans","family":"Pouwer","sequence":"additional","affiliation":[{"name":"Department of Psychology University of Southern Denmark  Odense Denmark"},{"name":"Steno Diabetes Center Odense  Odense Denmark"},{"name":"Department of Medical Psychology, Amsterdam UMC  Amsterdam The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8772-740X","authenticated-orcid":false,"given":"Giesje","family":"Nefs","sequence":"additional","affiliation":[{"name":"Department of Medical Psychology Radboud University Medical Center, Radboud Institute for Health Sciences  Nijmegen Netherlands"},{"name":"Department of Medical and Clinical Psychology Tilburg University, Center of Research on Psychological disorders and Somatic diseases (CoRPS)  Tilburg Netherlands"},{"name":"Diabeter, Center for Type 1 Diabetes Care and Research  Rotterdam Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,3,2]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.2337\/dc18-S006"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjdrc-2017-000503"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.2337\/dc12-0749"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1037\/a0021927"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1464-5491.1991.tb01575.x"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1097\/NNR.0000000000000020"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pec.2007.05.003"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/jocn.15538"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.diabres.2021.108752"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jdiacomp.2015.09.003"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.1002\/brb3.2633"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.n71"},{"key":"e_1_2_10_14_1","unstructured":"Covidence Systematic Review Software. 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