{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,13]],"date-time":"2026-03-13T07:54:40Z","timestamp":1773388480337,"version":"3.50.1"},"reference-count":34,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2026,2,3]],"date-time":"2026-02-03T00:00:00Z","timestamp":1770076800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,2,3]],"date-time":"2026-02-03T00:00:00Z","timestamp":1770076800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100000361","name":"Diabetes UK","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100000361","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100000272","name":"National Institute for Health and Care Research","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100000272","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Diabet Med"],"published-print":{"date-parts":[[2026,4]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>To describe the design and examine the psychometric properties of the Hypoglycaemia Cues Questionnaire (HypoC\u2010Q) for assessing thoughts, feelings, and behaviours related to hypoglycaemia among adults with type 1 diabetes (T1D).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>The HypoC\u2010Q was designed iteratively, informed by exploratory interviews with 17 adults with T1D with impaired awareness of hypoglycaemia and\/or recurrent severe hypoglycaemia, and consultation with diabetologists. Psychometric analyses were completed on baseline data from the Hypo\u2010METRICS study. Data from adults with T1D, reporting at least one hypoglycaemic event, were eligible if they had completed the baseline HypoC\u2010Q. Completion rates, latent structure, internal consistency, construct and known\u2010groups validity were examined.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      In Hypo\u2010METRICS, 154 participants (62% females; mean\u2009\u00b1\u2009SD age 44\u2009\u00b1\u200915\u2009years; T1D duration: 23\u2009\u00b1\u200916\u2009years) were eligible. All completed all 40 HypoC\u2010Q items, demonstrating its acceptability. Exploratory factor analysis identified four scales with satisfactory internal consistency (\n                      <jats:italic>\u03b1<\/jats:italic>\n                      \u2009=\u20090.69\u20130.81): 1) low concern (7 items), 2) burnout (6 items), 3) missing cues (5 items), and 4) delaying treatment (9 items); plus eight items, treated separately. Construct validity was supported by significant moderate correlations between \u2018burnout\u2019 and fear of hypoglycaemia and diabetes distress, and between \u2018missing\u2019 and \u2018delay\u2019 with impaired awareness of hypoglycaemia; all three distinguished between those with intact and impaired awareness (known\u2010groups validity); but not by history of severe hypoglycaemia.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The HypoC\u2010Q is an acceptable, valid, and reliable measure of thoughts, feelings, and behaviours related to hypoglycaemia among adults with T1D. It is available for informing and assessing the effect of interventions to reduce hypoglycaemia exposure and impact.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/dme.70231","type":"journal-article","created":{"date-parts":[[2026,2,4]],"date-time":"2026-02-04T05:13:06Z","timestamp":1770181986000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Assessing thoughts, feelings and behaviours related to hypoglycaemia: Psychometric evaluation of the Hypoglycaemia Cues Questionnaire (\n                    <scp>HypoC<\/scp>\n                    \u2010Q)"],"prefix":"10.1111","volume":"43","author":[{"given":"Uffe","family":"S\u00f8holm","sequence":"first","affiliation":[{"name":"School of Psychology Institute for Health Transformation, Deakin University  Geelong Victoria Australia"},{"name":"The Australian Centre for Behavioural Research in Diabetes Diabetes Victoria  Melbourne Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elizabeth","family":"Holmes\u2010Truscott","sequence":"additional","affiliation":[{"name":"School of Psychology Institute for Health Transformation, Deakin University  Geelong Victoria Australia"},{"name":"The Australian Centre for Behavioural Research in Diabetes Diabetes Victoria  Melbourne Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2686-5531","authenticated-orcid":false,"given":"Stephanie A.","family":"Amiel","sequence":"additional","affiliation":[{"name":"Department of Diabetes, School of Cardiovascular Medicine and Sciences, Faculty of Life Sciences and Medicine King's College London  London UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"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 The Netherlands"},{"name":"Department of Internal Medicine, Division of Endocrinology and Metabolic Disease Maastricht University Medical Centre  Maastricht The Netherlands"},{"name":"CARIM School for Cardiovascular Diseases Maastricht University  Maastricht The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ulrik","family":"Pedersen\u2010Bjergaard","sequence":"additional","affiliation":[{"name":"Department of Endocrinology and Nephrology Nordsj\u00e6llands Hospital Hiller\u00f8d  Hiller\u00f8d Denmark"},{"name":"Institute of Clinical Medicine, University of Copenhagen  Copenhagen Denmark"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3957-1981","authenticated-orcid":false,"given":"Rory J.","family":"McCrimmon","sequence":"additional","affiliation":[{"name":"Systems Medicine, School of Medicine University of Dundee  Dundee UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2425-9565","authenticated-orcid":false,"given":"Simon","family":"Heller","sequence":"additional","affiliation":[{"name":"University of Sheffield  Sheffield UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mark","family":"Evans","sequence":"additional","affiliation":[{"name":"Institute of Metabolic Science and Department of Medicine, University of Cambridge  Cambridge UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7854-4233","authenticated-orcid":false,"given":"Julia K.","family":"Mader","sequence":"additional","affiliation":[{"name":"Division of Endocrinology and Diabetology Department of Internal Medicine Medical University of Graz  Graz Austria"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7635-4735","authenticated-orcid":false,"given":"Pratik","family":"Choudhary","sequence":"additional","affiliation":[{"name":"Department of Diabetes, School of Cardiovascular Medicine and Sciences, Faculty of Life Sciences and Medicine King's College London  London UK"},{"name":"Diabetes Research Centre University of Leicester  Leicester UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8172-9818","authenticated-orcid":false,"given":"Frans","family":"Pouwer","sequence":"additional","affiliation":[{"name":"School of Psychology Institute for Health Transformation, Deakin University  Geelong Victoria Australia"},{"name":"Department of Psychology University of Southern Denmark  Odense Denmark"},{"name":"Steno Diabetes Center Odense (SDCO)  Odense Denmark"},{"name":"Department of Medical Psychology Amsterdam UMC  Amsterdam The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"James A. M.","family":"Shaw","sequence":"additional","affiliation":[{"name":"The Medical School Translational and Clinical Research Institute, Newcastle University  Newcastle upon Tyne UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1204-6896","authenticated-orcid":false,"given":"Jane","family":"Speight","sequence":"additional","affiliation":[{"name":"School of Psychology Institute for Health Transformation, Deakin University  Geelong Victoria Australia"},{"name":"The Australian Centre for Behavioural Research in Diabetes Diabetes Victoria  Melbourne Victoria Australia"},{"name":"Department of Psychology University of Southern Denmark  Odense Denmark"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"name":"for the Hypo\u2010RESOLVE Consortium","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2026,2,3]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF00401150"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.3111\/13696998.2011.610852"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.2337\/dc23-1765"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jdiacomp.2015.09.003"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1177\/20420188251346260"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00125-022-05847-7"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41467-022-29488-x"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1464-5491.2011.03444.x"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1177\/2050312114527443"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2019-030356"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00125-018-4622-2"},{"key":"e_1_2_11_13_1","doi-asserted-by":"publisher","DOI":"10.2337\/dc19-0002"},{"key":"e_1_2_11_14_1","doi-asserted-by":"publisher","DOI":"10.2337\/dc14-0030"},{"key":"e_1_2_11_15_1","doi-asserted-by":"publisher","DOI":"10.1186\/1472-6823-12-33"},{"key":"e_1_2_11_16_1","doi-asserted-by":"publisher","DOI":"10.1111\/dme.12824"},{"key":"e_1_2_11_17_1","doi-asserted-by":"publisher","DOI":"10.1089\/dia.2019.0189"},{"key":"e_1_2_11_18_1","doi-asserted-by":"publisher","DOI":"10.1111\/dme.14892"},{"key":"e_1_2_11_19_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2021-051651"},{"key":"e_1_2_11_20_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00125-024-06233-1"},{"key":"e_1_2_11_21_1","doi-asserted-by":"publisher","DOI":"10.2337\/dc23-2332"},{"key":"e_1_2_11_22_1","doi-asserted-by":"publisher","DOI":"10.1111\/dme.15345"},{"key":"e_1_2_11_23_1","doi-asserted-by":"publisher","DOI":"10.1089\/dia.2023.0596"},{"key":"e_1_2_11_24_1","doi-asserted-by":"publisher","DOI":"10.2337\/dc10-1343"},{"key":"e_1_2_11_25_1","doi-asserted-by":"publisher","DOI":"10.2337\/diacare.18.6.754"},{"key":"e_1_2_11_26_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1525-1497.2001.016009606.x"},{"key":"e_1_2_11_27_1","doi-asserted-by":"publisher","DOI":"10.1001\/archinte.166.10.1092"},{"key":"e_1_2_11_28_1","doi-asserted-by":"publisher","DOI":"10.2337\/diacare.17.7.697"},{"key":"e_1_2_11_29_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eprac.2023.08.004"},{"key":"e_1_2_11_30_1","volume-title":"RStudio: Integrated Development for R. 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