{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T01:45:56Z","timestamp":1792028756384,"version":"4.4.0"},"reference-count":27,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T00:00:00Z","timestamp":1791936000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T00:00:00Z","timestamp":1791936000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100025520","name":"Medical Research Future Fund","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100025520","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100022904","name":"Australian Diabetes Educators Association","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100022904","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100001065","name":"Australian Diabetes Society","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100001065","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100000971","name":"Diabetes Australia","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100000971","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100020647","name":"Diabetes Victoria","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100020647","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Diabet Med"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>To explore the perceptions, experiences and unmet needs of diabetes healthcare professionals (DHPs) for supporting adults with type 1 diabetes (T1D) with fear of hypoglycaemia (FoH).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>An online survey explored Australian DHPs' perceived capability, opportunity, motivation and behaviours related to supporting adults with T1D with FoH. DHPs were recruited via online advertisements, e\u2010newsletters and at conferences. Quantitative data were analysed using descriptive statistics, and qualitative data were analysed thematically.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>A total of 106 eligible DHPs were included (83% credentialled diabetes educators, 92% women, mean (SD) age 49 (11) years), from all eight states\/territories. DHPs indicated that FoH is experienced by almost two thirds of adults with T1D in their clinics. Most DHPs believe addressing FoH is within their scope of clinical practice (83%), and report motivation (89%) and capability (skills and confidence, 71% and 70% respectively) to do so. While more than half (50%\u201371%) perceive they have the social opportunity (e.g. social norms, workplace culture), few report physical opportunity (8%\u201324%), for example, access to validated screening tools; financial remuneration; affordable mental healthcare referral pathways. Free\u2010text responses highlighted the need for affordable and timely access to mental health professionals with knowledge about diabetes. Approximately eight out of ten would be (very) likely to refer those experiencing FoH to online self\u2010guided programs, if available.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>These findings show that Australian DHPs report the motivation and capability, but lack the opportunity to support adults with T1D experiencing FoH. Innovative referral pathways, including online self\u2010guided programmes, are perceived positively and may be useful in the Australian healthcare context.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/dme.70496","type":"journal-article","created":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T01:26:46Z","timestamp":1792027606000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Capability, opportunity and motivation to support adults with type 1 diabetes experiencing fear of hypoglycaemia: A survey of Australian diabetes healthcare professionals"],"prefix":"10.1111","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0848-9421","authenticated-orcid":false,"given":"Uffe","family":"S\u00f8holm","sequence":"first","affiliation":[{"name":"School of Psychology Deakin University  Geelong Victoria Australia"},{"name":"Institute for Health Transformation Deakin University  Geelong Victoria Australia"},{"name":"The Australian Centre for Behavioural Research in Diabetes Diabetes Victoria  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1156-279X","authenticated-orcid":false,"given":"Jennifer","family":"Halliday","sequence":"additional","affiliation":[{"name":"School of Psychology Deakin University  Geelong Victoria Australia"},{"name":"Institute for Health Transformation Deakin University  Geelong Victoria Australia"},{"name":"The Australian Centre for Behavioural Research in Diabetes Diabetes Victoria  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9139-4663","authenticated-orcid":false,"given":"Elizabeth","family":"Holmes\u2010Truscott","sequence":"additional","affiliation":[{"name":"School of Psychology Deakin University  Geelong Victoria Australia"},{"name":"Institute for Health Transformation Deakin University  Geelong Victoria Australia"},{"name":"The Australian Centre for Behavioural Research in Diabetes Diabetes Victoria  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3845-2814","authenticated-orcid":false,"given":"Virginia","family":"Hagger","sequence":"additional","affiliation":[{"name":"Institute for Health Transformation Deakin University  Geelong Victoria Australia"},{"name":"School of Nursing, Midwifery Deakin University  Geelong Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alison","family":"Robinson","sequence":"additional","affiliation":[{"name":"School of Psychology Deakin University  Geelong Victoria Australia"},{"name":"Institute for Health Transformation Deakin University  Geelong Victoria Australia"},{"name":"The Australian Centre for Behavioural Research in Diabetes Diabetes Victoria  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-0816-0287","authenticated-orcid":false,"given":"Caitlin","family":"Rogers","sequence":"additional","affiliation":[{"name":"HypoPAST T1D Lived Experience Steering Group  Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christian","family":"Criado\u2010Perez","sequence":"additional","affiliation":[{"name":"UNSW Business School UNSW Sydney  Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sienna","family":"Russell\u2010Green","sequence":"additional","affiliation":[{"name":"School of Psychology Deakin University  Geelong Victoria Australia"},{"name":"The Australian Centre for Behavioural Research in Diabetes Diabetes Victoria  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sofianos","family":"Andrikopoulos","sequence":"additional","affiliation":[{"name":"Australian Diabetes Society  Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2893-3211","authenticated-orcid":false,"given":"James A. M.","family":"Shaw","sequence":"additional","affiliation":[{"name":"Translational and Clinical Research Institute, the Medical School Newcastle University  Newcastle upon Tyne UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1204-6896","authenticated-orcid":false,"given":"Jane","family":"Speight","sequence":"additional","affiliation":[{"name":"School of Psychology Deakin University  Geelong Victoria Australia"},{"name":"Institute for Health Transformation Deakin University  Geelong Victoria Australia"},{"name":"The Australian Centre for Behavioural Research in Diabetes Diabetes Victoria  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"name":"the HypoPAST Study Group","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,10,14]]},"reference":[{"issue":"2","key":"e_1_2_11_2_1","doi-asserted-by":"crossref","first-page":"87","DOI":"10.1002\/dmrr.796","article-title":"How hypoglycaemia can affect the life of a person with diabetes","volume":"24","author":"Frier BM","year":"2008","journal-title":"Diabetes Metab Res Rev"},{"key":"e_1_2_11_3_1","doi-asserted-by":"crossref","DOI":"10.1177\/2050312114527443","article-title":"Cognitive, behavioural and psychological barriers to the prevention of severe hypoglycaemia: a qualitative study of adults with type 1 diabetes","volume":"2","author":"Speight J","year":"2014","journal-title":"SAGE Open Med"},{"issue":"4","key":"e_1_2_11_4_1","doi-asserted-by":"crossref","first-page":"501","DOI":"10.1111\/j.1464-5491.2008.02413.x","article-title":"Prevalence of impaired awareness of hypoglycaemia in adults with type 1 diabetes","volume":"25","author":"Geddes J","year":"2008","journal-title":"Diabet Med"},{"issue":"3","key":"e_1_2_11_5_1","doi-asserted-by":"crossref","first-page":"538","DOI":"10.2337\/dc21-1120","article-title":"Hypoglycemia subtypes in type 1 diabetes: an exploration of the hypoglycemia fear survey\u2010II","volume":"45","author":"Maclean RH","year":"2022","journal-title":"Diabetes Care"},{"key":"e_1_2_11_6_1","doi-asserted-by":"crossref","first-page":"2160","DOI":"10.1007\/s00125-024-06233-1","article-title":"The impact of hypoglycaemia on daily functioning among adults with diabetes: a prospective observational study using the hypo\u2010METRICS app","volume":"67","author":"S\u00f8holm U","year":"2024","journal-title":"Diabetologia"},{"key":"e_1_2_11_7_1","volume-title":"Diabetes and Emotional Health: A Practical Guide for Health Professionals Supporting Adults with Type 1 or Type 2 Diabetes","author":"Hendrieckx C","year":"2021"},{"issue":"1","key":"e_1_2_11_8_1","doi-asserted-by":"crossref","DOI":"10.1136\/bmjdrc-2021-002322","article-title":"\u2018Never again will I be carefree\u2019: a qualitative study of the impact of hypoglycemia on quality of life among adults with type 1 diabetes","volume":"9","author":"Chatwin H","year":"2021","journal-title":"BMJ Open Diabetes Res Care"},{"issue":"1","key":"e_1_2_11_9_1","doi-asserted-by":"crossref","DOI":"10.1111\/dme.14727","article-title":"Unmet support needs relating to hypoglycaemia among adults with type 1 diabetes: results of a multi\u2010country web\u2010based qualitative study","volume":"39","author":"Chatwin H","year":"2022","journal-title":"Diabet Med"},{"issue":"3","key":"e_1_2_11_10_1","doi-asserted-by":"crossref","first-page":"409","DOI":"10.1111\/dme.14205","article-title":"How has psycho\u2010behavioural research advanced our understanding of hypoglycaemia in type 1 diabetes?","volume":"37","author":"Hendrieckx C","year":"2020","journal-title":"Diabet Med"},{"issue":"1","key":"e_1_2_11_11_1","first-page":"S132","article-title":"6. Glycemic goals, hypoglycemia, and hyperglycemic crises: standards of Care in Diabetes\u20142026","volume":"49","author":"American Diabetes Association Professional Practice Committee for Diabetes","year":"2025","journal-title":"Diabetes Care"},{"key":"e_1_2_11_12_1","unstructured":"NDSS.Fear of hypoglycaemia fact sheet; Version 5.1. 2023. 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