{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,4]],"date-time":"2026-09-04T11:14:49Z","timestamp":1788520489701,"version":"build-2803163510"},"reference-count":39,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2025,10,15]],"date-time":"2025-10-15T00:00:00Z","timestamp":1760486400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Nutr Health"],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>The Hypoglycemic Attitudes and Behavior Scale (HABS) is designed to assess key aspects of hypoglycemia-related experiences.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>This study aimed to evaluate the validity and reliability of the Turkish version of HABS in patients with type 2 diabetes mellitus (T2DM), including both insulin users and nonusers.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A total of 181 patients with T2DM (mean age 58.76\u2009\u00b1\u200910.17 years), including both insulin users and non-users, participated in this study. Exploratory factor analysis (EFA) was performed to determine the factor structure, while confirmatory factor analysis (CFA) was conducted to assess the model fit. Internal consistency reliability was evaluated via Cronbach's alpha (\u03b1) coefficient and the test-retest method. Convergent validity was examined by analyzing the correlation between the HABS and the Hypoglycemia Fear Scale (HFS).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Cronbach's \u03b1 coefficient values for the anxiety, avoidance, and confidence sub-dimensions were 0.68, 0.75, and 0.82, respectively. Test-retest correlations for the subdimensions were positive, moderate to high, and statistically significant (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009&lt;\u20090.001). EFA revealed a three-factor structure, similar to the original HABS, with three items removed. CFA confirmed that the modified model had a good fit. A significant positive correlation was found between HABS and HFS subdimensions (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009&lt;\u20090.001), supporting convergent validity.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The Turkish version of HABS demonstrates strong psychometric properties, making it a valuable tool for assessing hypoglycemia-related attitudes and behaviors in Turkish T2DM patients and informing clinical practice.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/02601060251384724","type":"journal-article","created":{"date-parts":[[2025,10,15]],"date-time":"2025-10-15T18:40:50Z","timestamp":1760553650000},"page":"1593-1602","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Understanding hypoglycemia: Validation of the hypoglycemic attitudes and behavior scale in Turkish type 2 diabetes patients"],"prefix":"10.1177","volume":"32","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3049-2259","authenticated-orcid":false,"given":"Gizem","family":"Uzlu","sequence":"first","affiliation":[{"name":"Istanbul Gelisim University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9509-4473","authenticated-orcid":false,"given":"Halime","family":"Pulat Demir","sequence":"additional","affiliation":[{"name":"Beykent University"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,10,15]]},"reference":[{"issue":"1","key":"e_1_3_3_2_1","first-page":"3","article-title":"K\u00fclt\u00fcrleraras\u0131 \u00f6l\u00e7ek uyarlamas\u0131 i\u00e7in rehber II: Psikometrik \u00f6zellikler ve k\u00fclt\u00fcrleraras\u0131 kar\u015f\u0131la\u015ft\u0131rma","volume":"5","author":"Aksayan S","year":"2003","unstructured":"Aksayan S, G\u00f6z\u00fcm S (2003) K\u00fclt\u00fcrleraras\u0131 \u00f6l\u00e7ek uyarlamas\u0131 i\u00e7in rehber II: Psikometrik \u00f6zellikler ve k\u00fclt\u00fcrleraras\u0131 kar\u015f\u0131la\u015ft\u0131rma. Hem\u015firelikte Ara\u015ft\u0131rma Geli\u015ftirme Dergisi 5(1): 3\u201314.","journal-title":"Hem\u015firelikte Ara\u015ft\u0131rma Geli\u015ftirme Dergisi"},{"issue":"7","key":"e_1_3_3_3_1","first-page":"1436","article-title":"The impact of medication adherence on health-related quality of life among patients with type 2 diabetes mellitus","volume":"5","author":"Al-Qazaz HK","year":"2011","unstructured":"Al-Qazaz HK, Hassali MA, Shafie AA, et al. (2011) The impact of medication adherence on health-related quality of life among patients with type 2 diabetes mellitus. Journal of Clinical and Diagnostic Research 5(7): 1436\u20131443.","journal-title":"Journal of Clinical and Diagnostic Research"},{"key":"e_1_3_3_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00592-014-0694-8"},{"key":"e_1_3_3_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1464-5491.2011.03416.x"},{"key":"e_1_3_3_6_1","doi-asserted-by":"publisher","DOI":"10.1097\/00007632-200012150-00014"},{"key":"e_1_3_3_7_1","doi-asserted-by":"publisher","DOI":"10.4239\/wjd.v12.i5.569"},{"key":"e_1_3_3_8_1","doi-asserted-by":"crossref","unstructured":"B\u00fcy\u00fckkaya Besen D S\u00fcr\u00fcc\u00fc HA Ko\u015far C et al. (2016) Self-reported frequency severity of and awareness of hypoglycemia in type 2 diabetes patients in Turkey. Peer J 4: e2700.","DOI":"10.7717\/peerj.2700"},{"key":"e_1_3_3_9_1","doi-asserted-by":"publisher","DOI":"10.2337\/diacare.10.5.617"},{"key":"e_1_3_3_10_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12875-021-01466-0"},{"key":"e_1_3_3_11_1","unstructured":"Delahanty LM Weinstock RR (2021) Patient education: Type 1 diabetes and diet (Beyond the Basics). UpToDate. Available at: https:\/\/www.uptodate.com (retrieved 7 May 2025)."},{"key":"e_1_3_3_12_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11892-016-0762-2"},{"key":"e_1_3_3_13_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12902-018-0238-2"},{"key":"e_1_3_3_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.anr.2011.12.001"},{"key":"e_1_3_3_15_1","doi-asserted-by":"publisher","DOI":"10.29082\/IJNMS\/2020\/Vol4\/Iss1\/247"},{"key":"e_1_3_3_16_1","doi-asserted-by":"publisher","DOI":"10.2337\/dc10-1343"},{"key":"e_1_3_3_17_1","doi-asserted-by":"publisher","DOI":"10.1111\/dme.13506"},{"key":"e_1_3_3_18_1","doi-asserted-by":"publisher","DOI":"10.1002\/(SICI)1098-240X(199706)20:3<269::AID-NUR9>3.0.CO;2-G"},{"key":"e_1_3_3_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(18)30297-6"},{"key":"e_1_3_3_20_1","doi-asserted-by":"publisher","DOI":"10.1177\/0013164405282485"},{"key":"e_1_3_3_21_1","doi-asserted-by":"publisher","DOI":"10.1080\/10705519909540118"},{"key":"e_1_3_3_22_1","doi-asserted-by":"publisher","DOI":"10.21763\/tjfmpc.992579"},{"key":"e_1_3_3_23_1","volume-title":"Principles and Practices of Structural Equation Modeling","author":"Kline R","year":"2016","unstructured":"Kline R (2016) Principles and Practices of Structural Equation Modeling, 4th ed New York, NY: The Guilford Press.","edition":"4"},{"key":"e_1_3_3_24_1","doi-asserted-by":"publisher","DOI":"10.1037\/1082-989X.4.1.84"},{"key":"e_1_3_3_25_1","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.OA.20.00172"},{"key":"e_1_3_3_26_1","doi-asserted-by":"publisher","DOI":"10.26458\/1746"},{"key":"e_1_3_3_27_1","doi-asserted-by":"publisher","DOI":"10.5455\/annalsmedres.2022.02.069"},{"key":"e_1_3_3_28_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.dsx.2019.02.007"},{"key":"e_1_3_3_29_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pcd.2019.04.001"},{"key":"e_1_3_3_30_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpsychores.2015.08.010"},{"key":"e_1_3_3_31_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jdiacomp.2021.108103"},{"key":"e_1_3_3_32_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jdiacomp.2015.08.002"},{"key":"e_1_3_3_33_1","doi-asserted-by":"publisher","DOI":"10.1089\/dia.2016.0366"},{"key":"e_1_3_3_34_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jdiacomp.2020.107606"},{"key":"e_1_3_3_35_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.diabres.2019.107843"},{"key":"e_1_3_3_36_1","doi-asserted-by":"publisher","DOI":"10.12691\/ajams-9-1-2"},{"key":"e_1_3_3_37_1","doi-asserted-by":"publisher","DOI":"10.1093\/med\/9780199685219.001.0001"},{"key":"e_1_3_3_38_1","doi-asserted-by":"publisher","DOI":"10.2337\/diacare.23.10.1556"},{"key":"e_1_3_3_39_1","doi-asserted-by":"publisher","DOI":"10.32725\/kont.2024.041"},{"key":"e_1_3_3_40_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00125-007-0599-y"}],"container-title":["Nutrition and Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/02601060251384724","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/02601060251384724","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/02601060251384724","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,4]],"date-time":"2026-09-04T10:20:56Z","timestamp":1788517256000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/02601060251384724"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,10,15]]},"references-count":39,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2026,9]]}},"alternative-id":["10.1177\/02601060251384724"],"URL":"https:\/\/doi.org\/10.1177\/02601060251384724","relation":{},"ISSN":["0260-1060","2047-945X"],"issn-type":[{"value":"0260-1060","type":"print"},{"value":"2047-945X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,10,15]]}}}