French Version of the Scales of Fear of Hypoglycaemia in Children With Type 1 Diabetes and Their Parents

Study Overview
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Brief Summary
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Type 1 diabetes usually appears brutally in children or young adults. While many factors of poor glycemic balance have been identified in the literature (age, socio-cultural and socio-economic level, family structure, adherence etc.), it turns out that hypoglycemia is the most common acute complications. It would be an important physiological and psychological barrier for the patient and his parents to manage this diabetes, the latter seeking to keep the blood glucose levels above the objectives in order to avoid the occurrence of a hypoglycemia, especially nocturnal. If there is a questionnaire currently validated as a tool to measure the fear of hypoglycemia (HFS, Hypoglycemia Fear Survey is available in three versions: L'HFS-Child (HFS-C) for children over 6 years old, HFS-Parents of Young children ( HFS-PYC) for parents of young children (under 8 years of age) and HFS-Parents (HFS-P)) for parents of children over 8 years of age, on the other hand, there are no French and no French studies have evaluated the prevalence and impact of the fear of hypoglycemia in French patients with type 1 diabetes. It is therefore essential to use a reliable and valid tool to identify patients affected by the fear of hypoglycemia, which can be an obstacle to improve glycemic control and to an optimum quality of life. Having a tool in French and validated on the scientific level would allow to propose adapted therapeutic treatments (psychological follow-up, individual or collective sessions of therapeutic education, material assistance (sensor of blood glucose, pump with insulin stop...) In order to both improve metabolic balance while increasing the quality of life of patients by lowering secondary anxiety to hypoglycemia

Official Title
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Validation of the French Version of the Three Scales for Assessing the Fear of Type 1 Hypoglycemia (HFS-C, HFS-PYC and HFS-P) in Children, Adolescents and Their Parents by a Monocentric Transverse Psychometric Study

Conditions
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Diabetes Type 1

Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Age between 2 and 18 years Type 1 diabetes defined by an hyperglycemia higher than 2g/l, polyuria, polydipsia and positive antibody insulin-treated type 2 diabetes by daily injections or insulin pump Exclusion Criteria: Trouble to read Trouble to understand Trouble to answer to the questionnaire Opposition.

Ages Eligible for Study
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Minimum Age: 2 Years
Maximum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| HFS-Child score, | Change of Behaviour adopted by the patient in order to avoid the occurrence of hypoglycemia and worry about low blood sugar | Month 0 | 
| HFS-PYC score | Change in Anxiety related to the phenomenon of hypoglycemia | Month 0, Month 3 (+/- 30 days) | 
| HFS-Parent score | Change of Behaviour adopted by the parent in order to avoid the occurrence of hypoglycemia | Month 0, Month 3 (+/- 30 days) | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Questionnaire Survey children  | Diabetes impact on relationships, activity, alimentation ...  children | Month 0, Month 3 (+/- 30 days) | 
| Questionnaire Survey parents  | Diabetes impact on relationships, activity, alimentation ...  parents | Month 0, Month 3 (+/- 30 days) | 
| HbA1C | percentage value | Month 0, Month 3 (+/- 30 days) | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Diabetes type 1, Child ans teenager, Fear of Hypoglycaemia