What is the HFS-II W? The Hypoglycaemia Fear Survey-version II Worry scale (HFS-II W) is a tool used to assess how worried people with diabetes are about experiencing hypoglycaemia. It is an 18-question section of the larger HFS-II questionnaire and focuses specifically on hypoglycaemia-related fears. Download here Why use the HFS-II W? Provides a structured way to evaluate hypoglycaemia fears Helps health professionals understand the concerns of the person living with diabetes Facilitates open and two-way communication about fears surrounding hypoglycaemia. When to use the HFS-II W When a person with diabetes expresses concerns related to hypoglycaemia. How to use the HFS-II W The person with diabetes rates how much they worried about each item over a specific time frame (usually the last 6 months). The scale ranges from 0 (never) to 4 (almost always). What to do with the score Identify items with scores of 3 or 4, indicating significant worry. Use these concerns as starting points for discussion Collaborate with the person to identify strategies for managing their hypoglycemia fears Track changes in scores over time to assess the effectiveness of interventions. Referral considerations As fear of hypoglycaemia is intertwined with diabetes management, in most cases it is best addressed by the person’s diabetes health professional. A referral for additional mental health support may be appropriate if: you do not have the time and/or resources to provide the support needed you do not feel confident in your ability to address fear of hypoglycaemia the person with diabetes requests it the fear of hypoglycaemia and specific worries are severe other psychological problems are present, e.g. the fear is part of an anxiety disorder or post-traumatic stress disorder following a traumatic hypoglycaemic episode. Also consider Collaborative care with mental health professionals experienced in diabetes care to provide comprehensive and tailored support for the person experiencing mental health challenges. Clear communication between primary care providers and mental health professionals.
