Effects of a Health Intervention on Fear of Hypoglycemia : a Pilot Study

Effects of a Health Education Intervention Based on the Behaviour Change Wheel on Fear of Hypoglycemia in Patients With Type 2 Diabetes Mellitus: a Pilot Study

The purpose of this study was to construct a Fear of Hypoglycemia(FoH) intervention program for type 2 diabetic patients based on the Behaviour Change Wheel (BCW) theory and to investigate the feasibility, acceptability, and initial effects of the program.

In this study, eligible participants were randomized in a 1:1 ratio into an intervention group (health education based on BCW theory given on top of regular diabetes health education) and a control group (regular diabetes health education), with a 4-week intervention period and a 4-week follow-up period, for a total of 8 weeks.

Inclusion Criteria:

• Comply with the 2020 Chinese guidelines for the prevention and treatment of type 2 diabetes mellitus
• Age ≥18 years
• Duration of diabetes mellitus ≥1 year
• FOH according to the elevated item endorsement criterion (E I criterion): ≥3 points on any item of the Hypoglycemic Fear-Worry Scale (HFS-WS)
• Patients who have the ability to listen, read, write, walk, and cooperate to complete the study
• Patients who have a smart phone, and can skillfully use WeChat or telephone to communicate
• Voluntarily participate in this study and sign the informed consent form.

Exclusion Criteria:

• Patients with comorbid acute complications or other serious diseases or disorders of consciousness, such as diabetic hypertonic state, tumors, coma, etc.
• Patients with comorbid psychiatric diseases or taking psychotropic drugs
• Patients who have recently or are participating in other studies on similar topics