Examining Psychometric Characteristics of a Menopausal Health Questionnaire
Translation and Psychometric Evaluation of the Persian Version
Keywords:
Health, Menopause, Psychometrics, Factor AnalysisAbstract
Introduction: Menopause is a natural event in a woman’s life which affects her general health and quality of life. However, currently there is no Persian instrument for measuring health status during this period. Therefore, the present study was performed to assess the validity and reliability of the Persian version of the Menopausal Health Questionnaire in Iran.
Methods: The questionnaire was translated to Persian with the approach of Jones et al and its validity was assessed by a panel of experts. The Persian version was tested among 300 patients who had referred to the gynecological clinic at the Ali ibn Abi Talib Hospital in Zahedan. Convenience method was used for sampling. Exploratory factor analysis was used to assess construct validity of collected data. Test-retest method was used to determine reliability in two-week intervals and Cronbach's alpha coefficient was used to check the internal consistency.
Results: According to research findings, the exploratory factor analysis showed an acceptable fitness. Varimax rotation indicated 6 factors with Eagan values more than 1, which explained 49.27% of the variance. Cronbach's alpha coefficient for the entire tool was 0.84 and it was from 0.50 to 0.82 for the subcategories. All factors had a significant case-total correlation. Results of test-retest showed the stability of the questionnaire and its subcategories, and the intraclass correlation coefficient (ICC) was assessed to be 0.93.
Conclusions: The 14-item Menopausal Health Questionnaire is a valid and reliable instrument to assess postmenopausal women’s health.
References
Mirabi P, Mojab F. The effect of valerian on hot flashes in menopausal women. Iran J Pharm Res. 2013;
(1): 217-22. PMID: 24250592, PMCID: PMC3813196.
Bauld R, Brown RF. Stress, psychological distress, psychosocial factors, menopause symptoms and
physical health in women. Maturitas. 2009; 62(2): 160-5. doi: 10.1016/j.maturitas.2008.12.004. PMID:
Bachmann G, Bobula J, Mirkin S. Effects of bazedoxifene/conjugated estrogens on quality of life in
postmenopausal women with symptoms of vulvar/vaginal atrophy. Climacteric. 2010; 13(2): 132-40. doi:
3109/13697130903305627. PMID: 19863455.
Fritz MA, Speroff L. Clinical gynecologic endocrinology and infertility. Ghotbi R, Ghazi B, Jahani MD.
Tehran, Golban Pub. (Persian). 2011.
Ogwumike OO, Kaka B, Adegbemigun O, Abiona T. Health-related and socio-demographic correlates of
physical activity level amongst urban menopausal women in Nigeria. Maturitas. 2012; 73(4): 349-53. doi:
1016/j.maturitas.2012.09.010, PMID: 23063022.
Rapkin AJ. Vasomotor symptoms in menopause: physiologic condition and central nervous system
approaches to treatment. Am J Obstet Gynecol. 2007; 196(2): 97-106. doi: 10.1016/j.ajog.2006.05.056.
PMID: 17306645.
Duché L, Ringa V, Melchior M, Varnoux N, Piault S, Zins M, et al. Hot flushes, common symptoms, and
social relations among middle-aged nonmenopausal French women in the GAZEL cohort. Menopause.
; 13(4): 592-9. doi: 10.1097/01.gme.0000227329.41458.86. PMID: 16837881.
Young LE, James AD, Cunningham SL. Lone motherhood and risk for cardiovascular disease: The
National Population Health Survey (NPHS), 1998-99. Can J Public Health. 2004; 95(5): 329-35. PMID:
Jones EG, Mallinson RK, Phillips L, Kang Y. Challenges in language, culture, and modality: Translating
English measures into American Sign Language. Nurs Res. 2006; 55(2): 75-81. PMID: 16601619.
Mohammadi F, Kaldi A. Self-efficacy and caregiver strain in Alzheimer’s caregivers in the city of Tehran.
Middle East Journal of Age and Ageing. 2006; 3(3): 8-12.
Yazdikhah M, Keshavarz M, Merghati khoee A, Hosseini F. Effect of a structured educational program
with style support group of postmenopausal women Quality. Iranian Journal of Medical Education. 2011;
: 984-94.
Chen Y, Lin SQ, Wei Y, Gao HL, Wang SH, Wu ZL. Impact of menopause on quality of life in
community-based women in China. Menopause. 2008; 15(1): 144-9. doi: 10.1097/gme.0b013e318115150e.
PMID: 18030176.
Schneider HP, Maclennan AH, Feeny D. Assessment of health-related quality of life in menopause and
aging. Climacteric. 2008; 11(2): 93-107. doi: 10.1080/13697130801936739. PMID: 18365853.
Polit DF, Beck CT, Owen SV. Is the CVI an acceptable indicator of content validity? Appraisal and
recommendations. Res Nurs Health. 2007; 30(4): 459-67. doi: 10.1002/nur.20199. PMID: 17654487.
Chuni N, Sreeramareddy CT. Frequency of symptoms, determinants of severe symptoms, validity of and
cut-off score for Menopause Rating Scale (MRS) as a screening tool: a cross-sectional survey among
midlife Nepalese women. BMC women's health. 2011; 11: 30. doi: 10.1186/1472-6874-11-30. PMID:
, PMCID: PMC3126771.
Ghasemi A, Rezaee A, Khatibi A, Jahanlu A. Efficacy of omega-3 on hot flush in perimenopausal women
versus placebo. Medical Science Journal of Islamic Azad Univesity-Tehran Medical Branch. 2012; 22(3):
-5.
Rahman SA, Zainudin SR, Mun VL. Assessment of menopausal symptoms using modified Menopause
Rating Scale (MRS) among middle age women in Kuching, Sarawak, Malaysia. Asia Pac Fam Med. 2010;
(1): 5. doi: 10.1186/1447-056X-9-5. PMID: 20175928, PMCID: PMC2834580.
Waidyasekera H, Wijewardena K, Lindmark G, Naessen T. Menopausal symptoms and quality of life
during the menopausal transition in Sri Lankan women. Menopause. 2009; 16(1): 164-70. doi:
1097/gme.0b013e31817a8abd. PMID: 18703984.
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