scholarly journals Menopause Rating Scale: Validation and Applicability in Nepalese Women

2019 ◽  
Vol 17 (01) ◽  
pp. 9-14 ◽  
Author(s):  
Gehanath Baral

Background: Menopausal Rating Scale is one of the globally used tools to assess quality of life in menopause and peri-menopause. The aim of this study is to validate the standard menopausal rating scale in Nepalese menopausal women and to test menopausal symptoms during clinical consultation at hospital.Methods: Cross sectional validation study at Paropakar Maternity and Women’s Hospital, Thapathali, Kathmandu. Five-step language translation of menopausal rating scale from English to Nepali, questionnaire clarity assessment with gynecologists and Likert scale questionnaire based interview to the clients. Reliability and validity tests applied. Each component of rating scale analyzed.Results: Nepali version of menopausal rating scale developed. Acceptable level (Cronbach’s Alpha = 0.77) of tools reliability obtained. Barlett’s test of sphericity was highly significant and Pearson correlation between variables was significant. Average age of menarche was 15 years, and mean and modal value of menopause was 48 and 50 years respectively. First menopausal symptom was vasomotor flush in 62%, one-forth didn’t experience flush, half experienced mild to moderate flush and rest one-fourth had severe to very severe form; 50% had significant sleep, bladder and sexual dysfunction. Three-fourth had vaginal dryness and musculoskeletal problem. One-half had some degree of mental dysfunction.Conclusions: Nepali version of menopausal rating scale developed. Baseline menopausal parameters obtained.Keywords: Applicability; menopause; rating scale; validation.

2021 ◽  
Vol 15 (1) ◽  
pp. 9-12
Author(s):  
Ameer Hamza Mahmood-ul-Hassan ◽  
Abdul Sannan ◽  
Nehala Nooz ◽  
Ansa Ramay ◽  
Muhammad Huzaifa ◽  
...  

Background: The world is facing COVID-19 pandemic and almost 70% of the world had gone under Lockdown. People are facing stress, insomnia and anxiety. The lack of basic awareness and spread of fake news are common causes of all these issues. This study was done to determine the prevalence of insomnia and anxiety in medical and non-medical students. Subjects and methods: Subjects were approached through friends in universities using WhatsApp. People having insomnia and anxiety before quarantine were excluded from this study. People using anti-depressants and anti-psychotics before quarantine were also excluded from this study. A descriptive cross-sectional study was conducted among 965 students of medical and non-medical universities in the cities of Lahore, Rawalpindi and Islamabad. Consent was taken for using the Hamilton Anxiety Rating Scale and Insomnia Severity Index for scoring of anxiety and insomnia respectively. An online questionnaire made in Google forms was used for data collection. Independent t-tests, Pearson Correlation and Regression analysis were performed using SPSS v25. Results: Increased prevalence of anxiety and insomnia in non-medical students as compared to the medical students was observed. There was statistically significant strong correlation between anxiety and insomnia of the enrolled subjects (r=0.742, p<0.001). A linear regression equation was formulated. Increased prevalence of anxiety and insomnia in females was also determined. Conclusion: Non-medical students, compared to medical students, among which, females, compared to males, were more likely to suffer from anxiety and insomnia during lockdown.


Author(s):  
Muharam R ◽  
Muhammad Ikhsan ◽  
Herdinda Erudite Rizkinya

Objective: The objective of this study was to assess the association between menarche age and menopausal symptoms.Methods: A cross-sectional study with 100 perimenopause subjects. Every subject was assessed of their menopausal symptoms with validated menopause rating scale (MRS) questionnaire. Menopause symptoms were classified into somato-vegetative, psychological, and urogenital symptoms. Statistical analysis was used to assess menarche age and menopause symptoms associations.Results: Out of 100 subjects, somato-vegetative, psychological, and urogenital symptoms were found in 46%, 68%, and 74% cases, respectively. Menarche age was varied between 10 and 17-year-old. There was a significant correlation between menarche age and psychological symptoms (p=0.034). However, there was no significant correlation between menarche age and somato-vegetative as well as urogenital symptoms (p=0.257; p=0.093).Conclusion: There was a significant association between menarche age and psychological symptoms in perimenopause women. However, there was no association between menarche age and somato-vegetative as well as urogenital symptoms in perimenopause women.


2020 ◽  
Vol 24 (5) ◽  
pp. 457-460
Author(s):  
Lauren A.V. Orenstein ◽  
Adaugo Amah ◽  
Fiona M. Shaw ◽  
Chao Zhang ◽  
Robert A. Swerlick ◽  
...  

Background Hidradenitis suppurativa (HS) is a chronic inflammatory skin disease that severely impairs patients’ quality of life (QoL). Instruments such as the 10-item Dermatology Life Quality Index and 16-item Skindex-16 have been used to assess QoL in HS; however, it is unknown whether the shorter 3-item Skindex-mini can also provide an accurate assessment of skin-related QoL in patients with HS. Objectives The aim was to assess how well the Skindex-16 correlates with its shorter adaptation, the Skindex-mini, in capturing QoL among patients with HS. Methods This retrospective cross-sectional study included all HS patients seen in the HS Clinic at The Emory Clinic between January 1, 2019, and August 16, 2019. We compared the correlation between the symptom, emotion, and function domains of the Skindex-16 and Skindex-mini using Pearson correlation coefficients (CC). Secondary outcome measures included individual survey item analysis, ItchyQuant scores, and numeric rating scale of pain. Results We identified 108 encounters among 75 unique hidradenitis suppurativa patients (43 black/African American, 18 white, 5 Asian/Pacific Islander, 3 Latino, 4 Other, 2 unknown). Pearson CC between the Skindex-16 and Skindex-mini domain scores for all encounters were 0.770 ( P < .001), 0.787 ( P < .001), and 0.801 ( P < .001) for the symptom, emotion, and function domains, respectively. The mean pain and ItchyQuant scores were 4.14 (SD 3.31) and 3.55 (SD 3.34), respectively. Conclusions The Skindex-mini correlated highly with the Skindex-16 in a racially diverse group of patients with HS. The Skindex-mini is a streamlined QoL instrument that could be practically implemented into routine clinical care among diverse patients presenting to dermatology.


2021 ◽  
Vol 46 (1) ◽  
pp. 40
Author(s):  
KrupaDharmeshkumar Tank ◽  
Khushali Ajani ◽  
Dhvani Nimavat ◽  
Monika Vidja ◽  
Anjali Moradiya ◽  
...  

2021 ◽  
Vol 14 (5) ◽  
Author(s):  
Mandana Shirazi ◽  
Amir Hossein Emami ◽  
Afsaneh Yakhforoshha

Background: Standardized patient (SP) has been applied to measure learner’s communication challenges such as breaking bad news (BBN). When utilizing SP-based assessment, 2 steps should be considered in SP training; assessing SPs portrayal as the real patient (authenticity) and how SPs checklist fill out reproducibility. Objectives: In this study, we described the process of training authentic and consistent SPs for evaluating oncology fellows’ performance regarding BBN in Iran. Methods: In this cross-sectional study, 8 eligible SPs took part in a 3-day educational meeting. Four different scenarios were developed regarding cancer patients along with corresponding checklists representing common presentations of illness. The accuracy of SPs portrayal was evaluated by experts, using a previously validated rating scale during observation of their role-playing. The reproducibility of SPs’ portraits was measured, using a test-retest approach. The inter-rater agreement of the SPs’ ability to fill out the BBN scale was measured by comparing the correlation between the SPs, who completed the scale, and oncologist faculty members’ judgments, which is considered a gold standard. Results: The findings of this study indicated that the cut-off score for the SPs’ portrayal validity was 95%. The reliability of SPs portrayal was acceptable (r = 0.89). The inter-rater agreement between SPs and experts in filling the BBN scale (k = 0.82), as well as, the consistency of filling the BBN scale between SP groups were highly acceptable (k = 0.86). Conclusions: The present study has demonstrated that if SP is trained appropriately, they shave a high degree of reliability and validity to assess oncology fellows’ performance regarding BBN skills.


2019 ◽  
Vol 3 (2) ◽  
pp. 46
Author(s):  
Ida Ayu Ningrat Pangruating Diyu

Latar Belakang: Menopause merupakan tonggak yang penting dalam kesehatan wanita dan signifikan mempengaruhi kualitas hidup wanita. Memasuki masa post-menopause keluhan akan  gejala menopause yang dialami meningkat.  Penelitian yang meneliti mengenai karakteristik maupun keluhan-keluhan wanita postmenopause yang tinggal di pedesaan masih jarang. Penelitian ini bertujuan untuk mengetahui karakteristik wanita postmenopause yang tinggal di pedesaan.Metode Penelitian: Desain penelitianyang digunakan adalah deskriptif cross sectional study. Penelitian dilakukan di Desa Petang, salah satu daerah  pedesaan di Bali, Indonesia. Sampel penelitian ini berjumlah 392 wanita postmenopause. Stages of Reproductive Aging Workshop (STRAW+10) digunakan untuk mengklasifikasikan wanita post menopause. Instrumen yang digunakan adalah instrument yang dirancang sendiri untuk mengetahui karakteritik demografi dan pola kebiasaan serta Menopause Rating Scale (MRS) untuk gejala-gejala menopause.Hasil Penelitian: Hasil analisa data menunjukkan sebagian besar wanita postmenopause yang tinggal di daerah pedesaan memiliki kebiasaan mengkonsumsi kopi yakni sebanyak 315 responden  (80,4%) dan tidak terbiasa berolahraga 218 (55,6%). Keluhan gejala -gejala menopause  dirasakan oleh wanita postmenopause diantaranya rasa tidak nyaman pada persendian dan otot yakni sebanyak 316 wanita  (82%), kelelahan fisik dan mental sebanyak 275 wanita (70,3%), masalah tidur sebanyak 223 (56,9%,), masalah seksual sebanyak 179 (45,7%), rasa tidak nyaman pada jantung sebanyak 122 (31,2%) serta badan terasa panas dan berkeringat sebanyak 119 (30,4%).Kesimpulan:  Wanita postmenopause yang tinggal didaerah pedesaan memiliki karakteritik yang sedikit berbeda . Hampir sebagian besar wanita postmenopause mengeluhkan lebih dari satu gejala menopause. Hal ini menjadi perhatian khusus dan tantangan tersendiri bagi petugas kesehatan dalam merancang intervensi yang tepat guna membantu mengatasi gejala-gejala yang dialami oleh wanita postmenopause 


Author(s):  
Fareha Khatoon ◽  
Parul Sinha ◽  
Sana Shahid ◽  
Uma Gupta

Background: Menopause is defined as complete cessation of menses for twelve months or more. It is a normal physiological change experienced by middle aged women and some of the menopausal symptoms experienced by these women can be severe enough to affect their normal daily activities.Methods: An observational cross sectional study was carried out in the Department of Obstetrics and Gynecology, Era’s Lucknow Medical College and hospital, Lucknow for a period of one year.300 patients who had attained menopause were analyzed. Menopausal symptoms were assessed using Modified Menopause Rating Scale (MRS).Results: Majority of patients attained menopause at the age of 50-54 years and the calculated mean age came to be 50.33±5.26. The most common symptom reported was joint and muscular discomfort (87%), depressive mood (70%), heart discomfort (60.3%), physical and mental exhaustion (60%), sleep problems (56%). The most classical symptom of menopause i. e. hot flushes was reported in 53.3%. Prevalence of other symptoms in decreasing order were irritability (46.6%), anxiety (40.3%), bladder problem (26%), dryness of vagina (23%), sexual problems (20%). The menopausal symptoms were found to be more prevalent in women of lower socio economic strata and those who had no formal education and this difference was found to be statistically significant.Conclusions: There is a high burden of postmenopausal symptoms which have shown an increasing trend with advancement of age. This calls for establishment of specific health intervention for postmenopausal women through the existing health centres by having geriatric clinics.


2018 ◽  
Vol 40 (2) ◽  
pp. 85-92 ◽  
Author(s):  
Godspower O. Owie ◽  
Sunday O. Olotu ◽  
Bawo O. James

Abstract Introduction Assessing adherence in schizophrenia facilitates interventions that optimize outcomes. Adherence rating questionnaires are feasible and non-intrusive; however, no validated measure exists in sub-Saharan Africa. We aimed to assess the psychometric properties of the 10-item Medication Adherence Rating Scale (MARS). Methods This was a cross-sectional study of a cohort of patients with schizophrenia (n=230). A sociodemographic questionnaire, the Mini International Neuropsychiatric Interview (MINI), Positive and Negative Syndrome Scale (PANSS), Scale for the Unawareness of Mental Disorder (SUMD) and the MARS were all administered by an interviewer. Results The MARS demonstrated good reliability (Cronbach’s alpha: 0.76). The scale was reducible to a 3-factor construct (1 – medication adherence behavior, 2 – attitude to taking medications, and 3 – negative side effects and attitude to psychotropics), with significant though weak external validity in relation to psychopathology (p<0.001) and insight (p<0.001). The first factor showed good internal consistency (α=0.80), comprising six items that could serve as a reliable proxy measure of adherence in place of the MARS Conclusion The MARS demonstrated fair psychometric characteristics in assessing adherence in patients with schizophrenia in this cohort. The scale may be useful in the dimensional assessment of medication adherence for schizophrenia in sub-Saharan African settings.


2017 ◽  
Vol 49 (1) ◽  
pp. 79-107 ◽  
Author(s):  
Natalja Menold

Unlike other data collection modes, the effect of labeling rating scales on reliability and validity, as relevant aspects of measurement quality, has seldom been addressed in online surveys. In this study, verbal and numeric rating scales were compared in split-ballot online survey experiments. In the first experiment, respondents’ cognitive processes were observed by means of eye tracking, that is, determining the respondent’s fixations in different areas of the screen. In the remaining experiments, data for reliability and validity analysis were collected from a German adult sample. The results show that respondents needed more fixations and more time to endorse a category when a rating scale had numeric labels. Cross-sectional reliability was lower and some hypotheses with respect to the criterion validity could not be supported when numeric rating scales were used. In conclusion, theoretical considerations and the empirical results contradict the current broad usage of numeric scales in online surveys.


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