Development of a self-assessment questionnaire of abnormal menstruation and evaluation of its reliability and validity

ObjectiveTo develop a self-assessment questionnaire for menstrual abnormalities and test its reliability and validity. To provide an assessment tool for self-identification of abnormal menstruation in young women and to investigate the health seeking situation of abnormal menstruation in the populat...

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Main Authors: XIAO Tontong, LU Xuan, YOU Xiaofang, TAN Hui, QIAN Xu
Format: Article
Language:zho
Published: Shanghai Preventive Medicine Association 2023-08-01
Series:Shanghai yufang yixue
Subjects:
Online Access:http://www.sjpm.org.cn/article/doi/10.19428/j.cnki.sjpm.2023.22850
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author XIAO Tontong
LU Xuan
YOU Xiaofang
TAN Hui
QIAN Xu
author_facet XIAO Tontong
LU Xuan
YOU Xiaofang
TAN Hui
QIAN Xu
author_sort XIAO Tontong
collection DOAJ
description ObjectiveTo develop a self-assessment questionnaire for menstrual abnormalities and test its reliability and validity. To provide an assessment tool for self-identification of abnormal menstruation in young women and to investigate the health seeking situation of abnormal menstruation in the population.MethodsFifteen physicians with clinical experience were invited to participate in the Delphi expert consultations. Medical indications for menstrual abnormalities were constructed and questionnaires were formed based on domestic and international literature, expert meetings and 2 rounds of Delphi expert consultations. A whole-group sampling was used to select 923 female college students from a medical school in Shanghai for the survey, and 306 of them were retested. The internal consistency, retest correlation, researcher-investigator evaluation correlation, and structural and response validity of the questionnaire were examined.ResultsThe questionnaire formed 6 dimensions with 17 indications. The positive coefficients for the two rounds of consulting experts were >90%. The mean authority coefficient was 0.857. The Kendall W coordination coefficient was 0.465 and 0.455, respectively (P<0.001). The questionnaire Cronbach's alpha coefficient was 0.622. The retest correlation coefficient was 0.459. The correlation coefficient between the researcher's score and the respondents' self-assessment was 0.562. The five common factors extracted by factor analysis were consistent with the structure of the questionnaire, and the cumulative contribution of variance was 54.4%. Total questionnaire scores were moderately to highly correlated with each dimension score (0.409 to 0.699). There was low correlation between the dimensions (-0.002 to 0.203). Girls who had sought medical care had higher scores on the total questionnaire, category A, category B, cycle dimension, menstrual dimension, and dysmenorrhea/PMS dimension than girls who had not sought medical care (P<0.01), and the difference between the two groups in menstrual volume dimension scores was not statistically significant.ConclusionThe self-assessment questionnaire for menstrual abnormalities developed in this study has acceptable reliability, good structure validity and response validity. It can provide a self-examination tool and medical consultation guidance for young women with abnormal menstruation.
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spelling doaj.art-1df737605eee46aaad40abf8c15c854c2023-11-09T09:12:36ZzhoShanghai Preventive Medicine AssociationShanghai yufang yixue1004-92312023-08-0135877978510.19428/j.cnki.sjpm.2023.228501004-9231(2023)08-0779-07Development of a self-assessment questionnaire of abnormal menstruation and evaluation of its reliability and validityXIAO TontongLU XuanYOU XiaofangTAN HuiQIAN XuObjectiveTo develop a self-assessment questionnaire for menstrual abnormalities and test its reliability and validity. To provide an assessment tool for self-identification of abnormal menstruation in young women and to investigate the health seeking situation of abnormal menstruation in the population.MethodsFifteen physicians with clinical experience were invited to participate in the Delphi expert consultations. Medical indications for menstrual abnormalities were constructed and questionnaires were formed based on domestic and international literature, expert meetings and 2 rounds of Delphi expert consultations. A whole-group sampling was used to select 923 female college students from a medical school in Shanghai for the survey, and 306 of them were retested. The internal consistency, retest correlation, researcher-investigator evaluation correlation, and structural and response validity of the questionnaire were examined.ResultsThe questionnaire formed 6 dimensions with 17 indications. The positive coefficients for the two rounds of consulting experts were >90%. The mean authority coefficient was 0.857. The Kendall W coordination coefficient was 0.465 and 0.455, respectively (P<0.001). The questionnaire Cronbach's alpha coefficient was 0.622. The retest correlation coefficient was 0.459. The correlation coefficient between the researcher's score and the respondents' self-assessment was 0.562. The five common factors extracted by factor analysis were consistent with the structure of the questionnaire, and the cumulative contribution of variance was 54.4%. Total questionnaire scores were moderately to highly correlated with each dimension score (0.409 to 0.699). There was low correlation between the dimensions (-0.002 to 0.203). Girls who had sought medical care had higher scores on the total questionnaire, category A, category B, cycle dimension, menstrual dimension, and dysmenorrhea/PMS dimension than girls who had not sought medical care (P<0.01), and the difference between the two groups in menstrual volume dimension scores was not statistically significant.ConclusionThe self-assessment questionnaire for menstrual abnormalities developed in this study has acceptable reliability, good structure validity and response validity. It can provide a self-examination tool and medical consultation guidance for young women with abnormal menstruation.http://www.sjpm.org.cn/article/doi/10.19428/j.cnki.sjpm.2023.22850abnormal menstruationself-assessment questionnairedelphi methodindications for medical treatmentfrequency of symptoms requiring medical attentionreliability and validity
spellingShingle XIAO Tontong
LU Xuan
YOU Xiaofang
TAN Hui
QIAN Xu
Development of a self-assessment questionnaire of abnormal menstruation and evaluation of its reliability and validity
Shanghai yufang yixue
abnormal menstruation
self-assessment questionnaire
delphi method
indications for medical treatment
frequency of symptoms requiring medical attention
reliability and validity
title Development of a self-assessment questionnaire of abnormal menstruation and evaluation of its reliability and validity
title_full Development of a self-assessment questionnaire of abnormal menstruation and evaluation of its reliability and validity
title_fullStr Development of a self-assessment questionnaire of abnormal menstruation and evaluation of its reliability and validity
title_full_unstemmed Development of a self-assessment questionnaire of abnormal menstruation and evaluation of its reliability and validity
title_short Development of a self-assessment questionnaire of abnormal menstruation and evaluation of its reliability and validity
title_sort development of a self assessment questionnaire of abnormal menstruation and evaluation of its reliability and validity
topic abnormal menstruation
self-assessment questionnaire
delphi method
indications for medical treatment
frequency of symptoms requiring medical attention
reliability and validity
url http://www.sjpm.org.cn/article/doi/10.19428/j.cnki.sjpm.2023.22850
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