Measurement of Quality of Life in Menopausal Women

Shin, Hyunjeong; Shin, Hye Sook

doi:10.1177/0193945911402848

Cited by 24 publications

(21 citation statements)

References 61 publications

(110 reference statements)

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“…8 The MENQOL was introduced in 1996 as a tool to assess health-related quality-of-life in the menopausal period, 9 and it is widely used now and has established reliability and validity among women experiencing menopause in many countries. 10 The systematic review of the measurement of QOL for menopausal women in 2012, 11 however, concluded that the MENQOL needed further testing and evaluation of various aspects of its psychometric properties. Future research assessing its psychometric properties with cross-cultural samples may be beneficial in adapting measures to specific contexts and study populations.…”

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confidence: 99%

Psychometric properties of the Chinese version of the Menopause-Specific Quality-of-Life questionnaire

et al. 2017

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Objective:The Menopause-Specific Quality-of-Life (MENQOL) questionnaire was developed as a specific tool to measure the health-related quality-of-life of postmenopausal women. Thus far, the Chinese version questionnaire has not been subjected to psychometric assessment with a large sample. This study aims to evaluate the validity and reliability of the Chinese version of the MENQOL specific to postmenopausal women in China.Methods:A total of 1,137 menopausal symptomatic and 491 menopausal asymptomatic women from eight cities in China were recruited using a convenience sampling method. Psychometric properties were evaluated by descriptive statistics, validity, and reliability. Reliability was assessed for each subscale of the MENQOL through internal consistency reliability with Cronbach's α and intersubscale correlations. Item-domain correlations, principal components analysis (PCA), and confirmatory factor analysis were performed to determine construct validity. t tests were used to compare the differences between the menopausal symptomatic and asymptomatic women and to evaluate the discriminate validity. Pearson correlation coefficients were calculated between MENQOL scores and the Kupperman index to assess criterion-related validity.Results:The most common symptoms in Chinese menopausal symptomatic women were “experiencing poor memory” (94.4%), “feeling tired or worn out” (93.8%), “aching in muscle and joints” (89.4%), “low backache” (86.9%), “decrease in physical strength” (86.6%), “aches in back of neck or head” (86.2%), “difficulty sleeping” (83.6%), “accomplishing less than I used to” (83.4%), “feeling a lack of energy” (83.3%), “change in your sexual desire” (81%), and “hot flash” (80.7%) among others. The symptoms of “increased facial hair” were rarely seen (9.9%). The vasomotor domain, as well as psychosocial, physical, and sexual domains showed high reliability (Cronbach's α 0.84, 0.87, 0.89, and 0.86, respectively). Item-domain correlation analysis showed that all items correlated more strongly with their own domains than with other domains. In the PCA, after deleting the “increased facial hair” item, items in the vasomotor, sexual, and psychosocial subscales loaded on their respective domains by and large, and items in the physical subscale divided into two factors. The PCA revealed a latent structure of the Chinese version of MENQOL nearly identical to the original MENQOL domains. The confirmatory factor analysis demonstrated that the questionnaire fits well with a four-domain model. The MENQOL can discriminate between menopausal symptomatic women with asymptomatic women as it showed good discriminate validity. Criterion-related validity was confirmed by a significant correlation between MENQOL scores and the Kupperman index.Conclusions:This study showed that Chinese version of MENQOL has good psychometric properties and would be suitable to measure the health-related quality-of-life of Chinese menopausal women except for item 21 (increased facial hair).

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Psychometric properties of the Chinese version of the Menopause-Specific Quality-of-Life questionnaire

et al. 2017

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“…There is now a growing move to consider negative, hedonic and eudaimonic well-being in tandem, given that they have distinct neural correlates and contribute unique information about health [4,7]. The measurement of well-being provides useful information over and above quality of life (QoL), which is a related construct that has been widely researched in the menopause literature (for reviews see [8,9]). A number of menopause specific QoL measures have been developed (e.g.…”

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Investigating how menopausal factors and self-compassion shape well-being: An exploratory path analysis

et al. 2015

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“…In recent decades, a number of instruments have been developed and used to measure quality of life (QoL) in women in menopausal transition. Most of them were designed and used with European or North American Caucasian women, and most have not been tested for psychometric properties in Asian women (Mishra & Kuh, 2010; Schneider, MacLennan, & Feeny, 2008; Shin & Shin, in press). Menopausal experiences may differ among ethnic groups and it may not be appropriate to use the same QoL measure across ethnicities unless linguistic and cultural appropriateness is assessed (Alder, 2002; Schneider et al, 2008).…”

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“…While several menopause‐specific QoL measures have been developed and used in Europe and North America (Mishra & Kuh, 2010; Schneider et al, 2008; Shin & Shin, in press), neither researchers nor clinicians have an ideal menopause‐specific QoL instrument available to them that is efficient, clinically useful, psychometrically sound, and applicable to Korean women. Although some scales have been used to measure QoL among Korean menopausal women (K. B. Kim & Sok, 2010; M. S. Lee et al, 2010; Lim, Cho, & Lee, 2006), most of them are generic measures developed for the general population, not for women in menopausal transition (K. B. Kim & Sok, 2010; Y. H. Kim, Ha, & Shin, 2003; Lim et al, 2006).…”

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“…In menopause research, two of the most psychometrically sound menopause‐specific QoL measures are the Menopausal Quality of Life (MQOL; Jacobs, Hyland, & Ley, 2000) and the Women's Health Questionnaire (WHQ; Hunter, 2000). They have been reported to be valid QoL measures across several cultures and languages (Mishra & Kuh, 2010; Schneider et al, 2008; Shin & Shin, in press), and easy enough for women to complete within 10 minutes (Borud, Martinussen, Eggen, & Grimsgaard, 2009; Genazzani et al, 2002; Wool et al, 2000). Despite the reports of adequate psychometric properties of different language versions, there is no research on the psychometric properties of the MQOL and the WHQ among Asians (Mishra & Kuh, 2010; Schneider et al, 2008; Shin & Shin, in press; Zöllner, Acquadro, & Schaefer, 2005).…”

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Comparison of quality of life measures in Korean menopausal women

Shin

2012

Research in Nursing & Health

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The psychometric properties of two menopause-specific quality of life (QoL) measures, the Menopausal Quality of Life (MQOL), and the Women's Health Questionnaire (WHQ), were evaluated and compared in a convenience sample of 304 Korean women in menopausal transition. Data were collected with a self-report questionnaire. Evaluation of validity included factor analysis, convergent and discriminant validity, and known-groups validity. Evaluation of reliability included internal consistency reliability and item analysis. The results indicated that both QoL instruments were valid, but the WHQ was more internally consistent in measuring QoL although with a factor structure different from previous research. Replication studies to identify factor structures are needed for both measures.

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Measurement of Quality of Life in Menopausal Women

Cited by 24 publications

References 61 publications

Psychometric properties of the Chinese version of the Menopause-Specific Quality-of-Life questionnaire

Psychometric properties of the Chinese version of the Menopause-Specific Quality-of-Life questionnaire

Investigating how menopausal factors and self-compassion shape well-being: An exploratory path analysis

Comparison of quality of life measures in Korean menopausal women

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