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Cross cultural adaptation and analysis of psychometric properties of Sinhala version of Menopause Rating Scale

BACKGROUND: Menopause Rating Scale (MRS) evaluates eleven menopausal symptoms and health related quality of life (HRQOL) of postmenopausal women under three subscales. In this study we attempted cross cultural adaptation and evaluation of psychometric properties of a Sinhala translation of MRS. METH...

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Autores principales: Rathnayake, Nirmala, Lenora, Janaka, Alwis, Gayani, Lekamwasam, Sarath
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6080547/
https://www.ncbi.nlm.nih.gov/pubmed/30081962
http://dx.doi.org/10.1186/s12955-018-0977-9
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author Rathnayake, Nirmala
Lenora, Janaka
Alwis, Gayani
Lekamwasam, Sarath
author_facet Rathnayake, Nirmala
Lenora, Janaka
Alwis, Gayani
Lekamwasam, Sarath
author_sort Rathnayake, Nirmala
collection PubMed
description BACKGROUND: Menopause Rating Scale (MRS) evaluates eleven menopausal symptoms and health related quality of life (HRQOL) of postmenopausal women under three subscales. In this study we attempted cross cultural adaptation and evaluation of psychometric properties of a Sinhala translation of MRS. METHODS: Sinhala version of MRS was adapted following standard methodology; forward and backward translations, review by an expert group, focus group discussion (FGD) and pre-testing. It was self-administered among randomly selected healthy, Sinhalese, community-dwelling 166 postmenopausal women (aged; median = 56.5, IQR, 53.0–59.0 years) along with the Short Form 36 (SF-36) survey questionnaire. MRS was re-administered among a subsample (n = 80) after two weeks of first administration. Psychometric properties; reliability and validity were evaluated. RESULTS: In Sinhala version of MRS, both internal consistency (Cronbach’s alpha coefficient = 0.79) and test retest reliability (intra class correlation / ICC = 0.86, 95%CI = 0.82–0.91, p < 0.001 and Pearson correlation / r = 0.93) were high. Factor analysis (FA) with Principal Component Analysis (PCA) extracted three factors explaining 59.82% cumulative variance with few exceptions from the original version. In the item-subscale correlation analysis items showed stronger correlations within their own subscale score (r range between 0.56–0.84) than with other subscales scores and subscales' scores showed strong correlations with the overall MRS score (r range between 0.70–0.86) indicating strong convergent validity. Mean (SD) symptom severities of each item were significantly different between symptomatic and asymptomatic women (p < 0.05) emphasizing good discriminant validity. The overall MRS and SF-36 scores correlated significantly (Pearson correlation: − 0.52, p < 0.01 and Kendall’s tau-b: − 0.39, p < 0.01) ensuring strong criterion validity. CONCLUSIONS: The Sinhala version of MRS we adapted is an informative tool with high reliability and validity and this tool can be used to evaluate the menopausal symptoms and HRQOL in postmenopausal women conversant in Sinhala. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (10.1186/s12955-018-0977-9) contains supplementary material, which is available to authorized users.
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spelling pubmed-60805472018-08-09 Cross cultural adaptation and analysis of psychometric properties of Sinhala version of Menopause Rating Scale Rathnayake, Nirmala Lenora, Janaka Alwis, Gayani Lekamwasam, Sarath Health Qual Life Outcomes Research BACKGROUND: Menopause Rating Scale (MRS) evaluates eleven menopausal symptoms and health related quality of life (HRQOL) of postmenopausal women under three subscales. In this study we attempted cross cultural adaptation and evaluation of psychometric properties of a Sinhala translation of MRS. METHODS: Sinhala version of MRS was adapted following standard methodology; forward and backward translations, review by an expert group, focus group discussion (FGD) and pre-testing. It was self-administered among randomly selected healthy, Sinhalese, community-dwelling 166 postmenopausal women (aged; median = 56.5, IQR, 53.0–59.0 years) along with the Short Form 36 (SF-36) survey questionnaire. MRS was re-administered among a subsample (n = 80) after two weeks of first administration. Psychometric properties; reliability and validity were evaluated. RESULTS: In Sinhala version of MRS, both internal consistency (Cronbach’s alpha coefficient = 0.79) and test retest reliability (intra class correlation / ICC = 0.86, 95%CI = 0.82–0.91, p < 0.001 and Pearson correlation / r = 0.93) were high. Factor analysis (FA) with Principal Component Analysis (PCA) extracted three factors explaining 59.82% cumulative variance with few exceptions from the original version. In the item-subscale correlation analysis items showed stronger correlations within their own subscale score (r range between 0.56–0.84) than with other subscales scores and subscales' scores showed strong correlations with the overall MRS score (r range between 0.70–0.86) indicating strong convergent validity. Mean (SD) symptom severities of each item were significantly different between symptomatic and asymptomatic women (p < 0.05) emphasizing good discriminant validity. The overall MRS and SF-36 scores correlated significantly (Pearson correlation: − 0.52, p < 0.01 and Kendall’s tau-b: − 0.39, p < 0.01) ensuring strong criterion validity. CONCLUSIONS: The Sinhala version of MRS we adapted is an informative tool with high reliability and validity and this tool can be used to evaluate the menopausal symptoms and HRQOL in postmenopausal women conversant in Sinhala. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (10.1186/s12955-018-0977-9) contains supplementary material, which is available to authorized users. BioMed Central 2018-08-06 /pmc/articles/PMC6080547/ /pubmed/30081962 http://dx.doi.org/10.1186/s12955-018-0977-9 Text en © The Author(s). 2018 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Research
Rathnayake, Nirmala
Lenora, Janaka
Alwis, Gayani
Lekamwasam, Sarath
Cross cultural adaptation and analysis of psychometric properties of Sinhala version of Menopause Rating Scale
title Cross cultural adaptation and analysis of psychometric properties of Sinhala version of Menopause Rating Scale
title_full Cross cultural adaptation and analysis of psychometric properties of Sinhala version of Menopause Rating Scale
title_fullStr Cross cultural adaptation and analysis of psychometric properties of Sinhala version of Menopause Rating Scale
title_full_unstemmed Cross cultural adaptation and analysis of psychometric properties of Sinhala version of Menopause Rating Scale
title_short Cross cultural adaptation and analysis of psychometric properties of Sinhala version of Menopause Rating Scale
title_sort cross cultural adaptation and analysis of psychometric properties of sinhala version of menopause rating scale
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6080547/
https://www.ncbi.nlm.nih.gov/pubmed/30081962
http://dx.doi.org/10.1186/s12955-018-0977-9
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