Linking the menopause rating scale to the International classification of functioning, disability and health – A first step towards the implementation of the EMAS menopause health care model

Zangger, Martina; Poethig, Dagmar; Meissner, Florian; Wolff, Michael von; Stute, Petra

doi:10.1016/j.maturitas.2018.10.003

Cited by 6 publications

(9 citation statements)

References 8 publications

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“…Symptom monitoring methods could support this model, tools such as the MRS and the C-SCAT-M can help patients prioritise symptoms and identify the improvements they expect to see in the future, and this process can facilitate decision-making and patient-doctor communication. This theory corresponds with additional themes from this review, which found evidence that symptom monitoring could be useful for improving patient-doctor communication and facilitating decisions to use HRT and seek timely medical help (17)(18)(19)(20)(21)27).…”

Section: Discussionsupporting

confidence: 63%

“…Two studies involved the Women's Health Assessment Tool (WHAT), a symptom questionnaire relevant to midlife women ( 17 , 18 ). Two studies included the Menopause Rating Scale (MRS), a questionnaire developed to evaluate menopausal symptom frequency, severity, and change ( 19 , 20 ). Two studies explored The Computerised Symptom Capture Tool for Menopause [C-SCAT-M; ( 21 , 22 )].…”

Section: Resultsmentioning

confidence: 99%

“…Two studies evaluating the MRS found it improved patients' efficacy in making medical treatment decisions ( 19 , 20 ).…”

Section: Resultsmentioning

confidence: 99%

“…Medical decision-making may also be improved by menstrual diaries, as they can allow patients and practitioners to understand whether VMS are related to the menstrual cycle or menopause (27). An illness diary, symptom appraisal tools, and daily self-weighing were related to improvements in health and symptom awareness, and this increased awareness was related to symptom improvements and changes in health-related behaviours (20,21,23,28). Finally, symptom appraisal tools which allowed the user to compare their symptoms and corresponding severities supported setting treatment goals (20,22).…”

Section: Comparing Symptom Monitoring Methodsmentioning

confidence: 99%

“…Another finding to emerge from Zangger et al's (20) study was related to goal setting. After completing the MRS, women were able to restructure their symptom scores into short-, middle, and long-term health goals.…”

Section: Goal Settingmentioning

confidence: 97%

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Evaluating the Effects of Symptom Monitoring on Menopausal Health Outcomes: A Systematic Review and Meta-Analysis

Andrews

Hale

John

et al. 2021

Front. Glob. Womens Health

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Evidence suggests that monitoring and appraising symptoms can result in increased engagement in medical help-seeking, improved patient-doctor communication, and reductions in symptom prevalence and severity. To date, no systematic reviews have investigated whether symptom monitoring could be a useful intervention for menopausal women. This review explored whether symptom monitoring could improve menopausal symptoms and facilitate health-related behaviours. Results suggested that symptom monitoring was related to improvements in menopausal symptoms, patient-doctor communication and medical decision-making, heightened health awareness, and stronger engagement in setting treatment goals. Meta-analyses indicated large effects for the prolonged use of symptom diaries on hot flush frequencies. Between April 2019 and April 2021, PsychInfo, EMBASE, MEDLINE, CINAHL, Cochrane, ProQuest, PsychArticles, Scopus, and Web of Science were searched. Eighteen studies met the eligibility criteria and contributed data from 1,718 participants. Included studies quantitatively or qualitatively measured the impact of symptom monitoring on menopausal populations and symptoms. Research was narratively synthesised using thematic methods, 3 studies were examined via meta-analysis. Key themes suggest that symptom monitoring is related to improvements in menopausal symptoms, improved patient-doctor communication and medical decision-making, increased health awareness, and stronger engagement in goal-setting behaviours. Meta-analysis results indicated large effects for the prolonged use of symptom diaries on hot flush frequency: 0.73 [0.57, 0.90]. This review is limited due to the low number of studies eligible for inclusion, many of which lacked methodological quality. These results indicate that symptom monitoring has potential as an effective health intervention for women with menopausal symptoms. This intervention may be beneficial within healthcare settings, in order to improve patient-doctor relations and adherence to treatment regimes. However, findings are preliminary and quality assessments suggest high risk of bias. Thus, further research is needed to support these promising outcomes.Systematic Review Registration Number:https://www.crd.york.ac.uk/prospero/display_record.php?, PROSPERO, identifier: CRD42019146270.

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