Psychometric Evaluation of the Midlife Women’s Symptom Index in Multiethnic Groups

Lee, Bokim; Chee, Wonshik

doi:10.1177/0193945910362066

Cited by 9 publications

(22 citation statements)

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“…The instrument found significant ethnic difference in menopausal symptoms in a study on multiethnic midlife women (Im ) and the internal consistency and the validity were also confirmed among multiethnic midlife women (Lee et al . ). The internal consistency of the instrument was from 0·63 for psychosomatic symptom domain to 0·93 for psychological symptom domain in the study.…”

Section: The Studymentioning

confidence: 99%

Menopausal symptoms and physical activity in multiethnic groups of midlife women: a secondary analysis

Chang

Chee

2012

Journal of Advanced Nursing

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Aims To explore the effect of diverse types of women’s physical activity on menopausal symptoms among multiethnic groups of midlife women in the USA. Background Although physical activity is one of the most widely used non-pharmacological methods for managing menopausal symptoms, there is a paucity of clinical guidelines for women and healthcare providers because the relationship between physical activity and menopausal symptoms has been found inconsistent in previous studies. Design A secondary analysis of the data from a lager Internet survey study conducted in 2008 – 2010. Methods A total of 481 midlife women among four ethnic groups were selected from the original study. The data were collected using the Kaiser Physical Activity Survey and the Midlife Women’s Symptom Index. Bivariate correlation analyses and hierarchical multiple regression analyses were used to analyze the data. Results/Findings The household/caregiving activity index was positively associated with the prevalence scores of the psychological symptoms in both Non-Hispanic Asians and Non-Hispanic African Americans. The increased sports/exercise activity index was negatively associated with the severity scores of the physical symptoms in both Hispanics and Non-Hispanic Whites. The occupational activity index and the active living activity index significantly predicted the severity scores of the psychosomatic symptoms in Hispanics and Non-Hispanic African Americans, respectively. Conclusion Nurses who take care of multiethnic groups of midlife women who experience menopausal symptoms should be aware of diverse types of women’s physical activities within the cultural context.

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Section: The Studymentioning

confidence: 99%

Menopausal symptoms and physical activity in multiethnic groups of midlife women: a secondary analysis

Chang

Chee

2012

Journal of Advanced Nursing

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“…In this study, we hypothesized that we would observe significant differences in MSS scores among the three menopausal stage categories. Previous studies also performed a similar approach (Lee, Im, and Chee 2010;Travers et al 2005) using a scale for menopausal symptoms to distinguish three or four menopausal status categories.…”

Section: Discussionmentioning

confidence: 99%

“…A previous study, which used one of the existing scales among Australian and Taiwanese women, reported a low reliability coefficient in the sample of Taiwanese women (Cronbach's alpha = 0.63) while reporting adequate reliability among Australian women (Cronbach's alpha = 0.85) (Fu, Anderson, and Courtney 2003). Another study, which compared psychometric properties of a scale in multiethnic groups, also reported that it may work better for Caucasians compared with Asian or Hispanic women (Lee, Im, and Chee 2010). Gharaibeh, Al-Obeisat, and Hattab (2010) recommended developing instruments to measure menopausal symptoms that are sensitive to the woman's local cultures.…”

Section: Introductionmentioning

confidence: 99%

“…Nonetheless, the Western cultural concept has been a basis for health care for menopausal women (Fu, Anderson, and Courtney 2003). Health-care professionals who use instruments to measure menopausal symptoms need to pay attention to cultural sensitivities, because social norms, beliefs, and moral values of a culture can affect the reliability and validity of the instrument (Lee, Im, and Chee 2010;Waltz, Strickland, and Lenz 2005).…”

Section: Introductionmentioning

confidence: 99%

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Reliability and Validity of the Menopausal Symptom Scale

Choi

Shin

2014

Women & Health

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Menopausal symptom experiences differ by racial/ethnic group. Thus, health care professionals who use instruments to measure menopausal symptoms need to be aware of cultural sensitivities. The purpose of this study was to examine the psychometric properties of the Menopausal Symptom Scale among Korean women. Data from 229 Korean women between the ages of 40 and 65 years, selected by convenience sampling, were collected during 2010-2011. Psychometric properties were evaluated through content validity and item analysis, construct validity, discriminant validity, criterion-related validity, floor/ceiling effects, and internal consistency reliability. Exploratory and confirmatory factor analyses revealed four factors explaining 65% of variance in the items. Discriminant validity and the criterion-related validity were supported. No significant floor/ceiling effects were found. Cronbach's alpha values ranged from 0.90 to 0.95. The Menopausal Symptom Scale developed for Korean menopausal women appeared to be a valid and reliable instrument. It appeared that it measured psychological symptoms more comprehensively and in a culturally-specific or ethnic-specific manner in menopausal women of Asian or traditional cultures. It will be necessary to broaden the scale of research to other ethnic groups and countries to verify the psychometric properties specific to the ethnic group or country.

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“…Considering differences in women's experiences of symptoms of menopause based on their racial/ethnic background is necessary but difficult for health care providers who lack culturally appropriate assessment instruments. For this reason, the Midlife Women's Symptom Index (MSI) was created to measure various types and clusters of symptoms of menopause reported by racially/ethnically diverse groups of midlife women (Im, ; Im, Meleis, & Lee, ; Lee, Im, & Chee, ). There have been modifications to the MSI based on psychometric testing, but only one study was conducted to evaluate the psychometric properties of the most current version of the MSI (Lee et al., ).…”

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confidence: 99%