Sutthibut Kodchanipha, Itharat Arunporn, Singchungchai Phechnoy, Wanichsetakul Preecha, Pipatrattanaseree Weerachai, Ooraikul Buncha, Davies Neal M
Graduate School of Applied Thai Traditional Medicine Program, Faculty of Medicine, Thammasat University, Pathumthani 12120, Thailand.
Department of Applied Thai Traditional Medicine, Faculty of Medicine, Thammasat University, Klongluang, Pathumthani 12120, Thailand.
Evid Based Complement Alternat Med. 2021 May 21;2021:9977773. doi: 10.1155/2021/9977773. eCollection 2021.
Utilization of Thai traditional medicine (TTM) was considered in menstrual-cycle-related signs and symptoms (MCSs) to evaluate women's health. TTM clinicians diagnosed the MCSs by signs, symptoms, and associated factors of patients including a physical examination to find patterns of imbalance elements and the origin of the disorder to optimize treatment. Thus, the purpose of this study was to develop a new assessment tool, the menstrual-cycle-related signs and symptoms questionnaire (MCSQ) based on TTM principles for evaluation of women's menstrual health.
The items and components of the MCSQ were adjusted by TTM expert consensus using the Delphi technique. The content validity of the MCSQ was quantified by the content validity index (CVI). MCSQ were examined by construct validity and internal consistency reliability using exploratory factor analysis (EFA) and Cronbach's coefficient, respectively.
: All 19 experts (100%) responded to the questionnaires in the three rounds of the Delphi technique. The MCSQ showed high content validity of individual items (I-CVI = 0.83-1.00) and high overall content validity of the questionnaire (S-CVI/AVE = 0.98). Overall, 429 of 432 participants completed the questionnaire (99.31%). After factor analysis, the final MCSQ was divided into two sections, which consisted of 49 items. The first had 23 items focusing on the MCSs. And, the second had 14 items of personal and medical data including 12 items of associated factors. Cronbach's coefficient of the final MCSQ was 0.87, and that of each component was between 0.32 and 0.82.
This study reports a new MCS questionnaire tool, which was developed from TTM knowledge to evaluate women's health. This questionnaire showed an acceptable level of validity and reliability. Thus, it is also expected to be useful in clinical practice and ongoing research on evaluation of women's health.
泰国传统医学（TTM）被用于评估与月经周期相关的体征和症状（MCSs），以评估女性健康。TTM临床医生通过患者的体征、症状及相关因素（包括体格检查以找出失衡元素模式和病症根源）来诊断MCSs，从而优化治疗。因此，本研究的目的是基于TTM原则开发一种新的评估工具——月经周期相关体征和症状问卷（MCSQ），用于评估女性的月经健康。
采用德尔菲技术，通过TTM专家共识对MCSQ的条目和组成部分进行调整。使用内容效度指数（CVI）对MCSQ的内容效度进行量化。分别采用探索性因子分析（EFA）和克朗巴哈系数对MCSQ进行结构效度和内部一致性信度检验。
在三轮德尔菲技术中，所有19位专家（100%）都回复了问卷。MCSQ各条目显示出较高的内容效度（I-CVI = 0.83 - 1.00），问卷整体内容效度较高（S-CVI/AVE = 0.98）。总体而言，432名参与者中有429名完成了问卷（99.31%）。经过因子分析，最终的MCSQ分为两个部分，共49个条目。第一部分有23个条目，聚焦于MCSs。第二部分有14个关于个人和医疗数据的条目，包括12个相关因素条目。最终MCSQ的克朗巴哈系数为0.87，各组成部分的系数在0.32至0.82之间。
本研究报告了一种新的MCS问卷工具，它是基于TTM知识开发的，用于评估女性健康。该问卷显示出可接受的效度和信度水平。因此，预计它在临床实践和女性健康评估的 ongoing research 中也将有用。 （注：“ongoing research”未准确翻译，可理解为“正在进行的研究”，但需结合上下文确定准确含义）
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