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围绝经期和绝经早期体重管理综合评估工具的开发与验证

Development and validation of comprehensive evaluation tool for weight management at menopausal transition and early menopause stage.

作者信息

Kumari Archana, Chopra Sakshi, Ranjan Piyush, Verma Aditi, Malhotra Anita, Upadhyay Ashish Datt, Sharma K Aparna, Vikram Naval K

机构信息

Department of Gynaecology and Obstetrics, All India Institute of Medical Sciences, New Delhi, India.

Department of Home Science, University of Delhi, New Delhi, India.

出版信息

J Midlife Health. 2022 Jan-Mar;13(1):57-66. doi: 10.4103/jmh.jmh_181_21. Epub 2022 May 2.

DOI:10.4103/jmh.jmh_181_21
PMID:35707306
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9190968/
Abstract

OBJECTIVE

To develop and validate a comprehensive questionnaire to evaluate risk factors, perceptions, and practices for weight management in women at menopausal transition and early menopause stage.

METHODOLOGY

A mixed-method study was conducted in two phases. In the first phase, the questionnaire was developed by literature review and focused group discussions with the target population and experts. In the second phase, content and face validity were established by expert evaluation and cognitive interviews with the target population. The developed questionnaire was crosssectionally administered in 215 women and responses were used to determine the construct validity by factor analysis and reliability by evaluating internal consistency.

RESULTS

The finalized questionnaire consisted of two sections; section A included sociodemographic characteristics, anthropometric measures, and menopausal status with symptom severity, while section B contained 32-items focusing on readiness to initiate weight loss, perceptions and practices related to lifestyle behaviors, built environment, and social support. The Cronbach's α value of the questionnaire is 0.79 with good internal consistency.

CONCLUSION

The developed questionnaire is a valid and reliable tool to assess weight-related risk factors, perceptions, and practices in middle-aged women, which can potentially be used by doctors and other healthcare practitioners to customize weight management advice in women at menopausal transition and early menopause.

摘要

目的

制定并验证一份综合问卷,以评估处于绝经过渡期和绝经早期的女性体重管理的风险因素、认知和行为。

方法

采用混合方法研究,分两个阶段进行。第一阶段,通过文献综述以及与目标人群和专家进行焦点小组讨论来制定问卷。第二阶段,通过专家评估和对目标人群的认知访谈来确定内容效度和表面效度。对215名女性进行了该问卷的横断面调查,并通过因子分析确定结构效度,通过评估内部一致性确定信度。

结果

最终确定的问卷由两部分组成;A部分包括社会人口学特征、人体测量指标以及绝经状态和症状严重程度,而B部分包含32个项目,重点关注开始减肥的意愿、与生活方式行为、建筑环境和社会支持相关的认知和行为。该问卷的Cronbach's α值为0.79,具有良好的内部一致性。

结论

所制定的问卷是评估中年女性体重相关风险因素、认知和行为的有效且可靠的工具,医生和其他医疗从业者可利用该问卷为处于绝经过渡期和绝经早期的女性定制体重管理建议。

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