Baquedano Laura, Rejas-Gutiérrez Javier, Coronado Pluvio J
From the Department of Gynecology, University Hospital Miguel Servet, ISSAragon, Zaragoza, Spain.
EACCOS Research Group, Universidad Autónoma de Madrid, Madrid, Spain.
Menopause. 2023 May 1;30(5):512-520. doi: 10.1097/GME.0000000000002171. Epub 2023 Mar 12.
The Cervantes-GSM questionnaire is a novel tool currently being developed to examine the impact of genitourinary symptoms on health-related quality of life in adult women with genitourinary syndrome of menopause (GSM).
A literature review and cognitive debriefing were conducted in women with GSM, which provided the basis for creating a draft questionnaire. This draft version was pilot-tested to check participant comprehension and ease of completion. The initial draft was then refined to obtain a 15-item version with five domains whose initial psychometric properties were analyzed in 130 adult women with GSM. The psychometric properties tested in this study were factorial structure, feasibility, reliability, and construct validity.
The Cervantes-GSM 15-item questionnaire consists of five domains: vulvovaginal symptoms, urinary symptoms, psychological (emotions), interference with daily activities, and sexuality. The instrument was shown to be feasible and easy to complete, regardless of age or educational level. Internal consistency was high (Cronbach α = 0.88). Construct validity was supported by convergent-divergent validity showing higher correlation coefficients between items in their own domain (>0.70) than with the other items and domains in the questionnaire. Cervantes-GSM also showed known group validity with significant differences in total score and most domains (13-20 points, P < 0.01) regardless of whether women chose local treatment of their genitourinary symptoms.
This study presents a novel questionnaire capable of assessing health-related quality of life in menopausal women with GSM. The tool has shown acceptable preliminary psychometric properties, including feasibility, factor structure, construct validity, and internal consistency.
塞万提斯泌尿生殖综合征问卷（Cervantes-GSM问卷）是目前正在开发的一种新型工具，用于研究泌尿生殖系统症状对绝经后泌尿生殖综合征（GSM）成年女性健康相关生活质量的影响。
对GSM女性进行了文献综述和认知反馈，为创建问卷初稿提供了依据。对该初稿进行了预测试，以检查参与者的理解程度和完成的难易程度。然后对初稿进行完善，得到一个包含15个条目的版本，分为五个领域，并在130名患有GSM的成年女性中分析了其初步的心理测量学特性。本研究中测试的心理测量学特性包括因子结构、可行性、信度和结构效度。
塞万提斯-GSM 15项问卷由五个领域组成：外阴阴道症状、泌尿系统症状、心理（情绪）、对日常活动的干扰和性功能。结果表明，无论年龄或教育水平如何，该问卷都可行且易于完成。内部一致性较高（Cronbach α = 0.88）。结构效度通过收敛-发散效度得到支持，显示同一领域内各条目之间的相关系数（>0.70）高于与问卷中其他条目和领域的相关系数。塞万提斯-GSM问卷还显示出已知组效度，无论女性是否选择对其泌尿生殖系统症状进行局部治疗，总分和大多数领域（13 - 20分，P < 0.01）均存在显著差异。
本研究提出了一种新型问卷，能够评估患有GSM的绝经后女性的健康相关生活质量。该工具已显示出可接受的初步心理测量学特性，包括可行性、因子结构、结构效度和内部一致性。
