ArticleFertility research and practice2020
Cognitive testing of a survey instrument for self-assessed menstrual cycle characteristics and androgen excess.
Article in Fertility research and practice, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
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Who cites it
4 citing papers in PubMed.
- Signs of Potential Androgen Excess Across the Lifespan in a US-based Digital Cohort Study.The Journal of clinical endocrinology and metabolism · 2025Article
- Digital Global Recruitment for Women's Health Research: Cross-sectional Study.JMIR formative research · 2022Article
- Design and methods of the Apple Women's Health Study: a digital longitudinal cohort study.American journal of obstetrics and gynecology · 2022Article
- Multimodal Recruitment to Study Ovulation and Menstruation Health: Internet-Based Survey Pilot Study.Journal of medical Internet research · 2021Article
Corrections and comments
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Authors and funding
5 authors.
Funding
Abstract
backgroundIn large population-based studies, there is a lack of existing survey instruments designed to ascertain menstrual cycle characteristics and androgen excess status including hirsutism, alopecia, and acne. Our objective was to cognitively test a survey instrument for self-assessed menstrual cycle characteristics androgen excess.
methodsQuestions to assess menstrual characteristics and health were designed using existing surveys and clinical experience. Pictorial self-assessment tools for androgen excess were also developed with an experienced medical illustrator to include the modified Ferrimen-Galway, acne and androgenic alopecia. These were combined into an online survey instrument using REDCap. Of the 219 questions, 120 were selected for cognitive testing to assess question comprehension in a population representative of the future study population.
resultsCognitive testing identified questions and concepts not easily comprehended, recalled, or had problematic response choices. Comprehension examples included simplifying the definition for polycystic ovary syndrome and revising questions on historic menstrual regularity and bleeding duration. Recall and answer formation examples include issues with recalling waist size, beverage consumption, and interpretation of questions using symbols (> or <). The survey was revised based on feedback and subsequently used in the Ovulation and Menstruation (OM) Health Pilot study.
conclusionWe present a cognitively tested, novel survey instrument to assess menstrual cycle characteristics and androgen excess.
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Registered trials
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