Evidence map›Paper›PMID 40001061›Full record

ArticleBMC women's health2025

Validation of the menopause representation questionnaire (MenoSentations-Q) among Iranian women and cross-cultural comparison with Portuguese women.

Zahra Arab Borzu, Mahmood Karimy, Mafalda Leitão, Filipa Pimenta, Rita Albergaria, Zahedeh Khoshnazar, Parisa Hosseini Koukamari

Abstract readValidation Study
In one paragraph

Article in BMC women's health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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1 · What the graph read from it

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3 · Its place in the literature

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1 citing paper in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Zahra Arab BorzuDepartment of Epidemiology &Biostatistics, School of Health, Zahedan University of Medical Sciences, Zahedan, Iran.
Mahmood KarimyDepartment of Public Health, Social Determinants of Health Research Center, Saveh University of Medical Sciences, Saveh, Iran.
Mafalda LeitãoHealth Sciences Faculty, Universidade Europeia, Lisboa, Portugal.
Filipa PimentaHealth Sciences Faculty, Universidade Europeia, Lisboa, Portugal.
Rita AlbergariaHealth Sciences Faculty, Universidade Europeia, Lisboa, Portugal.
Zahedeh KhoshnazarStudent Research Committee, Saveh University of Medical Sciences, Saveh, Iran.
Parisa Hosseini KoukamariDepartment of Public Health, Social Determinants of Health Research Center, Saveh University of Medical Sciences, Saveh, Iran. P.hosseinik@gmail.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMenopause represents a critical stage in middle. Examining menopausal symptoms within healthcare system requires reliable and valid instruments. The Menopause Representations Questionnaire (Menosentations-Q) is a self-report scale grounded in Leventhal's self-regulation model. This study aimed to explore the psychometric properties of this questionnaire among Iranian women.

methodsThis study was conducted with women visiting healthcare centers in Saveh, Markazi province, Iran. A total of 320 eligible Iranian women and 354 Portuguese women (aged 45-65) completed the questionnaire. Structural validity was assessed using exploratory factor analysis (EFA) and confirmatory factor analysis (CFA). Internal consistency was evaluated through Cronbach's alpha and McDonald's omega. Convergent and divergent validity were determined using average shared variance, maximum shared variance, construct reliability, and Fornell and Larcker's method. Cross-cultural validity was performed by multigroup CFA to assess invariance between two culturally distinct samples (Iranian and Portuguese).

resultsThe Content Validity Ratio (CVR) and Content Validity Index (CVI) were 0.96 and 0.98, respectively, indicating strong content and face validity. EFA of 22 items revealed four factors-identity, positive and negative consequences, and control/awareness/cause factors, accounting for 61.29% of the total variance. CFA indicated good model fit (CFI = 0.96, TLI = 0.95, χ2/df = 1.74, GFI = 0.91, AGFI = 0.89, RMSEA = 0.04). Cronbach's alpha (0.90) and McDonald's omega (0.92) indicated good internal consistency. Convergent and discriminant validity values of MenoSentations-Q were also acceptable. Also, the instrument showed invariance between the two cultural groups.

conclusionsThe Persian adaptation of MenoSentations-Q demonstrated strong validity and reliability. Furthermore, the comparable responses between Portuguese and Iranian participants suggest shared representations of menopause across these cultures. Given the significance of menopause, tailored educational programs and interventions are essential to address potential challenges during this life stage. Employing standardized tools such as the Menopsentations-Q can support the development of effective strategies, including educational initiatives, support programs, and targeted interventions, to empower women and enhance their well-being during this transitional phase.

Indexed as

MenopauseAgedCross-Cultural ComparisonFactor Analysis, StatisticalFemaleHumansIranMiddle AgedPortugalPsychometricsReproducibility of ResultsSurveys and QuestionnairesMenopausePsychometricsQuestionnairesReliability and ValidityWomen

Identifiers

PMID40001061
PMCPMC11852873

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LicenceCC BY-NC-ND
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.