Evidence map›Paper›PMID 40634899›Full record

ArticleBMC women's health2025

Cross-Cultural adaptation and validation of adolescent menstrual bleeding questionnaire in a Turkish sample.

Melike Punduk Yilmaz, Ismail Yilmaz, Iclal Ilknur Ozdemir, Selma Dagci, Filiz Yarsilikal Guleroglu, Ali Cetin

Registry-linked trialAbstract 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. It is linked to trial NCT07766577 (Turkish Validity and Reliability of the Menstrual Cycle Knowledge Questionnaire in Female Athletes), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT07766577 recruitingnot on this mapstarted 2026, after this paper: background citation

Turkish Validity and Reliability of the Menstrual Cycle Knowledge Questionnaire in Female Athletes

Typeobservational_patient_registrySponsorBiruni UniversityRan2026 to 2026Enrolled120ConditionsMenstrual Cycle, AthletesArmsMenstrual Cycle Knowledge Questionanire, Menstrual Symptom Scale, Health Literacy in Sports
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Melike Punduk YilmazDepartment of Obstetrics and Gynecology, Haseki Training and Research Hospital Affiliated with University of Health Sciences, Istanbul, Turkey. melikepunduk@gmail.com.ORCID http://orcid.org/0000-0001-5942-8026
Ismail YilmazDepartment of Obstetrics and Gynecology, Cerrahpasa Faculty of Medicine, Istanbul University-Cerrahpasa, Istanbul, Turkey.ORCID http://orcid.org/0000-0002-5083-6987
Iclal Ilknur OzdemirDepartment of Midwifery, Faculty of Health Sciences, Istanbul Medipol University, Istanbul, Turkey.ORCID http://orcid.org/0000-0001-7769-415X
Selma DagciIstanbul Provincial Health Directorate, Directorate of Public Hospitals Services-2, Istanbul, Turkey.ORCID http://orcid.org/0000-0002-3657-0932
Filiz Yarsilikal GulerogluDepartment of Obstetrics and Gynecology, Haseki Training and Research Hospital Affiliated with University of Health Sciences, Istanbul, Turkey.ORCID http://orcid.org/0000-0003-4577-3368
Ali CetinDepartment of Obstetrics and Gynecology, Haseki Training and Research Hospital Affiliated with University of Health Sciences, Istanbul, Turkey.ORCID http://orcid.org/0000-0002-5767-7894

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTo evaluate the psychometric properties and cross-cultural validity of the Turkish version of the adolescent Menstrual Bleeding Questionnaire (aMBQ) through comprehensive reliability and validity analyses.

methodsWe conducted a two-phase methodological study involving translation/cross-cultural adaptation and psychometric validation using standardized guidelines. The validation phase included 181 adolescents aged 12-18 years. Tools included the Turkish aMBQ and Menstrual Practice Needs Scale (MPNS). Reliability was assessed through internal consistency (Cronbach's alpha), test-retest reliability (n = 30, two-week interval), and item analysis. For validity assessment, the sample was randomly split into two subsets for exploratory (n = 91) and confirmatory (n = 90) factor analyses, with convergent validity testing and known-groups comparison.

resultsFactor analysis revealed a three-dimensional structure explaining 68.4% of total variance: Bleeding Severity, Daily Activities Impact, and Social/School Impact (factor loadings: 0.685-0.845). The instrument demonstrated excellent internal consistency (Cronbach's α = 0.892) and test-retest reliability (ICC = 0.876, 95% CI: 0.841-0.912). Confirmatory factor analysis showed good model fit (CFI = 0.942, RMSEA = 0.048). The aMBQ correlated significantly with MPNS scores (r = 0.684, p < 0.001) and effectively discriminated between severity groups across all components (Cohen's d = 1.85-2.12). Content validity indices met acceptance criteria (I-CVI ≥ 0.78, S-CVI ≥ 0.90).

conclusionThe Turkish aMBQ demonstrates robust psychometric properties and structural validity, supporting its use in clinical and research settings. The three-factor structure provides comprehensive assessment of menstrual bleeding impact among Turkish adolescents, enabling standardized evaluation of menstrual health in Turkish healthcare settings.

Indexed as

MenstruationAdolescentChildCross-Cultural ComparisonFactor Analysis, StatisticalFemaleHumansPsychometricsReproducibility of ResultsSurveys and QuestionnairesTranslationsTurkeyAdolescent healthCultural adaptationMenstrual bleedingPsychometric validationQuestionnaire development

Identifiers

PMID40634899
PMCPMC12239434

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

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.