![[ Visit Client Website ]](images/banner.gif)
Wednesday, April 29, 2009
Sadrivaan A and B (The Hilton Istanbul Hotel )
The aim of the study is to test validity and reliability of utility of Grading Scale of Menopausal Symptoms (GSMS) in primary care in women at the age of 40-69 living in rural areas of Eskisehir and to define distinctive estimation value for referral to secondary care.
The frequency of menopausal symptoms for the sample volume of the study were figured out as about 600 women between 50% and 95% confidence interval with 4% of margin of error. GSMS and Kupperman Index were used to evaluate the severity of the symptoms. GSMS was performed on 124 women Cronbach’s alpha was computed by test-retest method. The power of GSMS with regard to the decision to seek medical advice due to menopausal symptoms was considered as the validity criterion in the study and sensitivity and specificity of the test was established according to this variable. Estimation value of the test was determined by ROC analysis.
While Cronbach’s alpha was 0.81, it was found 0.87 after the test in terms of reliability of GSMS. There was positive correlation between total scores of two practices (r= 0.93; p=0.000) with regard to scoring following test and retest. Average GSMS score of those who seek medical advice (X±SD=17.86±8.28) was higher than those who did not seek medical advice (X±SD=14.20±8.94) in terms of validity of the test (p=0.000). There was high correlation between Kupperman index and GSMS (r=0.86; p=0.000). In the event that estimation value was taken as 16 and above, sensitivity and specificity of the scale in determining the obligation to refer to secondary care were found 59.9% and 59.8% respectively.
It was concluded that validity and reliability of utility of GSMS in primary care is high and it would be appropriate to refer women having 16 and higher score from the scale to secondary care.
The frequency of menopausal symptoms for the sample volume of the study were figured out as about 600 women between 50% and 95% confidence interval with 4% of margin of error. GSMS and Kupperman Index were used to evaluate the severity of the symptoms. GSMS was performed on 124 women Cronbach’s alpha was computed by test-retest method. The power of GSMS with regard to the decision to seek medical advice due to menopausal symptoms was considered as the validity criterion in the study and sensitivity and specificity of the test was established according to this variable. Estimation value of the test was determined by ROC analysis.
While Cronbach’s alpha was 0.81, it was found 0.87 after the test in terms of reliability of GSMS. There was positive correlation between total scores of two practices (r= 0.93; p=0.000) with regard to scoring following test and retest. Average GSMS score of those who seek medical advice (X±SD=17.86±8.28) was higher than those who did not seek medical advice (X±SD=14.20±8.94) in terms of validity of the test (p=0.000). There was high correlation between Kupperman index and GSMS (r=0.86; p=0.000). In the event that estimation value was taken as 16 and above, sensitivity and specificity of the scale in determining the obligation to refer to secondary care were found 59.9% and 59.8% respectively.
It was concluded that validity and reliability of utility of GSMS in primary care is high and it would be appropriate to refer women having 16 and higher score from the scale to secondary care.
Learning Objectives: The aim of the study is to test validity and reliability of utility of Grading Scale of Menopausal Symptoms in primary care in living in rural areas of Eskisehir and to define distinctive estimation value for referral to secondary care.
Sub-Theme: Public Health and Research: Evidence Based Policy on Health