MenoScale: a novel digital tool to measure menopause symptoms and subjective quality of life – validation and preliminary insights on the menopausal experience and association with diet quality
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Authors
Kim, Curie
Marples, Lucy
Platts, Alexander
Bermingham, Kate M
Amati, Federica
Hamoda, Haitham
Pounis, George
Wolf, Jonathan
Spector, Tim D
Hall, Wendy L
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Issue Date
2025
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Article
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Abstract
BackgroundMenopause symptoms significantly impact women's quality of life, yet existing assessment tools may not fully capture the menopausal experience. The MenoScale is a new digital tool for reporting the number and impact of menopause-associated symptoms.ObjectiveTo evaluate the reliability and validity of the MenoScale, and explore its application as a research tool.Study designDevelopment of novel MenoScale tool and an online validation study comparing it to the Greene Climacteric Scale (GCS) and RAND 36-item Health Survey 1.0, with 1010 peri- and postmenopausal women aged 37-70 years.Main outcome measuresConstruct validity, internal consistency, test-retest reliability, and associations with quality of life and dietary intake.ResultsThe MenoScale showed good agreement between the MenoScale and GCS through Bland-Altman plot analysis. Internal consistency varied across four symptom domains: vasomotor, sexual, psychological and cognitive, and somatic (Cronbach's α = 0.5-0.8). Structural equation modelling revealed psychological and cognitive symptoms as central to the menopausal experience. Higher Healthy Eating Index scores were associated with slightly lower MenoScale scores (β = -0.132,
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Post Reproductive Health
Volume
31
Issue
2