Quality of life in adolescents with heavy menstrual bleeding: Validation of the Adolescent Menstrual Bleeding Questionnaire (aMBQ)

Abstract Background/Objectives Heavy menstrual bleeding (HMB) affects 34% to 37% of adolescent girls. The Menstrual Bleeding Questionnaire (MBQ) is a validated measure of menstrual bleeding–specific health‐related quality of life (HRQoL) for women aged ≥18 years. No similar measure existed for adole...

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Autores principales:	Meghan Pike, Ashley Chopek, Nancy L. Young, Koyo Usuba, Mark J. Belletrutti, Robyn McLaughlin, Nancy Van Eyk, Amanda Bouchard, Kristen Matteson, Victoria E. Price
Formato:	article
Lenguaje:	EN
Publicado:	Wiley 2021
Materias:	adolescent heavy menstrual bleeding menorrhagia patient‐reported outcome measures surveys and questionnaires Diseases of the blood and blood-forming organs RC633-647.5
Acceso en línea:	https://doaj.org/article/54f32e0e324143c5a06bb5974bf71d6c
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spelling	oai:doaj.org-article:54f32e0e324143c5a06bb5974bf71d6c2021-11-29T09:35:28ZQuality of life in adolescents with heavy menstrual bleeding: Validation of the Adolescent Menstrual Bleeding Questionnaire (aMBQ)2475-037910.1002/rth2.12615https://doaj.org/article/54f32e0e324143c5a06bb5974bf71d6c2021-10-01T00:00:00Zhttps://doi.org/10.1002/rth2.12615https://doaj.org/toc/2475-0379Abstract Background/Objectives Heavy menstrual bleeding (HMB) affects 34% to 37% of adolescent girls. The Menstrual Bleeding Questionnaire (MBQ) is a validated measure of menstrual bleeding–specific health‐related quality of life (HRQoL) for women aged ≥18 years. No similar measure existed for adolescents with HMB. Patients/Methods HMB was defined by the Pictorial Bleeding Assessment Chart (PBAC) score ≥100. In Phase 1, a focus group of adolescents with HMB adapted the MBQ, to generate the Adolescent MBQ (aMBQ). In phase 2, participants with and without HMB were recruited from clinics and self‐referral. Each participant completed 3 questionnaires (aMBQ, Pediatric Quality of Life module [PedsQL]©, PBAC) at two time points. Validity of the aMBQ was assessed by Pearson’s correlation with the PedsQL©. Reliability was calculated using intra‐class correlation (ICC) in those without HMB. The receiver operating characteristic curve assessed the aMBQ’s ability to identify those with HMB. Results Phase 1 included five girls with a mean age of 17.1 (13‐18) years. The aMBQ was adapted from the MBQ by substituting four words/phrases that altered 8 of the 20 questions and by adding 1 new question. The 21‐item aMBQ has a score range of 0 to 77 (77 = worst HRQoL). Phase 2 included 52 participants: 20 with and 32 without HMB, with a mean age of 14.8 (11‐17) years. The validity of the aMBQ was confirmed by a moderate correlation with PedsQL© (r = −0.63; P < .001). Test‐retest reliability was substantial (ICC = 0.73; P = .04). An aMBQ score of >30 identified those with HMB with excellent discrimination (area under the curve = 0.82; sensitivity, 70.0%; specificity, 84.4%). Conclusions The aMBQ is a valid and reliable tool to assess HRQoL in adolescents with HMB.Meghan PikeAshley ChopekNancy L. YoungKoyo UsubaMark J. BelletruttiRobyn McLaughlinNancy Van EykAmanda BouchardKristen MattesonVictoria E. PriceWileyarticleadolescentheavy menstrual bleedingmenorrhagiapatient‐reported outcome measuressurveys and questionnairesDiseases of the blood and blood-forming organsRC633-647.5ENResearch and Practice in Thrombosis and Haemostasis, Vol 5, Iss 7, Pp n/a-n/a (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	adolescent heavy menstrual bleeding menorrhagia patient‐reported outcome measures surveys and questionnaires Diseases of the blood and blood-forming organs RC633-647.5
spellingShingle	adolescent heavy menstrual bleeding menorrhagia patient‐reported outcome measures surveys and questionnaires Diseases of the blood and blood-forming organs RC633-647.5 Meghan Pike Ashley Chopek Nancy L. Young Koyo Usuba Mark J. Belletrutti Robyn McLaughlin Nancy Van Eyk Amanda Bouchard Kristen Matteson Victoria E. Price Quality of life in adolescents with heavy menstrual bleeding: Validation of the Adolescent Menstrual Bleeding Questionnaire (aMBQ)
description	Abstract Background/Objectives Heavy menstrual bleeding (HMB) affects 34% to 37% of adolescent girls. The Menstrual Bleeding Questionnaire (MBQ) is a validated measure of menstrual bleeding–specific health‐related quality of life (HRQoL) for women aged ≥18 years. No similar measure existed for adolescents with HMB. Patients/Methods HMB was defined by the Pictorial Bleeding Assessment Chart (PBAC) score ≥100. In Phase 1, a focus group of adolescents with HMB adapted the MBQ, to generate the Adolescent MBQ (aMBQ). In phase 2, participants with and without HMB were recruited from clinics and self‐referral. Each participant completed 3 questionnaires (aMBQ, Pediatric Quality of Life module [PedsQL]©, PBAC) at two time points. Validity of the aMBQ was assessed by Pearson’s correlation with the PedsQL©. Reliability was calculated using intra‐class correlation (ICC) in those without HMB. The receiver operating characteristic curve assessed the aMBQ’s ability to identify those with HMB. Results Phase 1 included five girls with a mean age of 17.1 (13‐18) years. The aMBQ was adapted from the MBQ by substituting four words/phrases that altered 8 of the 20 questions and by adding 1 new question. The 21‐item aMBQ has a score range of 0 to 77 (77 = worst HRQoL). Phase 2 included 52 participants: 20 with and 32 without HMB, with a mean age of 14.8 (11‐17) years. The validity of the aMBQ was confirmed by a moderate correlation with PedsQL© (r = −0.63; P < .001). Test‐retest reliability was substantial (ICC = 0.73; P = .04). An aMBQ score of >30 identified those with HMB with excellent discrimination (area under the curve = 0.82; sensitivity, 70.0%; specificity, 84.4%). Conclusions The aMBQ is a valid and reliable tool to assess HRQoL in adolescents with HMB.
format	article
author	Meghan Pike Ashley Chopek Nancy L. Young Koyo Usuba Mark J. Belletrutti Robyn McLaughlin Nancy Van Eyk Amanda Bouchard Kristen Matteson Victoria E. Price
author_facet	Meghan Pike Ashley Chopek Nancy L. Young Koyo Usuba Mark J. Belletrutti Robyn McLaughlin Nancy Van Eyk Amanda Bouchard Kristen Matteson Victoria E. Price
author_sort	Meghan Pike
title	Quality of life in adolescents with heavy menstrual bleeding: Validation of the Adolescent Menstrual Bleeding Questionnaire (aMBQ)
title_short	Quality of life in adolescents with heavy menstrual bleeding: Validation of the Adolescent Menstrual Bleeding Questionnaire (aMBQ)
title_full	Quality of life in adolescents with heavy menstrual bleeding: Validation of the Adolescent Menstrual Bleeding Questionnaire (aMBQ)
title_fullStr	Quality of life in adolescents with heavy menstrual bleeding: Validation of the Adolescent Menstrual Bleeding Questionnaire (aMBQ)
title_full_unstemmed	Quality of life in adolescents with heavy menstrual bleeding: Validation of the Adolescent Menstrual Bleeding Questionnaire (aMBQ)
title_sort	quality of life in adolescents with heavy menstrual bleeding: validation of the adolescent menstrual bleeding questionnaire (ambq)
publisher	Wiley
publishDate	2021
url	https://doaj.org/article/54f32e0e324143c5a06bb5974bf71d6c
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Quality of life in adolescents with heavy menstrual bleeding: Validation of the Adolescent Menstrual Bleeding Questionnaire (aMBQ)

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