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

Yilmaz M. P., Yilmaz I., ÖZDEMİR İ. İ., Dagci S., Guleroglu F. Y., Cetin A.

BMC Women's Health, cilt.25, sa.1, 2025 (SCI-Expanded, SSCI, Scopus) identifier identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 25 Sayı: 1
  • Basım Tarihi: 2025
  • Doi Numarası: 10.1186/s12905-025-03889-8
  • Dergi Adı: BMC Women's Health
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Social Sciences Citation Index (SSCI), Scopus, Academic Search Premier, CINAHL, EMBASE, MEDLINE, Directory of Open Access Journals
  • Anahtar Kelimeler: Adolescent health, Cultural adaptation, Menstrual bleeding, Psychometric validation, Questionnaire development
  • İstanbul Üniversitesi-Cerrahpaşa Adresli: Hayır

Özet

Background: To 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. Methods: We 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. Results: Factor 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). Conclusion: The 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.