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Measuring hot flash phenomenonology using ambulatory prospective digital diaries
William I Fisher1, Rebecca C Thurston
11Department of Epidemiology, University of Pittsburgh Graduate School of Public Health, Pittsburgh, PA 2Department of Psychiatry, University of Pittsburgh School of Medicine, Pittsburgh, PA.
A new digital diary precisely tracks hot flashes in midlife women, revealing most are mild and often accompanied by a premonitory aura. This tool offers better insights than traditional methods for studying hot flash experiences.
Area of Science:
- Menopause Research
- Digital Health Technologies
- Women's Health
Background:
- Hot flashes are a common symptom during menopause, significantly impacting women's quality of life.
- Traditional methods for tracking hot flashes, such as paper diaries and retrospective questionnaires, have limitations in accuracy and detail.
Purpose of the Study:
- To introduce and evaluate a novel prospective ambulatory digital hot flash phenomenon diary.
- To precisely quantify hot flashes and explore their characteristics and associations in real-time.
Main Methods:
- 152 midlife women experiencing daily hot flashes participated.
- Participants used an ambulatory electronic hot flash diary for three consecutive days.
- Hot flashes and their characteristics (severity, bother, location, associations) were recorded as they occurred.
Main Results:
- The majority of hot flashes were mild (41.3%) or moderate (43.7%).
- Hot flashes commonly occurred on the face (78.9%), neck (74.7%), and chest (61.3%).
- A novel finding was that 38% of hot flashes were accompanied by a premonitory aura; 32% occurred with prickly skin, 7% with anxiety, and 5% with nausea.
Conclusions:
- A prospective electronic digital hot flash diary offers precise quantification and overcomes limitations of traditional methods.
- The digital diary provided unique insights into hot flash phenomenology, location, and associated characteristics.
- This digital tool is recommended for future ambulatory studies on the hot flash experience.
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