Effects of Jin Shin Jyutsu-Based Hand Application on Quality of Life and Psychosocial Status in Perimenopausal Women

Primary outcomes

1. Descriptive Information Form

   Time frame: Day 1 (Baseline, Pre-Intervention)

   This is a 24-question form designed by researchers to determine participants' sociodemographic characteristics, women's health status, general health knowledge, lifestyle, and support levels.

2. Coping Strategies

   Time frame: Day 1 (Baseline, before intervention for intervention groups, before routine assessment for control group) and Day 14 (Post-intervention for intervention groups, after routine assessment for active comparator).

   The Stress Coping Methods Scale (SBÇYÖ) is a self-report questionnaire assessing active and cognitive coping strategies used by adults when facing stressful situations. The scale consists of 21 items rated on a 5-point Likert scale (1-5) and includes five subdomains: logical analysis, positive reappraisal, problem solving, seeking professional support, and seeking environmental support. Total and subscale scores increase as the corresponding coping strategy is used more frequently. Higher scores indicate greater use of the specified coping strategy.

3. Menopause-Specific Quality of Life

   Time frame: Day 1 (Baseline, before intervention for intervention groups, before routine assessment for control group) and Day 14 (Post-intervention for intervention groups, after routine assessment for active comparator).

   The Menopause-Specific Quality of Life Questionnaire - II (MENQOL / MÖYKÖ-II) is a validated self-report instrument developed to assess the presence and severity of menopause-related symptoms and their impact on quality of life across vasomotor, psychosocial, physical, and sexual domains.

   The scale consists of 29 items. For each item, participants indicate whether the symptom is present; if present, the level of discomfort is rated. Item scores are converted to a 1-8 scoring system. The total score ranges from 29 to 232, with higher scores indicating worse quality of life and greater negative impact of menopausal symptoms.

4. Distress Thermometer

   Time frame: Day 1 (Baseline, before intervention for intervention groups, before routine assessment for control group) and Day 14 (Post-intervention for intervention groups, after routine assessment for active comparator).

   The Distress Thermometer is a single-item visual analog scale designed to rapidly assess overall psychological distress. Participants rate their distress level on a scale ranging from 0 (no distress) to 10 (extreme distress).

   Higher scores indicate higher levels of psychological distress. In this study, the problem list accompanying the Distress Thermometer is not used.

5. Depression, Anxiety, and Stress

   Time frame: Day 1 (Baseline, before intervention for intervention groups, before routine assessment for control group) and Day 14 (Post-intervention for intervention groups, after routine assessment for active comparator).

   The Depression Anxiety Stress Scales-21 (DASS-21) is a self-report questionnaire assessing depression, anxiety, and stress symptoms over the past week. It consists of 21 items, with three subscales of seven items each.

   Items are rated on a 4-point Likert scale (0-3). Subscale scores range from 0 to 42 after standard score conversion. Higher scores indicate greater levels of depression, anxiety, and stress, reflecting worse psychological outcomes.

6. Daily Practice Schedule for JSJ®-Based Hand Application

   Time frame: The intervention group will complete this chart for 14 days.

   This chart, developed by the researchers, is designed for participants to regularly record their daily practices for 14 days. The chart includes the day, total time, whether the five-finger grip was completed, and notes. This chart will be used to monitor the level of adherence to the intervention and the frequency of problem-focused coping actions.