Reviewer’ s report
Title: Effect of health education on knowledge and attitude of menopause among middle age
teachers
Version: 2Date: 26 Aug 2020
Reviewer's report:
This paper is improved in the light of reviewers' comments, but the issue relating to expression and
editing remains. The modified text still requires editing for language and expression.
Care also needs to be taken over over-generalising. for example page 22 lines 13-14: "Though this
study was conducted among 99 female teachers, it could be generalized to the whole population ofmenopausal women in Eritrea."
Most Knowledge questions relate to the experience of symptoms and negative consequences -
arguably the increase in knowledge of these could increase negative expectations which in turn areassociated with negative attitudes and more symptoms.
The amount of change in attitude is very small although statistically significant. Is this likely to be
clinically relevant?
This is a single group design so the conclusions need to be modest.Publons Reviewer Recognition. Springer Nature can send verification of this review directly to
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Is the study design appropriate to answer the research question (including the use of appropriate
controls), and are the conclusions supported by the evidence presented?
NoAre the methods sufficiently described to allow the study to be repeated?YesIs the use of statistics and treatment of uncertainties appropriate?
Yes
Is the presentation of the work clear?
YesAre the images in this manuscript (including electrophoretic gels and blots) free from apparent
manipulation?
Yes