The MacNew heart disease questionnaire addresses three major HRQL domains , There is a valid and responsive measure of health-related quality of life for. Psychometric testing of the Chinese Mandarin version of the MacNew Heart Disease Health-related Quality of Life questionnaire for patients with myocardial . Assessment of quality of life using self-reported questionnaires is a way to evaluate and explore the psychological experience of patients with heart problems.

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The distribution of patients between the different classes of the CCSCA suggested that our group of patients had less severe angina than a group of patients undergoing angioplasty [ 8 ]. The factors have been labelled emotion, restrictions, physical symptoms, perception of others, and social functioning.

Data Analysis The contribution of each item in the questionnaire to the three domains of ‘ physical ‘, ‘ emotional ‘, and ‘ social ‘ was evaluated. The analysis reported in this paper goes some way towards confirming the benefit and usefulness of their approach. The assignment of items to the factors underlying the MacNew was done on the basis of a factor analysis conducted by Valenti et al.

Through a combination of quantitative and qualitative approaches one item was deleted and the remaining items were grouped into five factors — emotion, restrictions, physical symptoms, perception of others and social functioning.

The lfie total-item correlation at baseline ranged from 0. Health and Qual Life, queztionnaire Therefore, this proposed structure did not provide a good fit of the macne. The MacNew is a modification of the original interviewer-administered Quality of Life after Myocardial Infarction [QLMI] instrument originally developed on a series of moderately anxious and depressed patients who had recovered from an acute myocardial infarction. Adaptation and administration of the MacNew quality of life questionnaire after myocardial infarction in an Iranian auality.

Med Clin Barc ; Method Translation process The MacNew questionnaire consists of 27 questions in three domains, emotional, physical, and social, and uses a 7-point scale with higher scores indicating better HRQL perception. The exploratory factor analysis suggested six factors. Table 1 Characteristics of Sample. Cutoff criteria for fit indexes in covariance structure analysis: Qual Life Res ;5: Secondly, the attribution of items to factors is ambiguous.

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A common critique of quality of life tools in clinical research is that data are ‘soft’ and less reliable than traditional clinical assessment or physiological measurement. A total of patients, all of whom were assessed by a consultant cardiologist, were asked, at hospital, for their consent to participate in the study. Health-related quality of life HRQL refers to a multitude of subjective and objective experiences among which health, well-being and the ability to function in day-to-day activities are essential.

All domains had excellent agreement Intra-class correlation varied between 0. A content analysis of these factors questionbaire undertaken and suality following points were noted. The MacNew questionnaire consists of 27 macnsw in three domains, emotional, physical, and social, and uses a 7-point scale with higher scores indicating better HRQL perception.

The MacNew scores were transformed using this formula to facilitate comparisons between questionnaires. ,acnew

Thus, the proposed grouping of items suggested presently has stronger evidence of concurrent validity than that suggested by Valenti et al. Ukrainian Journal of Cardiology, ;3. These minor differences could be explained by the small population sample. It has high internal consistency and reasonable reproducibility, making it an appropriate specific quality of life tool for population-based studies and clinical practice in Iran in patients who have survived an acute myocardial infraction.

We recommend that researchers should submit scores obtained from items on the MacNew to secondary analyses after being grouped according to the factor structure proposed in this paper, in order to explore further the most appropriate grouping of items. Int J Nurs Pract.

Item number 18 frightened had more relevance statistically to the social and physical domains in the Farsi version, qualify in the original report it was allocated to the emotional domain.

The first step comprised forward translations from English to Farsi by two independent bilingual translators who were not health professionals; minor differences were accommodated.

The validity of the MacNew Quality of Life in heart disease questionnaire

qufstionnaire During administration of the questionnaire, it had been recorded by the interviewer that this item did not appear to tap into the way heart disease had impacted on the person’s HRQoL. Unlike the chi-square it is not affected by sample size. Background The goals of health and social care interventions lifr the field of ischaemic heart disease are placing increasing quesrionnaire on patients’ quality of life as well as quantity of life and an improvement in health-related quality of life HRQoL is often a stated goal of many cardiac rehabilitation programmes and secondary prevention strategies.

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Authors’ contributions MDempster assisted in the design of the study, conducted the data collection, assisted with the data analysis and drafted the manuscript.

It also has been validated in Chinese, Dutch, English and German in patients with heart failure. This is a worthwhile exercise to clarify the validity of this instrument, so that clinicians will be confident that they are accessing relevant and accurate information about how a patient’s life is affected by ischaemic heart disease.

Cupples ME, Dempster M. Effects of sample size, estimation methods, and model specification on structural equation modeling fit indexes. The MacNew Questionnaire and the SF were administered to newly admitted patients to a tertiary referral centre in Northern Ireland.

The validity of the MacNew Quality of Life in heart disease questionnaire

Table 4 Baseline data psychometric analysis. Conclusion Improvements in the health-related quality of life of people with heart disease is an important consideration in the assessment of treatment effectiveness [ 13 ]. Discussion A common critique of quality of life tools in clinical research is that data are ‘soft’ and less reliable than traditional clinical assessment or physiological measurement.

For example, emotional and physical scores were comparable but our Iranian patient group reported poorer social quality of life. The identification or measurement of wuality in HRQoL is, therefore, an important aspect of the evaluation of secondary prevention qualkty in heart disease.

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