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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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Quality of life after myocardial infarction. This article has been cited by other articles in PMC. Intra-class correlations were calculated to examine the reproducibility of the tool over the follow-up period.

The concurrent validity of this proposed factor structure of the MacNew was compared to the structure proposed by Valenti et al. 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. The Farsi version of the MacNew therefore consists of 26 items. All domains had excellent agreement Intra-class correlation varied between 0. The exploratory oof analysis suggested six factors.

Physical and global scores improved in men with no change in social and emotional scores. Next, a ‘backward translation’ was carried out, in which a third bilingual translator converted the document back into English and this process was repeated until differences on all quakity had been accommodated.

Thus, the proposed grouping of items suggested presently has stronger evidence of concurrent validity than that suggested by Valenti et al. Social Emotional Physical 1. Psychometric properties of the German version of the MacNew heart disease health-related quality of life questionnaire.

The original QLMI questionnaire contained 26 items which were divided into five underlying scales or factors: Questionanire significant differences were detected between follow-up clinic quesitonnaire and non-attendees when controlling for age, gender, level of education and duration of hospital stay.

Analysis was carried out using SPSS version This approach will facilitate patient management, allow international comparisons and direct medical services to meet patients’ needs. An improved questionnaire for assessing quality of life after acute myocardial infarction. Author information Article notes Copyright and License information Disclaimer.


Health Qual Life Outcomes. Received May 28; Accepted Jul 1. The chi-square statistic has been associated with sample size problems and distributional misspecifications [ 1112 ], hence the increasing reliance on alternative fit indices.

Health Qual Life Outcomes. Internal consistency was uqality and comparable to other studies, ranging from 0. Oxford, Oxford University Press; Duration of hospital stay, literacy and occupational status did not influence any of the HRQL scores.

However, there is ambiguity about the allocation of items to the three factors underlying the MacNew and the factor structure has not been confirmed previously among the people in the UK. The analysis reported in this paper goes some way towards confirming the benefit and usefulness of their approach. J Am Coll Cardiol.

Secondly, the attribution of items to factors is ambiguous. Down in the dumps 0.

language validation

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. Table 1 Characteristics of Sample.

Background The goals of health and social care interventions in the field of ischaemic heart disease are placing increasing emphasis 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 ilfe cardiac rehabilitation programmes and secondary prevention strategies.

Community Dent Oral Epidemiol. Table 3 Adjusted factor weights in principal component analysis. Secondary macbew after acute myocardial infarction. 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 latest version of MacNew applied in this study is considerably different from its predecessor and this perhaps explains the unexpectedly improved reproducibility compared with the original application.

Table 2 Summary statistics for all scales.

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

Its acceptability and reliability are proven, which favours its application in population studies, and several domains can predict adverse outcome [ 3 ], providing confounders such as disease severity and concurrent medications are taken into account.


This section contains peer-reviewed papers addressing the psychometric properties of the MacNew language versions. Consequently, an exploratory factor analysis was conducted, in order to provide a suggestion about o adequate factor model. 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.

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.

Nacnew transition in the Iranian Population; Comparing various health and demographic indices during recent forty years. The factors have been labelled emotion, restrictions, physical symptoms, perception of others, and social functioning. Received Nov 2; Accepted Jan 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.

Coronary disease is at least qusetionnaire prevalent in Iran as in most Western nations but qualitg studies have been restricted by the lack of culturally-sensitive investigational tools in Farsi to assess, inter alia, quality of life. The questionnqire of health and social care interventions in the quapity of ischaemic heart disease are placing increasing emphasis 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.

A confirmatory factor analysis was conducted on the factor structure of the MacNew and the model was found to be an inadequate fit of the data. In fact, both of these items appeared to be closer to all of the items that loaded onto factor 3.