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 MacNew is a revised version of the Quality of Life after Myocardial Infarction Questionnaire QLMI [ 5 ] and there mwcnew much difference between the two versions in terms of their suggested factor structure, even though the items on the two versions of this questionnaire are similar. Table 2 MacNew components mean rank in questionnaide and sex groups. A selfadministered quality of life questionnaire after acute myocardial infarction.
The LISREL programme produces several goodness of fit indices, which are designed to provide a summary answer to the assessment just described. Researchers have used several generic and disease-specific instruments in their attempts to index HRQoL — a review of the instruments used to measure HRQoL among people with ischaemic heart disease identified four generic instruments and nine disease-specific instruments [ 1 ].
Outcome measures used to evaluate HRQL among cardiac patients have been introduced [ 34 ] and numerous generic and disease-specific questionnaires have been developed but there is no general consensus on their relative merits. 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.
Qual Life Res ; However, the results of the factor analysis presented by Valenti et al. This article has been cited by other articles in PMC. There is a valid and responsive measure of health-related quality of life for spouses of survivors of an acute myocardial infarction. Cupples ME, Dempster M. Although the MacNew has been favorably reviewed against a selection of other heart disease-specific HRQL instruments there are plans to confirm its psychometric properties questiohnaire a large international cohort of patients with heart disease.
The factor analysis confirmed that this question did not relate well to any of the other items. 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.
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A confirmatory factor analysis demonstrated that the factor structure proposed by Valenti et al. Table 3 Adjusted factor weights in principal component analysis. 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.
Health-related quality of life HRQL assessment is an important measure of the impact of a wide range of disease process on an individual. Table 2 Summary statistics for all scales. All scales were transformed so that they had a possible range of 0 towith a higher score indicating a better level of functioning or HRQoL.
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 ]. Secular trends in cardiovascular mortality in Iran, with special reference to Isfahan.
Certain items appear to be allocated to factors that do not have the highest factor loading for those items and with which there is a poor conceptual relationship. National Center for Biotechnology InformationU. Less psychometric information exists on the MacNew.
Results 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. We did observe both similarities and differences between Iranian and Western populations.
Down in the dumps 0. Health related quality of life after conservative or invasive treatment of inducible postinfarction ischaemia.
For example, Valenti’s social and physical functioning scales both correlate strongly with the SF social and physical functioning scales. In other words, this statistical procedure assesses whether or not on the basis of the relationships between the items on a questionnaire the suggested method of combining items into groups which are supposed to represent underlying factors is reasonable.
Therefore, the questonnaire of the present paper was to test the factor structure of the MacNew among a group of patients from the UK with ischaemic heart disease. We were pleased with the Farsi version of MacNew. This new structure also displayed strong evidence of concurrent validity when compared to the SF The MacNew is a modification of the original interviewer-administered Quality of Life after Myocardial Infarction [QLMI] instrument originally developed on quedtionnaire series of moderately anxious and depressed patients who had recovered from an acute myocardial infarction.
The contribution of each item in the questionnaire to the three domains of ‘ physical ‘, ‘ emotional ‘, and ‘ social ‘ was evaluated.