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Assessing HRQL among Chinese patients with coronary heart disease: angina, myocardial infarction and heart failure.
Int J Cardiol. 2009 Jan 24; 131(3):384-94.IJ

Abstract

OBJECTIVE

To perform a psychometric evaluation of the Myocardial Infarction Dimensional Assessment Scale (MIDAS) in Chinese patients with coronary heart disease.

DESIGN AND SETTING

Patients with angina (n=162), MI (n=124) or heart failure (n=95) were recruited from a regional university-affiliated hospital. The Chinese version of the MIDAS (C-MIDAS), the Hospital Anxiety and Depression Scale (HADS) and the Short-Form 36 Health Survey (SF-36) were administered to all patients at baseline and the C-MIDAS was also administered seven day (n=92) and three months (n=363) later.

RESULTS

The C-MIDAS conforms to the 7-factor structure as proposed in the original version. It is reliable with Cronbach's alphas from 0.73 to 0.94 and test-retest reliabilities from 0.76 to 0.92. Four of its subscales (physical activity, insecurity, emotional reaction and dependency) correlated significantly with the SF-36 and the HADS in each diagnostic group and had good discriminative properties in terms of gender, emotional disturbance and perceived health deterioration, with responsiveness supported by medium-high effect sizes (0.43-0.83) and standardize response means (0.46-0.82). The other three subscales measuring treatment-related impacts added little to the validity and responsiveness of the C-MIDAS.

CONCLUSION

To render the C-MIDAS a core health-related quality of life measure for Chinese-speaking patients with coronary heart disease, further studies need to clarify the content adequacy and cultural relevancy of those subscales measuring treatment-related impact.

Authors+Show Affiliations

Rm 729, Esther Lee Building, Department of Medicine and Therapeutics, The Chinese University of Hong Kong, and The Prince of Wales Hospital, Shatin, New Territories, Hong Kong. dyu@cuhk.edu.hkNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

18191472

Citation

Yu, Doris S F., et al. "Assessing HRQL Among Chinese Patients With Coronary Heart Disease: Angina, Myocardial Infarction and Heart Failure." International Journal of Cardiology, vol. 131, no. 3, 2009, pp. 384-94.
Yu DS, Thompson DR, Yu CM, et al. Assessing HRQL among Chinese patients with coronary heart disease: angina, myocardial infarction and heart failure. Int J Cardiol. 2009;131(3):384-94.
Yu, D. S., Thompson, D. R., Yu, C. M., & Oldridge, N. B. (2009). Assessing HRQL among Chinese patients with coronary heart disease: angina, myocardial infarction and heart failure. International Journal of Cardiology, 131(3), 384-94. https://doi.org/10.1016/j.ijcard.2007.10.043
Yu DS, et al. Assessing HRQL Among Chinese Patients With Coronary Heart Disease: Angina, Myocardial Infarction and Heart Failure. Int J Cardiol. 2009 Jan 24;131(3):384-94. PubMed PMID: 18191472.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Assessing HRQL among Chinese patients with coronary heart disease: angina, myocardial infarction and heart failure. AU - Yu,Doris S F, AU - Thompson,David R, AU - Yu,Cheuk-man, AU - Oldridge,Neil B, Y1 - 2008/01/08/ PY - 2007/05/25/received PY - 2007/09/07/revised PY - 2007/10/29/accepted PY - 2008/1/15/pubmed PY - 2009/5/19/medline PY - 2008/1/15/entrez SP - 384 EP - 94 JF - International journal of cardiology JO - Int J Cardiol VL - 131 IS - 3 N2 - OBJECTIVE: To perform a psychometric evaluation of the Myocardial Infarction Dimensional Assessment Scale (MIDAS) in Chinese patients with coronary heart disease. DESIGN AND SETTING: Patients with angina (n=162), MI (n=124) or heart failure (n=95) were recruited from a regional university-affiliated hospital. The Chinese version of the MIDAS (C-MIDAS), the Hospital Anxiety and Depression Scale (HADS) and the Short-Form 36 Health Survey (SF-36) were administered to all patients at baseline and the C-MIDAS was also administered seven day (n=92) and three months (n=363) later. RESULTS: The C-MIDAS conforms to the 7-factor structure as proposed in the original version. It is reliable with Cronbach's alphas from 0.73 to 0.94 and test-retest reliabilities from 0.76 to 0.92. Four of its subscales (physical activity, insecurity, emotional reaction and dependency) correlated significantly with the SF-36 and the HADS in each diagnostic group and had good discriminative properties in terms of gender, emotional disturbance and perceived health deterioration, with responsiveness supported by medium-high effect sizes (0.43-0.83) and standardize response means (0.46-0.82). The other three subscales measuring treatment-related impacts added little to the validity and responsiveness of the C-MIDAS. CONCLUSION: To render the C-MIDAS a core health-related quality of life measure for Chinese-speaking patients with coronary heart disease, further studies need to clarify the content adequacy and cultural relevancy of those subscales measuring treatment-related impact. SN - 1874-1754 UR - https://www.unboundmedicine.com/medline/citation/18191472/Assessing_HRQL_among_Chinese_patients_with_coronary_heart_disease:_angina_myocardial_infarction_and_heart_failure_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0167-5273(07)01985-7 DB - PRIME DP - Unbound Medicine ER -