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[Health-related quality of life of Israeli heart patients according to the MacNew heart disease specific instrument].
Harefuah. 2011 Oct; 150(10):760-4, 816.H

Abstract

BACKGROUND

Assessment of health-related quality of life (HRQL) using generic measures may not be optimally responsive to treatment interventions. The disease-specific instrument, MacNew heart disease HRQL questionnaire (MacNew), is designed specifically to evaluate HRQL among heart patients.

AIMS

To validate the Hebrew version of MacNew, and to report HRQL of Israeli chronic cardiac patients.

METHODS

The generic SF-36 and the MacNew HRQL questionnaires were administered to 221 Hebrew speaking heart patients treated in the outpatient clinic of the Sheba Medical Center.

RESULTS

According to the SF-36, HRQL is relatively low in the cardiac patients compared to Israeli norms, and comparable to norms of American heart patients according to the MacNew. Heart-failure patients have the lowest HRQL scores in all three dimensions (physical, mental, social) and the total score identified for the MacNew. Confirmatory factor analysis verified good model fit for physical/emotional domain items, supporting structural validity. Spearman coefficients correlating MacNew with parallel SF-36 domains were moderate-high (r=0.63-0.89, p<0.01), supported convergent validity. Cronbach's alpha was > 0.9 (total MacNew score, dimensions), supporting internal reliability, as was the test-retest reliability, examined 1.5 months later among 11 patients. The different scales discriminated between heart failure, angina pectoris, and other heart patients, supporting criterion validity. A multilinear regression model showed significant correlation between heart failure, past myocardial infarction (MI), years of schooling, duration of heart disease and HRQL.

CONCLUSIONS

Among patients with heart disease, the MacNew is highly acceptable and maintains good psychometric properties, comparing favorably with SF-36.

DISCUSSION AND CONCLUSION

These findings suggest MacNew's utility for measuring disease-specific HRQL in Israeli heart patients.

Authors+Show Affiliations

The Gertner Institute for Epidemiology and Health Policy Research, Ramat Gan, Israel. racheld@gertner.health.gov.ilNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Validation Study

Language

heb

PubMed ID

22111117

Citation

Dankner, Rachel, et al. "[Health-related Quality of Life of Israeli Heart Patients According to the MacNew Heart Disease Specific Instrument]." Harefuah, vol. 150, no. 10, 2011, pp. 760-4, 816.
Dankner R, Burya-Sa'adon L, Geulayov G, et al. [Health-related quality of life of Israeli heart patients according to the MacNew heart disease specific instrument]. Harefuah. 2011;150(10):760-4, 816.
Dankner, R., Burya-Sa'adon, L., Geulayov, G., Kobalyov, A., & Drory, Y. (2011). [Health-related quality of life of Israeli heart patients according to the MacNew heart disease specific instrument]. Harefuah, 150(10), 760-4, 816.
Dankner R, et al. [Health-related Quality of Life of Israeli Heart Patients According to the MacNew Heart Disease Specific Instrument]. Harefuah. 2011;150(10):760-4, 816. PubMed PMID: 22111117.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Health-related quality of life of Israeli heart patients according to the MacNew heart disease specific instrument]. AU - Dankner,Rachel, AU - Burya-Sa'adon,Liron, AU - Geulayov,Galit, AU - Kobalyov,Alina, AU - Drory,Yaakov, PY - 2011/11/25/entrez PY - 2011/11/25/pubmed PY - 2011/12/15/medline SP - 760-4, 816 JF - Harefuah JO - Harefuah VL - 150 IS - 10 N2 - BACKGROUND: Assessment of health-related quality of life (HRQL) using generic measures may not be optimally responsive to treatment interventions. The disease-specific instrument, MacNew heart disease HRQL questionnaire (MacNew), is designed specifically to evaluate HRQL among heart patients. AIMS: To validate the Hebrew version of MacNew, and to report HRQL of Israeli chronic cardiac patients. METHODS: The generic SF-36 and the MacNew HRQL questionnaires were administered to 221 Hebrew speaking heart patients treated in the outpatient clinic of the Sheba Medical Center. RESULTS: According to the SF-36, HRQL is relatively low in the cardiac patients compared to Israeli norms, and comparable to norms of American heart patients according to the MacNew. Heart-failure patients have the lowest HRQL scores in all three dimensions (physical, mental, social) and the total score identified for the MacNew. Confirmatory factor analysis verified good model fit for physical/emotional domain items, supporting structural validity. Spearman coefficients correlating MacNew with parallel SF-36 domains were moderate-high (r=0.63-0.89, p<0.01), supported convergent validity. Cronbach's alpha was > 0.9 (total MacNew score, dimensions), supporting internal reliability, as was the test-retest reliability, examined 1.5 months later among 11 patients. The different scales discriminated between heart failure, angina pectoris, and other heart patients, supporting criterion validity. A multilinear regression model showed significant correlation between heart failure, past myocardial infarction (MI), years of schooling, duration of heart disease and HRQL. CONCLUSIONS: Among patients with heart disease, the MacNew is highly acceptable and maintains good psychometric properties, comparing favorably with SF-36. DISCUSSION AND CONCLUSION: These findings suggest MacNew's utility for measuring disease-specific HRQL in Israeli heart patients. SN - 0017-7768 UR - https://www.unboundmedicine.com/medline/citation/22111117/[Health_related_quality_of_life_of_Israeli_heart_patients_according_to_the_MacNew_heart_disease_specific_instrument]_ L2 - http://www.diseaseinfosearch.org/result/130 DB - PRIME DP - Unbound Medicine ER -