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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Author information Article notes Copyright and License information Disclaimer. The effect of personal health education on the quality of life of patients with angina in general practice. A selfadministered quality of life questionnaire after acute myocardial infarction.

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Thus, the proposed grouping of items suggested presently has stronger evidence of concurrent validity than that suggested by Valenti et al. The chi-square statistic has been associated with sample size problems and distributional misspecifications [ 1112 ], hence the increasing reliance on alternative fit indices.

An improved questionnaire for assessing quality of life after myocardial infarction. 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.

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. Improvements in the health-related quality of life of people with heart disease is an important consideration in the assessment of treatment effectiveness [ 13 ].

Patients with severe mental disorders or other disabilities that prevented participation in the survey were excluded. Instead, it seemed to assess knowledge about the restrictions imposed by ischaemic heart disease. The MacNew has 27 items reduced to three factors: This survey reflects the first administration of such a health-related quality of life questionnaire among Iranian cardiac patients and provides an interesting insight into the quality of life of survivors of a myocardial infarction in this patient group.

Unable to socialise 0. Quality of life after myocardial infarction. The MacNew questionnaire consists of 27 items, each with a 7 point response scale ranging from “all of the time” to “some of the time”.


It is essential that HRQoL instruments are valid and so there is a need to examine the content of the MacNew scales, in order to confirm or not the construct validity of this questionnaire. Qual Life Res ;5: The identification or measurement of change in HRQoL is, therefore, an important aspect of the evaluation of secondary prevention programmes in heart disease. Effects of sample size, estimation methods, and model specification on structural equation modeling fit indexes.

Health-related quality of life in patients with coronary artery disease treated for angina: Translation and validation of two Chinese health-related quality of life instruments in patients with coronary heart disease. Data Analysis The contribution of each item in the questionnaire to the three domains of ‘ physical ‘, ‘ emotional ‘, and ‘ social ‘ was evaluated. Hong Kong Med J. Second, this study was a reminder that cultural barriers do exist among populations with strong religious beliefs; for example, questions relating to sexual activity are particularly difficult.

Table 2 Summary statistics for all scales.

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An improved questionnaire for assessing quality of life after acute myocardial infarction. The Farsi version of the MacNew therefore consists of 26 items.

The MacNew Heart Disease health-related quality of life instrument: National Center for Biotechnology InformationU. However, there was a problem with items 6 and Patients are quewtionnaire to benefit if this information is accessible to clinicians as this will ensure that the specific factors which contribute to a person’s HRQoL can be monitored and considered when treatment protocols are drafted, thereby enabling comprehensive suestionnaire holistic treatments.

Health-related quality of life in patients with coronary artery disease treated for angina: Measuring health-related quality of life among people with ischaemic heart disease. Predictors of health-related quality of life have been identified, and poor health-related quality of life on the MacNew is an independent predictor of later mortality and morbidity. Weight is shown in bold if greater than 0. 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 qality of life HRQoL is often a stated goal of many cardiac rehabilitation programmes and secondary prevention strategies.


During administration of the questionnaire, it had been recorded by the interviewer that this item did not appear to tap into the lief heart disease had impacted on the person’s HRQoL. This article has been cited by other articles in PMC. Researchers have used several generic and disease-specific instruments in their attempts to index HRQoL — a review of the instruments used to measure Ilfe among people with quwstionnaire heart disease identified four generic instruments and nine disease-specific instruments [ 1 ].

Table 1 Characteristics of Sample.

Principal component analysis revealed that the three domains, emotional, social and physical, performed as well as in the original studies. Therefore, to improve the content validity of the factors, it was decided that: 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 items had been accommodated.

Health Qual Life Outcomes. The contribution of each item in the questionnaire to the three domains of ‘ physical ‘, ‘ emotional ‘, and ‘ social ‘ was evaluated.

Quality of life and later adverse health outcomes in patients with suspected heart liffe. Health transition in the Iranian Population; Comparing various health and demographic indices during recent forty years. It also has been validated in Chinese, Dutch, English and German in patients with heart failure.

This is an Open Access article: The SF consists of 36 items which are queetionnaire into eight dimensions: All correlations above an absolute value of 0. The patients who participated in the study were similar to patients from the UK with ischaemic heart disease in previous studies in terms of their age [ 7 ], sex [ 8 ] and BMI [ 9 ]. Therefore, it was felt that this item should be excluded.

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