Title |
The Italian MacNew heart disease health-related quality of life questionnaire: a validation study
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Published in |
Internal and Emergency Medicine, February 2015
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DOI | 10.1007/s11739-015-1203-y |
Pubmed ID | |
Authors |
Francesco Fattirolli, Niccolò Marchionni, Stefan Höfer, Pantaleo Giannuzzi, Elisabetta Angelino, Paolo Fioretti, Daniela Miani, Neil Oldridge |
Abstract |
Patient-centered treatment outcomes such as health-related quality of life are recommended in clinical care and research studies. Health-related quality of life questionnaires need to be validated in the language of the target population. The reliability and validity of the Italian version of the MacNew Questionnaire was determined in patients with angina, myocardial infarction, or ischemic heart failure. Sociodemographic and clinical data were collected on 298 patients [angina, n = 88; MI, n = 106; heart failure, n = 104; mean age, 64.8 (±10.6) years] at three centers in Italy. MacNew mean scores were higher (p < 0.001) in patients with myocardial infarction than in patients with either angina or heart failure with no floor and minimal ceiling effects. The three-factor structure of the original MacNew form was largely confirmed explaining 54.6 % of the total variance. The Italian MacNew version demonstrates high internal consistency reliability (Cronbach's α ≥ 0.86), confirms the convergent validity hypotheses with strong correlations on six of eight comparisons (r ≥ 0.86), partially confirms discriminative validity with the SF-36 health transition item, and fully confirms discriminative validity with the Hospital Anxiety and Depression Scale. The Italian version of the MacNew Questionnaire demonstrates satisfactory psychometric properties, and is reliable and valid in Italian-speaking patients with angina, MI, or heart failure. Responsiveness could not be tested due to the cross-sectional design of the parent study, and needs to be investigated in an intervention study. |
Mendeley readers
Geographical breakdown
Country | Count | As % |
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Unknown | 29 | 100% |
Demographic breakdown
Readers by professional status | Count | As % |
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Student > Bachelor | 5 | 17% |
Researcher | 4 | 14% |
Student > Master | 4 | 14% |
Student > Doctoral Student | 3 | 10% |
Other | 2 | 7% |
Other | 3 | 10% |
Unknown | 8 | 28% |
Readers by discipline | Count | As % |
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Medicine and Dentistry | 9 | 31% |
Psychology | 5 | 17% |
Nursing and Health Professions | 3 | 10% |
Economics, Econometrics and Finance | 1 | 3% |
Social Sciences | 1 | 3% |
Other | 1 | 3% |
Unknown | 9 | 31% |