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Psychometric properties of the Norwegian MacNew Heart Disease health-related quality of life inventory

Aud HilleraCorresponding Author Informationemail address, Anne-Sofie Helvikbcdemail address, Stein Kaasaefemail address, Stig A. Slørdahlagemail address

Received 1 July 2009; received in revised form 30 December 2009; accepted 12 January 2010. published online 05 February 2010.
Corrected Proof

Abstract 

Background

MacNew is a health-related quality of life (HQOL) inventory for patients with ischaemic heart disease and includes three domains; emotional, physical and social. The MacNew gives new opportunities to compare directly patients with the three major ischaemic heart diagnoses, angina, myocardial infarction and heart failure. However, this inventory has not earlier been evaluated in Norwegian.

Objective

The purpose of this study was to validate the Norwegian version of the disease-specific HQOL inventory MacNew by assessing the measurement model, internal consistent reliability and test–retest and convergent validity.

Method

Patients with ischaemic heart disease (n=124; angina pectoris, n=53; myocardial infarction, n=35; and heart failure; n=36) participated in this cross-sectional study. Patients completed the self-administered MacNew and the generic HQOL-instrument SF-36. The MacNew and the SF-36 were repeated 2–3weeks later (test–retest) by 17 patients.

Results

The psychometric properties were satisfactory to good. The construct validity assessed by factor analysis explained 61.5% of the variance. The internal consistent reliability was high (exceeded 0.90 in all domains). The test–retest analysis showed equivalent results demonstrating good reproducible properties. The convergent validity within each domain was evaluated with correlation analysis, demonstrating correlations of 0.74, 0.69 and 0.71 on the emotional, physical and social domains, respectively.

Conclusion

The Norwegian version of the MacNew inventory demonstrated satisfactory to good psychometric properties and can be recommended for evaluating HQOL for patients with heart diseases in clinical studies.

a Department of Cardiology, St. Olav's University Hospital, 7006 Trondheim, Norway

b Innlandet Hospital Trust, Tynset Division, Norway

c Ear, Nose and Throat Department, St Olav's University Hospital, Norway

d Department of Public Health and General Practice, Faculty of Medicine, Norwegian University of Science and Technology (NTNU), Trondheim, Norway

e Department of Oncology, St. Olav's University Hospital, Norway

f Department of Cancer Research and Molecular Medicine, Faculty of Medicine, Norwegian University of Science and Technology (NTNU), Trondheim, Norway

g Faculty of Medicine, Norwegian University of Science and Technology (NTNU), Trondheim, Norway

Corresponding Author InformationCorresponding author. Olav's Kyrres gt 17, 7006 Trondheim Norway. Tel./fax: +47 95 18 58 08.

PII: S1474-5151(10)00003-4

doi:10.1016/j.ejcnurse.2010.01.002