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Published in: Quality of Life Research 5/2019

01-05-2019 | Affective Disorder

Measuring HRQoL following heart valve surgery: the HeartQoL questionnaire is a valid and reliable core heart disease instrument

Authors: Charlotte N. Grønset, Lau C. Thygesen, Selina Kikkenborg Berg, Graziella Zangger, Marie S. Kristensen, Kirstine L. Sibilitz, Susanne S. Pedersen, Neil B. Oldridge, Ann-Dorthe Zwisler

Published in: Quality of Life Research | Issue 5/2019

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Abstract

Purpose

Patient-reported health-related quality of life is a complementary healthcare outcome and important when assessing treatment efficacy. Using COSMIN methodological recommendations, this study evaluates the validity and reliability of a core heart disease-specific health-related quality of life questionnaire, the HeartQoL questionnaire (Danish version) in a sample of patients following heart valve surgery.

Design

This project involved a cross-sectional validity study and a test–retest reliability study.

Methods

Eligible patients completed the HeartQoL, the SF-36 health survey questionnaire, and the Hospital Anxiety and Depression Scale following heart valve surgery. Construct validity was tested using a priori hypotheses. Internal consistency reliability was assessed with Cronbach’s alpha. An independent sample of patients participated in the test–retest study and reproducibility was determined with relative [intra-class correlation coefficient (ICC)] and absolute reliability [standard error of measurement (SEM) and smallest detectable change (SDC)].

Results

Internal consistency was high with Cronbach’s alpha ≥ 0.87. ICC was 0.86–0.92. SEM ranged from 0.17 to 0.26 points and SDC ranged from 0.5 to 0.7 points. Construct validity was confirmed with 87% of all a priori hypotheses for predicted variables.

Conclusions

The HeartQoL questionnaire demonstrates acceptable construct validity, internal consistency, and test–retest reproducibility in patients following heart valve surgery. Future studies should focus on assessing the responsiveness of the HeartQoL questionnaire over time and following heart valve surgery.
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Metadata
Title
Measuring HRQoL following heart valve surgery: the HeartQoL questionnaire is a valid and reliable core heart disease instrument
Authors
Charlotte N. Grønset
Lau C. Thygesen
Selina Kikkenborg Berg
Graziella Zangger
Marie S. Kristensen
Kirstine L. Sibilitz
Susanne S. Pedersen
Neil B. Oldridge
Ann-Dorthe Zwisler
Publication date
01-05-2019
Publisher
Springer International Publishing
Published in
Quality of Life Research / Issue 5/2019
Print ISSN: 0962-9343
Electronic ISSN: 1573-2649
DOI
https://doi.org/10.1007/s11136-018-02098-1

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