Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress 2023 EHA Congress 2023 ASCO Annual Meeting
Clinical Collections
Advances in Alzheimer’s

At a glance: The ONWARDS insulin icodec trials

A round-up of the ONWARDS phase 3 clinical trials evaluating the novel weekly insulin icodec in people with diabetes.
ADVANCED SEARCH
Log in
Top
Health and Quality of Life Outcomes
Published in: Health and Quality of Life Outcomes 1/2004

Open Access 01-12-2004 | Review

The MacNew Heart Disease health-related quality of life instrument: A summary

Authors: Stefan Höfer, Lynette Lim, Gordon Guyatt, Neil Oldridge

Published in: Health and Quality of Life Outcomes | Issue 1/2004

Login to get access

Abstract

Background

The measurement of health, the effects of disease, and the impact of health care include not only an indication of changes in disease frequency and severity but also an estimate of patients' perception of health status before and after treatment. One of the more important developments in health care in the past decade may be the recognition that the patient's perspective is as legitimate and valid as the clinician's in monitoring health care outcomes. This has lead to the development of instruments to quantify the patients' perception of their health status before and after treatment.

Methods

We review evidence supporting the measurement properties of the MacNew Heart Disease Health-related Quality of Life [MacNew] Questionnaire which was designed to evaluate how daily activities and physical, emotional, and social functioning are affected by coronary heart disease and its treatment.

Results

Reliability was demonstrated by using internal consistency and the intraclass correlation coefficients for the three domains in the Dutch, English, Farsi, German, and Spanish versions of the MacNew. With internal consistency and intraclass correlation coefficients =>0.73, reliability is high. Validity of the MacNew was examined with factor analysis and three core underlying factors, physical, emotional, and social, were identified, explaining 63.0 – 66.5% of the observed variance and replicated in the translations with psychometric data. Construct validity of the MacNew was further demonstrated by extensive substantiation of the logical relationships, defined a priori, between items and other comparison tools. The MacNew is responsive and sensitive to changes in HRQL following various interventions for patients with heart disease with 11 of 13 effect size statistics >0.80. Taking an average of 10 minutes or less to complete, the respondent-burden for the MacNew is low and its acceptability is demonstrated by response rates of over 90%. Normative data are available for patients with myocardial infarction, angina, and heart failure in the English version.

Conclusion

The MacNew may be a valuable tool for assessing and evaluating health related quality of life in patients with heart disease.
Literature
1.
Geigle R, Jones SB: Outcomes measurement: a report from the front. Inquiry 1990, 27: 7–13.PubMed
2.
Leplege A, Hunt S: The problem of quality of life in medicine. JAMA 1997, 278: 47–50. 10.1001/jama.278.1.47PubMedCrossRef
3.
Schipper H, Clinch J, Olweny CLM: Quality of life studies: Definitions and conceptual issues. Quality of Life and Pharmacoeconomics in Clinical Trials [2nd edition] (Edited by: Spilker B). Philadelphia, Lippincott-Raven Publishers 1996, 11–23.
4.
Patrick DL, Erickson P: Health Status and Health Policy. Quality of Life in Health Care Evaluation and Resource Allocation. New York, Oxford University Press 1993, 1–478.
5.
Quality of life and clinical trials Lancet 1995, 346: 1–2.
6.
Engel GL: The need for a new medical model: a challenge for biomedicine. Science 1977, 196: 129–136.PubMedCrossRef
7.
Murray CJ, Lopez AD: Alternative projections of mortality and disability by cause 1990–2020: Global Burden of Disease Study. Lancet 1997, 349: 1498–1504. 10.1016/S0140-6736(96)07492-2PubMedCrossRef
8.
Ware J E, Jr: The status of health assessment 1994. Annu Rev Public Health 1995, 16: 327–354. 10.1146/annurev.pu.16.050195.001551PubMedCrossRef
9.
Spertus JA, Winder JA, Dewhurst TA, Deyo RA, Prodzinski J, McDonell M, Fihn SD: Development and evaluation of the Seattle Angina Questionnaire: A new functional status measure for coronary artery disease. J Am Coll Cardiol 1995, 25: 333–341. 10.1016/0735-1097(94)00397-9PubMedCrossRef
10.
Rector TS, Kubo SH, Cohn JN: Patients' self-assessment of their congestive heart failure: Content, reliability, and validity of a new measure, the Minnesota Living with Heart Failure questionnaire. Heart Failure 1987, 3: 198–209.
11.
Green CP, Porter CB, Bresnahan DR, Spertus JA: Development and evaluation of the Kansas City Cardiomyopathy Questionnaire: a new health status measure for heart failure. J Am Coll Cardiol 2000, 35: 1245–1255. 10.1016/S0735-1097(00)00531-3PubMedCrossRef
12.
Thompson DR, Jenkinson C, Roebuck A, Lewin RJ, Boyle RM, Chandola T: Development and validation of a short measure of health status for individuals with acute myocardial infarction: the Myocardial Infarction Dimensional Assessment Scale (MIDAS). Qual Life Res 2002, 11: 535–543. 10.1023/A:1016354516168PubMedCrossRef
13.
Guyatt GH, Jaeschke R, Feeny DH, Patrick DL: Measurement in clinical trials: Choosing the right approach. Quality of Life and Pharmacoeconomics in Clinical Trials (Edited by: Spilker B). Phildadelphia, Lippincott-Raven 1996, 41–48.
14.
Lim LL-Y, Valenti LA, Knapp JC, Dobson AJ, Plotnikoff R, Higginbotham N, Heller RF: A self-administered quality of life questionnaire after acute myocardial infarction. J Clin Epidemiol 1993, 46: 1249–1256.PubMedCrossRef
15.
Valenti L, Lim L, Heller RF, Knapp.J: An improved questionnaire for assessing quality of life after myocardial infarction. Qual Life Res 1996, 5: 151–161.PubMedCrossRef
16.
Oldridge N, Guyatt G, Jones N, Crowe J, Singer J, Feeny D, McKelvie R, Runions J, Streiner D, Torrance G: Effects on quality of life with comprehensive rehabilitation after acute myocardial infarction. Am J Cardiol 1991, 67: 1084–1089.PubMedCrossRef
17.
Hillers TK, Guyatt GH, Oldridge N, Crowe J, Willan A, Griffith L, Feeny D: Quality of life after myocardial infarction. J Clin Epidemiol 1994, 47: 1287–1296.PubMedCrossRef
18.
Juniper EF, Guyatt GH, Streiner DL, King DR: Clinical impact versus factor analysis for quality of life questionnaire construction. J Clin Epidemiol 1997, 50: 233–238. 10.1016/S0895-4356(96)00377-0PubMedCrossRef
19.
Lim LL-Y, Johnson NA, O'Connell RL, Heller RF: Quality of life and later adverse health outcomes in patients with suspected heart attack. Aust NZ J Pub Health 1998, 22: 540–546.CrossRef
20.
Oldridge N, Gottlieb M, Guyatt G, Jones N, Streiner D, Feeny D: Predictors of health-related quality of life with cardiac rehabilitation after acute myocardial infarction. J Cardiopulm Rehabil 1998, 18: 95–103. 10.1097/00008483-199803000-00002PubMedCrossRef
21.
Brotons Cuixart C, Ribera Sole A, Permanyer Miralda G, Cascant Castello P, Moral Pelaez I, Pinar Sopena J, Oldridge NB: Adaptation of the MacNew QLMI quality of life questionnaire after myocardial infarction to be used in the Spanish population [in Spanish]. Med Clin (Barc) 2000, 115: 768–771.CrossRef
22.
Dixon T, Lim L, Oldridge NB: The MacNew health-related quality of life instrument: Reference data for users. Qual Life Research 2002, 11: 173–183. 10.1023/A:1015005109731CrossRef
23.
Höfer S, Benzer W, Schussler G, von Steinbuchel N, Oldridge NB: Health-related quality of life in patients with coronary artery disease treated for angina: validity and reliability of German translations of two specific questionnaires. Qual Life Res 2003, 12: 199–212. 10.1023/A:1022272620947PubMedCrossRef
24.
Asadi-Lari M, Javadi H, Melville M, Oldridge NB, Gray D: Adaptation and administration of the MacNew quality of life questionnaire after myocardial infarction in an Iranian population. Health and Qual Life 2003, 1: 23 (01 Jul 2003).
25.
Benzer W, Höfer S, Oldridge NB: Health-related quality of life in patients with coronary artery disease after different treatments for angina in routine clinical practice. Herz 2003, 28: 421–428. 10.1007/s00059-003-2388-9PubMedCrossRef
26.
Höfer S, Benzer W, Brandt D, Laimer H, Schmid P, Bernardo A, Oldridge NB: Validation of the MacNew heart disease health-related quality of life questionnaire in German-speaking patients after myocardial infarction. Zeitschrift fuer klinische Psychologie, in press.
27.
Heller RF, Knapp JC, Valenti LA, Dobson AJ: Secondary prevention after acute myocardial infarction. Am J Cardiol 1993, 72: 759–762.PubMedCrossRef
28.
Foster C, Oldridge NB, Dion W, Forsyth G, Grevenow P, Hansen MA, Laughlin J, Plitcha C, Rabas S, Sharkey RE, Schmidt DH: Time course of recovery during cardiac rehabilitation. J Cardiopulmon Rehabil 1995, 15: 209–215.CrossRef
29.
Heller RF, Lim L, Valenti L, Knapp J: A randomised controlled trial of community based counselling among those discharged from hospital with ischaemic heart disease. Aust NZ Med J 1995, 25: 362–364.CrossRef
30.
Heller RF, Lim L, Valenti L, Knapp J: Predictors of quality of life after hospital admission for heart attack or angina. Int J Cardiol 1997, 59: 161–166. 10.1016/S0167-5273(97)02946-XPubMedCrossRef
31.
Dixon T, Lim LL, Powell H, Fisher JD: Psychosocial experiences of cardiac patients in early recovery: a community-based study. J Adv Nurs 2000, 31: 1368–1375. 10.1046/j.1365-2648.2000.01406.xPubMedCrossRef
32.
McConnell TR, Laubach CA, Memon M, Gardner JK, Klinger TA, Palm RJ: Quality of life and self-efficacy in cardiac rehabilitation patients over 70 years of age following acute myocardial infarction and bypass revascularization surgery. Am J Geriatric Cardiol 2000, 9: 210–218.CrossRef
33.
Smith HJ, Taylor R, Mitchell A: A comparison of four quality of life instruments in cardiac patients: SF-36, QLI, QLMI, and SEIQoL. Heart 2000, 84: 390–394. 10.1136/heart.84.4.390PubMedCentralPubMedCrossRef
34.
Dixon T, Lim LL, Heller RF: Quality of life: an index for identifying high-risk cardiac patients. J Clin Epidemiol 2001, 54: 952–960. 10.1016/S0895-4356(01)00368-7PubMedCrossRef
35.
Dempster M, Donnelly M, Fitzsimons D: Generic, disease-specific and individualised approaches to measuring health-related quality of life among people with heart disease - a comparative analysis. Psychol Health 2002, 17: 447–457.CrossRef
36.
McConnell TR, Mandak JS, Sykes JS, Fesniak H, Dasgupta H: Exercise training for heart failure patients improves respiratory muscle endurance, exercise tolerance, breathlessness, and quality of life. J Cardiopulm Rehabil 2003, 23: 10–16. 10.1097/00008483-200301000-00003PubMedCrossRef
37.
Gardner JK, McConnell TR, Klinger TA, Herman CP, Hauck CA, Laubach Jr CA: Quality of life and self-efficacy: Gender and diagnoses considerations for management during cardiac rehabilitation. J Cardiopulm Rehabil 2003, 23: 299–306. 10.1097/00008483-200307000-00007PubMedCrossRef
38.
Dijkers MP: Individualization in quality of life measurement: instruments and approaches. Arch Phys Med Rehabil 2003, 84: S3–14. 10.1053/apmr.2003.50241PubMedCrossRef
39.
Medical Outcomes Trust: Assessing health status and quality-of-life instruments: attributes and review criteria. Qual Life Res 2002, 11: 193–205. 10.1023/A:1015291021312CrossRef
40.
Hays RD, Anderson RT, Revicki D: Assessing reliability and validity of measurement in clinical trials. Quality of Life Assessment in Clinical Trials: Methods and Practice (Edited by: Staquet M J, Hays R D and Fayers PM). New York, Oxford University Press 1998, 169–182.
41.
Jaeschke R, Singer J, Guyatt GH: Ascertaining the minimal clinically important difference. Cont Clin Trials 1989, 10: 407–415. 10.1016/0197-2456(89)90005-6CrossRef
42.
Oldridge N, Perkins A, Marchionni N, Fumagalli S, Fattirolli F, Guyatt G: Number needed to treat in cardiac rehabilitation. J Cardiopulm Rehabil 2002, 22: 22–30. 10.1097/00008483-200201000-00003PubMedCrossRef
43.
Laupacis A, D Feeny, Detsky AS, Tugwell PX: Tentative guidelines for using clinical and economic evaluations revisited. Can Med Assoc J 1993, 148: 927–929.
44.
Smith RF, Johnson G, Ziesche S, G Bhat, Blankenship K, Cohn JN: Functional capacity in heart failure. Circulation 1993, 87: VI-88-VI-93.
Metadata
Title
The MacNew Heart Disease health-related quality of life instrument: A summary
Authors
Stefan Höfer
Lynette Lim
Gordon Guyatt
Neil Oldridge
Publication date
01-12-2004
Publisher
BioMed Central
Published in
Health and Quality of Life Outcomes / Issue 1/2004
Electronic ISSN: 1477-7525
DOI
https://doi.org/10.1186/1477-7525-2-3

Other articles of this Issue 1/2004

Health and Quality of Life Outcomes 1/2004 Go to the issue

Research

Comparison of the NEI-VFQ and OSDI questionnaires in patients with Sjögren's syndrome-related dry eye

Research

A randomised controlled trial to measure the effect of chest pain unit care upon anxiety, depression, and health-related quality of life [ISRCTN85078221]

Research

The use of bootstrap methods for analysing health-related quality of life outcomes (particularly the SF-36)

Research

The PedsQL™ Family Impact Module: Preliminary reliability and validity

Review

Health-related quality of life outcomes after kidney transplantation

Research

Factors influencing quality of life in patients with active tuberculosis