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Quality of Life Research

, Volume 14, Issue 8, pp 1937–1942 | Cite as

Psychometric Properties of an Established Heart Disease Specific Health-related Quality of Life Questionnaire for Pacemaker Patients

  • S. HöferEmail author
  • M. Anelli-Monti
  • T. Berger
  • F. Hintringer
  • N. Oldridge
  • W. Benzer
Brief communication

Abstract

Little is known about the HRQL of pacemaker patients due to the limited availability of disease-specific instruments. The aim of the Pacemaker Patients Quality of Life (PAPQoL) study was to determine the psychometric properties for the MacNew Heart Disease Health-related Quality of Life Questionnaire (MacNew) in patients before and after pacemaker implantation. Patients with a given indication for pacemaker therapy (N = 68) completed two self-administered HRQL instruments, the SF-36, a well-known and psychometrically sound health survey, and the MacNew, a reliable and valid heart-disease-specific HRQL instrument, before and one, three and six months after pacemaker implantation. We assessed disease severity with the New York Heart Association (NYHA) classification. Test–retest reliability, intra-class correlation, Cronbach’s α, validity coefficients, sensitivity analyses (effect sizes) and confirmatory factor analysis were carried out. The MacNew demonstrated adequate reliability (Cronbach’s α and ICCs > 0.80 on all scales), validity (correlations between similar SF-36 and MacNew subscales > 0.80), and responsiveness (all effect sizes ≥ 0.67) in pacemaker patients. The MacNew demonstrates adequate psychometric properties for evaluating HRQL in patients before and after pacemaker implantation.

Keywords

Cardiology health related quality of life heart disease MacNew pacemaker implantation pacemaker patients pacemaker therapy questionnaire reliability responsiveness validity 

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References

  1. 1.
    Linde, C. 1996How to evaluate quality-of-life in pacemaker patients: problems and pitfallsPacing Clin Electrophysiol19391397PubMedGoogle Scholar
  2. 2.
    Editorial.1995Quality of life and clinical trialsLancet34612Google Scholar
  3. 3.
    Taylor, RS, Brown, A, Ebrahim, S, Jolliffe, J, Noorani, H, Rees, K,  et al. 2004Exercise-based rehabilitation for patients with coronary heart disease: Systematic review and meta-analysis of randomized controlled trialsAm J Med116682692CrossRefPubMedGoogle Scholar
  4. 4.
    Stofmeel, MA, Post, MW, Kelder, JC, Grobbee, DE, Hemel, NM. 2000Quality-of-life of pacemaker patients: A reappraisal of current instrumentsPacing Clin Electrophysiol23946952PubMedGoogle Scholar
  5. 5.
    Linde, C. 2000Quality-of-life in pacemaker and implantable cardioverter defibrillator recipientsPacing Clin Electrophysiol23931933CrossRefPubMedGoogle Scholar
  6. 6.
    Montanez, A, Hennekens, CH, Zebede, J, Lamas, GA. 2003Pacemaker mode selection: The evidence from randomized trialsPacing Clin Electrophysiol2612701282CrossRefPubMedGoogle Scholar
  7. 7.
    Gadler, F, Linde, C, Daubert, C, McKenna, W, Meisel, E, Aliot, E,  et al. 1999Significant improvement of quality of life following atrioventricular synchronous pacing in patients with hypertrophic obstructive cardiomyopathy. Data from 1 year of follow-up. PIC study group. Pacing In CardiomyopathyEur Heart J2010441050CrossRefPubMedGoogle Scholar
  8. 8.
    Linde, C, Braunschweig, F, Gadler, F, Bailleul, C, Daubert, JC. 2003Long-term improvements in quality of life by biventricular pacing in patients with chronic heart failure: Results from the Multisite Stimulation in Cardiomyopathy study (MUSTIC)Am J Cardiol9110901095CrossRefPubMedGoogle Scholar
  9. 9.
    Linde-Edelstam, C, Nordlander, R, Unden, AL, Orth-Gomer, K, Ryden, L. 1992Quality-of-life in patients treated with atrioventricular synchronous pacing compared to rate modulated ventricular pacing: A long-term, double-blind, crossover studyPacing Clin Electrophysiol1514671476PubMedGoogle Scholar
  10. 10.
    Stofmeel, MA, Post, MW, Kelder, JC, Grobbee, DE, Hemel, NM. 2001Changes in quality-of-life after pacemaker implantation: Responsiveness of the Aquarel questionnairePacing Clin Electrophysiol24288295CrossRefPubMedGoogle Scholar
  11. 11.
    Stofmeel, MA, Post, MW, Kelder, JC, Grobbee, DE, Hemel, NM. 2001Psychometric properties of Aquarel. a disease-specific quality of life questionnaire for pacemaker patientsJ Clin Epidemiol54157165CrossRefPubMedGoogle Scholar
  12. 12.
    Höfer, S, Lim, LL, Guyatt, GH, Oldridge, N. 2004The MacNew heart disease health-related quality of life instrument: A summaryHealth Qual Life Outcomes23CrossRefPubMedGoogle Scholar
  13. 13.
    Ware, JE,Jr. 2000SF-36 health survey updateSpine2531303139CrossRefPubMedGoogle Scholar
  14. 14.
    Bullinger, M, Kirchberger, I. 1998SF-36 Fragebogen zum GesundheitszustandHogrefe VerlagGöttingenGoogle Scholar
  15. 15.
    Trust SACotMO.2002Assessing health status and quality-of-life instruments: Attributes and review criteriaQual Life Res11193205Google Scholar
  16. 16.
    Cohen, J. 1988Statistical Power Analysis for the Behavioral SciencesLawrence Erlbaum Assoc.Hillsdale NJGoogle Scholar
  17. 17.
    Hays, RDA, RT. //Revicki, D. 1998Assessing reliability and validity of measurement in clinical trialsStaquet, MHR.D. Fayers, PM eds. Quality of Life Assessment in Clinical Trials: Methods and Practice.Oxford University PressNew York169182Google Scholar
  18. 18.
    Criteria Committee of the New York Heart Association1994Nomenclature and Criteria for Diagnosis of Diseases of the Heart and Great Vessels9Little Brown and CompanyBostonGoogle Scholar
  19. 19.
    McCullough, PA, Abraham, WT. 2003Does quality of life evidence assist in the selection of patients for resynchronization therapy?Card Electrophysiol Rev77176CrossRefPubMedGoogle Scholar
  20. 20.
    Lamas, GA, Orav, EJ, Stambler, BS, Ellenbogen, KA, Sgarbossa, EB, Huang, SK,  et al. 1998Quality of life and clinical outcomes in elderly patients treated with ventricular pacing as compared with dual-chamber pacing. Pacemaker Selection in the Elderly InvestigatorsN Engl J Med33810971104CrossRefPubMedGoogle Scholar
  21. 21.
    Lamas, GA, Lee, KL, Sweeney, MO, Silverman, R, Leon, A, Yee, R,  et al. 2002Ventricular pacing or dual-chamber pacing for sinus-node dysfunctionN Engl J Med34618541862CrossRefPubMedGoogle Scholar
  22. 22.
    Newman, D, Lau, C, Tang, AS, Irvine, J, Paquette, M, Woodend, K,  et al. 2003Effect of pacing mode on health-related quality of life in the Canadian Trial of Physiologic PacingAm Heart J145430437CrossRefPubMedGoogle Scholar

Copyright information

© Springer 2005

Authors and Affiliations

  • S. Höfer
    • 1
    • 2
    Email author
  • M. Anelli-Monti
    • 3
  • T. Berger
    • 4
  • F. Hintringer
    • 4
  • N. Oldridge
    • 5
  • W. Benzer
    • 6
  1. 1.Department of Medical Psychology and PsychotherapyMedical University InnsbruckInnsbruckAustria
  2. 2.Department of PsychologyRoyal College of SurgeonsIreland
  3. 3.Department of Cardiac SurgeryUniversity Hospital GrazAustria
  4. 4.Department of CardiologyMedical University InnsbruckAustria
  5. 5.College of Health SciencesUniversity of Wisconsin-MilwaukeeWisconsinUSA
  6. 6.Department of Interventional CardiologyAcademic HospitalFeldkirchAustria

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