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


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.


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


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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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