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Quality of Life Research

, Volume 28, Issue 1, pp 267–275 | Cite as

Confirmatory factor analysis of the Minnesota living with heart failure questionnaire among patients following open heart surgery for valve dysfunction

  • Scott D. BarnettEmail author
  • Eric L. Sarin
  • Linda Henry
  • Linda Halpin
  • Grace Pritchard
  • Alan M. Speir
Article

Abstract

Introduction

The Minnesota Living with Heart Failure Questionnaire (MLHFQ) was designed to assess the impact of the adverse effects of heart failure (HF). Numerous reports suggest an additional third factor with the proposed third factor representing a social dimension. The purpose of this study was to use confirmatory factor analysis (CFA) to validate the factor structure of the MLWHFQ, and examine a proposed third factor structure.

Methods

Participants were 1290 individuals with open heart surgery for isolated valve repair or replacement between September 2005 and May 2016. Confirmatory factor analysis was used to assess both initial and proposed alternate factor structures.

Results

CFA indicated a poor fit for the original proposed 2-factor solution [root mean square error of approximation (RMSEA) = 0.116], whereas separate proposed 3-factor solutions with varying item scoring fit marginally well (RMSEA = 0.080, 0.089). The CFA suggests the existence of a third dimension, social, beyond the established original two-factor solution. Results suggest in a direct comparison of proposed social dimensions, both Garin’s four item solution and Munyombwe’s six-item solution provide similar results.

Conclusions

Results suggest support for an additional third factor among patients undergoing isolated valve replacement surgery. We suggest given the inclusion of items important to our population, relatively strong fit indices, and correlation with the SF-12, the social dimension proposed by Munyombwe best fits our population.

Keywords

Heart failure Health-related quality of life Confirmatory factor analysis Heart valve procedures Minnesota Living with Heart Failure Questionnaire 

Notes

Funding

No funding was received for this study.

Compliance with ethical standards

Conflict of interest

We have no financial or non-financial conflicts of interest to report.

Ethics approval and consent to participate

This survey was approved by the Inova Health System local Institutional Review Board.

References

  1. 1.
    Roberts, W. C., & Ko, J. M. (2005). Frequency by decades of unicuspid, bicuspid, and tricuspid aortic valves in adults having isolated aortic valve replacement for aortic stenosis, with or without associated aortic regurgitation. Circulation, 111, 920–925.CrossRefGoogle Scholar
  2. 2.
    Rector, T. S., Kubo, S. H., & Cohn, J. N. (1987). Patients’ self-assessment of their congestive heart failure. Part 2: Content, reliability and validity of a new measure, The Minnesota Living with Heart Failure Questionnaire. Heart Failure, 3, 198–209.Google Scholar
  3. 3.
    Rector, T. S., & Cohn, J. N. (1992). Assessment of patient outcome with the Minnesota Living with Heart Failure questionnaire: Reliability and validity during a randomized, double-blind, placebo-controlled trial of pimobendan. Pimobendan Multicenter Research Group. American Heart Journal, 124[4], 1017–1025.CrossRefGoogle Scholar
  4. 4.
    Garin, O., Herdman, M., Vilagut, G., et al. (2014). Assessing health-related quality of life in patients with heart failure: A systematic, standardized comparison of available measures. Heart Failure Reviews, 19(3), 359–367.CrossRefGoogle Scholar
  5. 5.
    Middel, B., Bouma, J., de Jongste, M., et al. (2001). Psychometric properties of the Minnesota Living with Heart Failure Questionnaire (MLHF-Q). Clinical Rehabilitation, 15(5), 489–500.CrossRefGoogle Scholar
  6. 6.
    Naveiro-Rilo, J. C., Diez-Juárez, D. M., Romero, B. A., et al. (2010). Validation of the Minnesota living with heart failure questionnaire in primary care. Revista Espanola de Cardioloia, 63(12), 1419–1427.CrossRefGoogle Scholar
  7. 7.
    Munyombwe, T., Hofer, S., Fitzsimons, D., et al. (2014). An evaluation of the Minnesota Living with Heart Failure Questionnaire using Rasch analysis. Quality of Life Research, 23(6), 1753–1765.CrossRefGoogle Scholar
  8. 8.
    Bennet, S. J., Oldridge, N. B., Eckert, G. J., et al. (2002). Discriminant properties of commonly used quality of life measures in heart failure. Quality of Life Research, 11[4], 349–359.CrossRefGoogle Scholar
  9. 9.
    Supino, P. G., Borer, J. S., Franciosa, J. A., et al. (2009). Acceptability and psychometric properties of the Minnesota Living With Heart Failure Questionnaire among patients undergoing heart valve surgery: Validation and comparison with SF-36. Journal of Cardiac Failure, 15(3), 267–277.CrossRefGoogle Scholar
  10. 10.
    Garin, O., Ferrer, M., Pont, A., et al. (2013). Evidence on the global measurement model of the Minnesota Living with Heart Failure Questionnaire. Quality of Life Research, 22(10), 2675–2684.CrossRefGoogle Scholar
  11. 11.
    Moon, J. R., Jung, Y. Y., Jeon, E. S., et al. (2012). Reliability and validity of the Korean version of the Minnesota Living with Heart Failure Questionnaire. Heart and Lung, 41(1), 57–66.CrossRefGoogle Scholar
  12. 12.
    Lambrinou, E., Kalogirou, F., Lamnisos, D., et al. (2013). Evaluation of the psychometric properties of the Greek version of the Minnesota Living With Heart Failure questionnaire. Journal of Cardiopulmonary Rehabilitation and Prevention, 33[4], 229–233.CrossRefGoogle Scholar
  13. 13.
    Heo, S., Moser, D. K., Riegel, B., et al. (2005). Testing the psychometric properties of the Minnesota Living with Heart Failure questionnaire. Nursing Research, 54[4], 265–272.Google Scholar
  14. 14.
    Bilbao, A., Escobar, A., Garcia_perez, L., Navarroa, G., & Quiros, R. (2016). The Minnesota living with heart failure questionnaire: Comparison of different factor structures. Health and Quality of Life Outcomes, 14, 23.CrossRefGoogle Scholar
  15. 15.
    Ware, J. Jr., Kosinski, M., & Keller, S. D. (1996). A 12-Item Short-Form Health Survey: Construction of scales and preliminary tests of reliability and validity. Medical Care, 34(3), 220–233.CrossRefGoogle Scholar
  16. 16.
    Ho, C. C., Clochesy, J. M., Madigan, E., & Liu, C. C. (2007). Psychometric evaluation of the Chinese version of the Minnesota Living with Heart Failure Questionnaire. Nursing Research, 56(6), 441–448.CrossRefGoogle Scholar
  17. 17.
    King, K. B., & Reis, H. T. (2012 Jan). Marriage and long-term survival after coronary artery bypass grafting. Health Psychology, 31(1), 55–62.CrossRefGoogle Scholar
  18. 18.
    Idler, E. L., Boulifard, D. A., & Contrada, R. J. (2012 Mar). Mending broken hearts: Marriage and survival following cardiac surgery. Journal of Health and Social Behavior, 53(1), 33–49.CrossRefGoogle Scholar

Copyright information

© Springer Nature Switzerland AG 2018

Authors and Affiliations

  • Scott D. Barnett
    • 1
    Email author
  • Eric L. Sarin
    • 1
  • Linda Henry
    • 1
  • Linda Halpin
    • 1
  • Grace Pritchard
    • 1
  • Alan M. Speir
    • 1
  1. 1.Department of Cardiac Surgery ResearchInova Heart and Vascular InstituteFalls ChurchUSA

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