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

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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.

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Authors and Affiliations

  1. Department of Medical Psychology and Psychotherapy, Medical University Innsbruck, Schöpfstr. 23a, A-6020 , Innsbruck, Austria

    S. Höfer

  2. Department of Psychology, Royal College of Surgeons, Ireland

    S. Höfer

  3. Department of Cardiac Surgery, University Hospital Graz, Austria

    M. Anelli-Monti

  4. Department of Cardiology, Medical University Innsbruck, Austria

    T. Berger & F. Hintringer

  5. College of Health Sciences, University of Wisconsin-Milwaukee, Wisconsin, USA

    N. Oldridge

  6. Department of Interventional Cardiology, Academic Hospital, Feldkirch, Austria

    W. Benzer

Authors
  1. S. Höfer
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  2. M. Anelli-Monti
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  3. T. Berger
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  4. F. Hintringer
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  5. N. Oldridge
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  6. W. Benzer
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Correspondence to S. Höfer.

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Höfer, S., Anelli-Monti, M., Berger, T. et al. Psychometric Properties of an Established Heart Disease Specific Health-related Quality of Life Questionnaire for Pacemaker Patients. Qual Life Res 14, 1937–1942 (2005). https://doi.org/10.1007/s11136-005-4347-9

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  • DOI: https://doi.org/10.1007/s11136-005-4347-9

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