Validation of the French version of the MacNew heart disease health-related quality of life questionnaire

Bruno Pavy; Marie-Christine Iliou; Stefan Höfer; Bénédicte Vergès-Patois; Sonia Corone; Patrick Aeberhard; Daniel Curnier; Jacques Henry; Anne Ponchon-Weess; Neil Oldridge

doi:10.1016/j.acvd.2014.09.006

Validation of the French version of the MacNew heart disease health-related quality of life questionnaire

Arch Cardiovasc Dis. 2015 Feb;108(2):107-17. doi: 10.1016/j.acvd.2014.09.006. Epub 2014 Nov 12.

Authors

Affiliations

¹ Cardiovascular rehabilitation department, Loire-Vendée-Océan hospital, boulevard des Régents, 44270 Machecoul, France. Electronic address: pavy.bruno@wanadoo.fr.
² Cardiac rehabilitation department, Corentin-Celton hospital, AP-HP, Issy-Les-Moulineaux, France.
³ Department of medical psychology, Innsbruck medical university, Innsbruck, Austria.
⁴ Cardiac rehabilitation unit, clinique SSR les Rosiers, Dijon, France.
⁵ Cardiac rehabilitation department, Bligny, France.
⁶ Centre cardiologique du Nord, Saint-Denis, France.
⁷ Research center, Sainte-Justine hospital, Montreal, QC, Canada; Cardiovascular and pulmonary rehabilitation centre, Saint-Orens, France.
⁸ RECOR Orangerie centre, Strasbourg, France.
⁹ College of Health Sciences, University of Wisconsin-Milwaukee, Milwaukee, Wisconsin, USA.

PMID: 25453715
DOI: 10.1016/j.acvd.2014.09.006

Abstract

Background: Assessment of health-related quality of life is widely recommended by European health agencies in relevant research studies as well as in clinical care.

Aims: To validate the French version of the MacNew heart disease health-related quality of life questionnaire.

Methods: As part of the International HeartQoL Project, 323 French-speaking patients with ischaemic heart disease (angina, n=76; myocardial infarction [MI], n=155; heart failure, n=91; mean age 58.6±11.3 years) were recruited at seven cardiac rehabilitation centres. All patients completed the French versions of the MacNew questionnaire, the Short Form-36 Health Survey (SF-36) and the Hospital Anxiety and Depression Scale, to evaluate the psychometric properties of the French version of the MacNew instrument.

Results: The mean MacNew global scale scores were 4.6±0.8, 5.0±1.0 and 4.8±0.9 in patients with angina, MI and heart failure, respectively (P<0.05, MI versus angina). We observed minimal missing items and ceiling effects and no floor effects. Factor analysis confirmed a three factorial structure explaining 55.9% of the observed variance. Internal consistency reliability (Cronbach's α) ranged from 0.86 to 0.94 and test-retest reliability ranged from 0.68 to 0.73 Convergent validity was confirmed in the total group and each diagnosis, although the correlations between the MacNew physical subscale and the SF-36 mental component summary were higher than expected. Discriminative validity was partially confirmed with the SF-36 health transition item and fully confirmed with anxiety and depression as predictor variables.

Conclusion: The French version of MacNew questionnaire is recommended for assessing health-related quality of life in French-speaking patients with ischaemic heart disease.

Keywords: Cardiopathie ischémique; French version; Ischaemic heart disease; MacNew questionnaire; Quality of life; Qualité de vie; Questionnaire MacNew; Version française.

Publication types

Multicenter Study
Validation Study

MeSH terms

Adult
Factor Analysis, Statistical
France
Health Status Indicators
Heart Diseases*
Humans
Myocardial Ischemia
Psychometrics
Quality of Life*
Surveys and Questionnaires*
Young Adult