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Translation and evaluation of the HeartQoL in patients with coronary heart disease in Iceland

Svavarsdottir, Margret Hroenn (author)
Univ Akureyri, Iceland
Ingadottir, Brynja (author)
Univ Iceland, Iceland;Landspitali Univ Hosp, Iceland
Oldridge, Neil (author)
Univ Wisconsin, USA
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Årestedt, Kristofer, 1968- (author)
Linnéuniversitetet,Institutionen för hälso- och vårdvetenskap (HV),Region Kalmar County, Sweden
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 (creator_code:org_t)
BioMed Central (BMC), 2023
2023
English.
In: Health and Quality of Life Outcomes. - : BioMed Central (BMC). - 1477-7525. ; 21:1
  • Journal article (peer-reviewed)
Abstract Subject headings
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  • BackgroundHealth-related quality of life (HRQoL) reflects an individual's own perception of their symptom burden, functional limitations, prognosis, overall health and changes associated with treatment. The HeartQoL is a validated heart disease-specific questionnaire with a physical and an emotional subscale that is used internationally to assess HRQoL in patients with coronary heart disease (CHD). The aim of this study was to translate and evaluate the psychometric properties of the HeartQoL in patients with CHD in Iceland.MethodsPatients & GE; 18 years (n = 396; mean age 64.4 & PLUSMN; 8.8 years; 79.6% male) admitted with CHD were recruited from two hospitals in Iceland and completed the Icelandic versions of the HeartQoL, Short-Form 12v2 Health Survey (SF-12v2), and Hospital Anxiety and Depression Scale (HADS). A subsample of 47 patients completed the HeartQoL 14 days later. Confirmatory factor analysis for ordinal data was used to evaluate the measurement model with a physical and an emotional subscale. Convergent and divergent validity, internal consistency, and test-retest reliability were evaluated.ResultsOverall, the hypothesized two-factor structure of the Icelandic version of the HeartQoL was supported. However, problems with cross-loadings and correlated error variances were identified. Convergent and divergent validity were supported in correlational analyses between HeartQoL, SF-12v2, and HADS. Internal consistency reliability, measured by ordinal alpha, was good for the physical (& alpha; = 0.96) and emotional (& alpha; = 0.90) subscale. According to intraclass correlations (ICC), acceptable test-retest reliability was demonstrated (ICC = 0.79-0.86).ConclusionWith the two-factor structure confirmed, the Icelandic HeartQoL demonstrated satisfactory psychometric properties in the sample of patients with CHD. Users of the instrument can use the original scoring.

Subject headings

MEDICIN OCH HÄLSOVETENSKAP  -- Hälsovetenskap -- Omvårdnad (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Health Sciences -- Nursing (hsv//eng)

Keyword

Heart disease
Patient-reported outcome measures
Health-related quality of life
Validation
Reliability
Validity
Omvårdnad
Nursing

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ref (subject category)
art (subject category)

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Linnaeus University

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