Reliability and validity of the Korean version of the Minnesota Living with Heart Failure Questionnaire

Moon, Ju Ryoung; Jung, Yoon Suk; Jeon, Eun‐Seok; Choi, Jin-Oh; Hwang, Joo Min; Lee, Sang‐Chol

doi:10.1016/j.hrtlng.2011.09.011

Cited by 20 publications

(25 citation statements)

References 33 publications

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“…Regarding construct validity, we found that the three factors explain 47.7% and 54.03% of the overall score in the Rasch analysis and PCA, respectively, with similar results previously reported by another study 27 , while in other studies the variance explained by these three factors has been higher (64.1 to 72%) 9,10,19,28 . Also, we found the following similarities with other authors; Heo, et al 27 evidenced that items (1 and 9) were loaded on physical dimension and items (14 and 16) presented loading <0.4.…”

Section: Interpretation Of Findingssupporting

confidence: 90%

“…Also, Bilbao, et al 24 reported two misfitting items (1 and 10). Considering that misfitting items have been identified in a third factor presenting the social dimension, as also shown in the current study, several authors have suggested to add a third factor to the total score 9,10,19,23,28 . However, it remains a challenge to reach a consensus on which of the different social factors proposed is the most appropriate and has the best psychometric properties, and therefore, future studies should examine further and use confirmatory techniques.…”

Section: Interpretation Of Findingssupporting

confidence: 59%

“…Ho, et al 19 showed that item 1 was loaded on physical dimension. Finally, Moon, et al 28 found that items (1, 9 and 10) were loaded on physical dimension.…”

Section: Interpretation Of Findingsmentioning

confidence: 98%

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Psychometric properties of the Minnesota Living with Chronic Heart Failure Questionnaire in a Colombian population

Rojas

Hernández

Trujillo

et al. 2019

revsal

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Introduction: Although the Minnesota Living with Heart Failure Questionnaire (MLHF-Q) is one of the most widely used tools to assess Health-Related Quality of Life (HRQoL) in patients with chronic heart failure (CHF), it has not been validated in Latin American Spanish-speaking populations. Objective: We evaluated internal consistency and construct validity of the MLHF-Q in patients with CHF from Colombia. Methods: The Spanish version of the MLHF-Q was given to 200 patients. Cronbach's alpha was used to evaluate internal consistency. Confirmatory factorial Principal Component Analysis (PCA) and Rasch analysis were used to evaluate construct validity. The discriminative capacity was measured using the Mann-Whitney U test. Results: Median age was 64 years, 63% of the patients included in the study were men, and 79.5% had a left ventricular ejection fraction (LVEF) ≤ 45%. The median of the total score of HRQoL was 40 points (Q1=20; Q3=55), physical dimension 11 points (Q1=4; Q3=23) and emotional dimension 7 points (Q1=3; Q3=13). Global internal consistency of MLHF-Q was 0.91 (95% CI 0.89-0.93). In the PCA, the three dimensions explained 47.7% and 54.0% in Rasch analysis, in which five items presented misfit. Worse HRQoL was observed among women than men in the emotional dimension (p=0.047). Discriminative capacity for the overall score of the MLHF-Q and their subscales was observed in age and New York Heart Association (NYHA) functional class (p<0.05). Conclusions: Our findings confirmed the three-factor structure of the MLHF-Q, and satisfactory level for internal consistency. Additionally, these results suggest that the questionnaire adequately reflects the severity of the disease. However, further studies are required to validate these findings in Colombian population and to evaluate the sensitivity to change of the MLHF-Q in longitudinal designs.

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Section: Interpretation Of Findingssupporting

confidence: 90%

Section: Interpretation Of Findingssupporting

confidence: 59%

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Psychometric properties of the Minnesota Living with Chronic Heart Failure Questionnaire in a Colombian population

Rojas

Hernández

Trujillo

et al. 2019

revsal

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“…It affects around 2 to 3 % of the population and the prevalence increases with age, affecting as much as around 10 to 20 % of the population over 65 years old [ 1 – 3 ]. In developed countries, the prevalence of HF is increasing due to population aging, longer survival of patients and effectiveness of secondary prevention [ 4 , 5 ]. Projections indicate that the prevalence of HF will increase as much as 46 % from 2012 to 2030 [ 1 ].…”

Section: Introductionmentioning

confidence: 99%

“…Instruments to assess HRQoL provide a way to explore the perceptions of patients about how HF affects their daily lives and wellbeing, providing information that cannot be obtained directly from clinical measurements [ 5 ]. In recognition of this, improving the HRQoL has emerged as an important treatment goal [ 4 , 9 , 10 ].…”

Section: Introductionmentioning

confidence: 99%

The Minnesota living with heart failure questionnaire: comparison of different factor structures

Bilbao

Escobar

García-Pérez

et al. 2016

Health Qual Life Outcomes

116

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BackgroundThe Minnesota Living with Heart Failure Questionnaire (MLHFQ) is one of the most widely used health-related quality of life questionnaires for patients with heart failure (HF). It provides scores for two dimensions, physical and emotional, and a total score. However, there are some concerns about its factor structure and alternatives have been proposed, some including a third factor representing a social dimension. The objectives of the present study were to analyze the internal structure of the MLHFQ and the unidimensionality of the total score, and to compare the different factor structures proposed.MethodsThe MLHFQ was given to 2565 patients with HF. The structural validity of the questionnaire was assessed by confirmatory factor analysis (CFA), and Rasch analysis. These two approaches were also applied to the alternative structures proposed.ResultsThe CFA results for the hypothesized model of two latent factors and the Rasch analysis confirmed the adequacy of the physical and emotional scales. Rasch analysis for the total score showed only two problematic items. The results of the CFA for other two-factor structures proposed were not better than the results for the original structure. The Rasch analyses applied to the different social factors yielded the best results for Munyombwe’s social dimension, composed of six items.ConclusionsOur results support the validity of using the MLHFQ physical, emotional and total scores in patients with HF, for clinical practice and research. In addition, they confirmed the existence of a third factor, and we recommend the use of Munyombwe’s social factor.

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Assessment of patient-reported outcomes measures in heart failure: a systematic review

Mendes,

dos Santos,

Sousa-Pinto

2024

Heart Fail Rev

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Reliability and validity of the Korean version of the Minnesota Living with Heart Failure Questionnaire

Cited by 20 publications

References 33 publications

Psychometric properties of the Minnesota Living with Chronic Heart Failure Questionnaire in a Colombian population

Psychometric properties of the Minnesota Living with Chronic Heart Failure Questionnaire in a Colombian population

The Minnesota living with heart failure questionnaire: comparison of different factor structures

Assessment of patient-reported outcomes measures in heart failure: a systematic review

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