Validation of the Arabic Version of the Minnesota Living with Heart Failure Questionnaire

Zahwe, Mariam; Isma’eel, Hussain; Skouri, Hadi; Al‐Hajje, Amal; Rachidi, Samar; Tamim, Hani; Noureddine, Samar

doi:10.1016/j.hrtlng.2019.10.006

Cited by 18 publications

(21 citation statements)

References 22 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…According to Fu et al (2016) [47] and Mogle et al (2017) [48] who have validated the MLHFQ to Taiwan and Spanish populations, the mean MLHFQ score was 25.3 and 27.8 respectively. But a couple of studies have reported higher mean MLHFQ scores [49,50]. Therefore, the sample used in the present study may not represent the wide spectrum of HF population.…”

Section: Discussionmentioning

confidence: 95%

Mapping the Minnesota living with heart failure questionnaire (MLHFQ) to EQ-5D-5L in patients with heart failure

Kularatna

Senanayake

Chen

et al. 2020

Health Qual Life Outcomes

View full text Add to dashboard Cite

Background: Mapping algorithms can be used to convert scores from a non-preference based instrument to health state utilities. The objective of this study was to develop mapping algorithms which will enable the Minnesota Living with Heart Failure Questionnaire (MLHFQ) scores to be converted into EQ-5D-5L utility scores that can be used in heart failure related cost utility studies. Method: Patients diagnosed with heart failure were recruited from Australia. Mapping algorithms were developed using both direct and indirect response mapping approach. Three model specifications were considered to predict the EQ-5D-5 L utility score using MLHFQ total score (Model 1), MLHFQ domain scores (Model 2), or MLHFQ item scores (Model 3). Six regression techniques, each of which has the capability to cope with either skewness, heteroscedasticity, ceiling effects and/or the potential presence of outliers in the data set were used to identify the optimal mapping functions for each of the three models. Goodness-of-fit of the models were assessed using six indicators. In the absence of an external validation dataset, predictive performance of was assessed using threefold cross validation method. In the indirect response mapping, EQ. 5D 5 L responses were predicted separately using the MLHFQ item scores using ordered logit model. Results: A total of 141 patients participated in the study. The lowest mean absolute error (MAE) was recorded from the multivariable fractional polynomials (MFP) model in all three-model specifications. Regarding the indirect response mapping, results showed that the performance was comparable with the direct mapping approach based on root mean squared error (RMSE) but was worse based on MAE. Conclusion: The MLHFQ can be mapped onto EQ-5D-5 L utilities with good predictive accuracy using both direct and indirect response mapping techniques. The reported mapping algorithms would facilitate calculation of health utility for economic evaluations related to heart failure.

show abstract

Section: Discussionmentioning

confidence: 95%

Mapping the Minnesota living with heart failure questionnaire (MLHFQ) to EQ-5D-5L in patients with heart failure

Kularatna

Senanayake

Chen

et al. 2020

Health Qual Life Outcomes

View full text Add to dashboard Cite

show abstract

“…Besides, patients were also asked to complete two questionnaires: the Minnesota Living with Heart Failure Questionnaire (MLHFQ) [ 16,17 ] and the Patient Health Questionnaire‐9 (PHQ‐9) [ 18,19 ] to assess their QOL and depression respectively.…”

Section: Methodsmentioning

confidence: 99%

“…The MLHFQ has a summative score that ranges from 0 to 105; the higher the score, the lower the QOL. [ 16,17 ]…”

Section: Methodsmentioning

confidence: 99%

Potentially inappropriate medications in elderly patients with heart failure: Beers Criteria-based study

Zahwe

Skouri

Rachidi

et al. 2020

International Journal of Pharmacy Practice

Self Cite

View full text Add to dashboard Cite

Objectives Primary objectives were to evaluate the use of potentially inappropriate medication (PIM) use in elderly heart failure (HF) patients and the factors associated with the number of PIMs. Secondary objectives were to test for the correlation between PIMs and quality of life (QOL) and depression. Methods A cross‐sectional study was conducted among 125 elderly Lebanese HF patients with left ventricular ejection fraction <50%. Data on socio‐demographics, clinical data and medications were collected. Patients were interviewed with Minnesota living with Heart Failure Questionnaire (MLHFQ) and Patient Health Questionnaire‐9 (PHQ‐9). Medication profile per patient was evaluated for PIMs using Beers Criteria. The correlations between the number of PIMs and the MLHFQ, PHQ‐9 and the number of medications were tested using Pearson’s correlation. Linear regression was done to predict the factors associated with the number of PIMs. Key findings Patients were taking a total of 1035 medications with a mean of 8.28 ± 3.14 medications. In total, 80.0% of patients were taking at least one PIM. Diuretics (55.2%) and proton pump inhibitors (41.6%) were most commonly prescribed PIMs. The number of PIMs was moderately correlated with the number of medications and the MLHFQ score. Linear regression showed that the number of medications, age ≥85 years, chronic kidney disease and HF with New York Heart Association III were associated with more PIMs. Conclusions A high percentage of PIMs was found among a sample of elderly Lebanese HF patients. HF multidisciplinary team is needed to control the prescription of PIMs in this vulnerable population.

show abstract

“…The MLHFQ has advantages over generic scales, as it has the responsiveness and the capacity to discriminate between different magnitudes of change in individuals' HRQoL (Garin et al, 2009;Rajati et al, 2016;Napier et al, 2018;Gonzalez-SaenzdeTejada et al, 2019). This scale has been adapted and translated to at least 34 languages in various countries and has shown good psychometric properties (Sneed et al, 2001;Bennett et al, 2003;Heo et al, 2005;Ho et al, 2007;Garin et al, 2008Garin et al, , 2013Garin et al, , 2014Moon et al, 2012;Bilbao et al, 2016;Zahwe et al, 2020). Yet, up to date, there is a lack of studies that would examine the reliability/precision and validity of the MLHFQ in a large sample of individuals with CAD following ACS.…”

Section: Introductionmentioning

confidence: 99%

“…Specifically, some of the studies indicated a two-factor solution (i.e., physical and emotional dimensions) (Middel et al, 2001;Garin et al, 2013;Brokalaki et al, 2015;Bilbao et al, 2016) that includes the original MLHFQ study (Rector and Cohn, 1992). However, ample published studies that validated the three-factor internal structure of the MLHFQ also exist (Heo et al, 2005;Ho et al, 2007;Moon et al, 2012;Lambrinou et al, 2013;Munyombwe et al, 2014;Mogle et al, 2017;Barnett et al, 2019;Zahwe et al, 2020) that report the potential existence of a third factor of "social domain." Even though the inconsistent findings might be attributed to a variety of methodological aspects and cultural differences, further studies in a large sample of individuals with HF are warranted.…”

Section: Introductionmentioning

confidence: 99%

Validation and Psychometric Properties of the Minnesota Living With Heart Failure Questionnaire in Individuals With Coronary Artery Disease in Lithuania

et al. 2022

View full text Add to dashboard Cite

BackgroundHealth-related quality of life (HRQoL) is known to be impaired in individuals with coronary artery disease (CAD), especially in those after a recent acute coronary syndrome (ACS). Heart failure (HF) is a common burden in this population that significantly contributes to worsening HRQoL. To accurately measure the level of HRQoL in individuals with CAD after ACS, disease-specific scales, such as the Minnesota living with heart failure questionnaire (MLHFQ), are recommended. Nevertheless, to date, there has not been a study that would comprehensively evaluate the psychometric properties of the MLHFQ in a large sample of individuals with CAD after ACS. The debate regarding the internal structure of MLHFQ is also still present. Hence, this study aimed to translate the MLHFQ and evaluate its internal structure, reliability/precision, and validity in individuals with CAD following ACS in Lithuania.MethodsIn the cross-sectional study, 1,083 participants (70% men, age M = 58, SD = 9) were evaluated for sociodemographic and clinical characteristics. HRQoL was measured using the MLHFQ and the Short Form-36 health survey (SF-36). In addition, exercise capacity (EC) was also evaluated in the study patients, using a standardized computer-driven bicycle ergometer.ResultsThe internal consistency of the MLHFQ subscales (0.79−0.88) was found to be good. Confirmatory factor analysis (CFA) provided the support for the three-factor model (“physical domain,” “social domain,” and “emotional domain”) of the MLHFQ and showed acceptable fit [comparative fit indices (CFI) = 0.894; goodness-of-fit (GFI) = 0.898; non-normal fit index (NFI) = 0.879, and root mean square error of approximation (RMSEA) = 0.073]. Regarding convergent evidence, significant associations were found between the MLHFQ domains and the SF-36 domains and EC (r’s range 0.11−0.58).ConclusionThe current study completed cultural validation and provided further information on the psychometric characteristics of the MLHFQ in Lithuania, suggesting MLHFQ as a valid and reliable instrument to measure HRQoL. The Lithuanian version of MLHFQ is best described by a three-factor solution, measuring physical, social, and emotional dimensions of HRQoL among individuals with CAD following ACS.

show abstract

Validation of the Arabic Version of the Minnesota Living with Heart Failure Questionnaire

Cited by 18 publications

References 22 publications

Mapping the Minnesota living with heart failure questionnaire (MLHFQ) to EQ-5D-5L in patients with heart failure

Mapping the Minnesota living with heart failure questionnaire (MLHFQ) to EQ-5D-5L in patients with heart failure

Potentially inappropriate medications in elderly patients with heart failure: Beers Criteria-based study

Validation and Psychometric Properties of the Minnesota Living With Heart Failure Questionnaire in Individuals With Coronary Artery Disease in Lithuania

Contact Info

Product

Resources

About