Validity and Reliability Studies of the Indonesian Version of the Minnesota Living with Heart Failure Questionnaire (MLHFQ): Quality of Life Questionnaire for Patients with Chronic Heart Failure

Dinas Yudha Kusuma, Hamzah Shatri, Idrus Alwi, Murdani Abdullah

Abstract


Background: Minnesota Living with Heart Failure Questionnaire (MLHFQ) is the most commonly used questionnaire and it has a good EMPRO (Evaluating the Measurement of Patient-Reported Outcomes) score. The MLHFQ has been adapted and used by various countries worldwide. However, to be utilized in Indonesia, it needs validity and reliability studies. This study aimed to obtain a valid and reliable Indonesian version of the Minnesota Living with Heart Failure Questionnaire (MLHFQ) so that it can be used in Indonesia.
Methods: the present study was a cross sectional study with 85 subjects (mean age 58 (SD 11) years; 55% subjects were male) who had chronic heart failure and was treated at the outpatient clinic of cardiology in Dr. Cipto Mangunkusumo Hospital, Jakarta. Validity of the MLHFQ was assessed by evaluating the construct validity using multitrait-multimethod analysis and external validity was evaluated by compairing  the MLHFQ with the SF-36 questionnaire.  Reliability was assessed using Cronbach’s α and intraclass correlation coefficients (ICC). Results: the Indonesian version of the MLHFQ had moderate-to-strong correlation between domains and items in questionnaire (r: 0.571-0.748; p<0.01) and it had moderate negative correlation with SF-36 questionnaire  (r -0.595; p<0.001). The Cronbach α of Indonesian version of MLHFQ was 0.887; while the ICCs was 0.918. Conclusion: the Indonesian version of MLHFQ has good validity and reliability to asses the quality of life of patients with chronic heart failure in Indonesia.

Keywords


chronic heart failure; Minnesota Living with Heart Failure Questionnaire (MLHFQ); quality of life; reliability; validity

References


Ambrosy AP, Fonarow GC, Butler J, et al. The global health and economic burden of hospitalizations for heart failure: lessons learned from hospitalized heart failure registries. J Am Coll Cardiol. 2014;63(12):1123–33.

Badan Penelitian dan Pengembangan Kesehatan Kementerian Kesehatan Republik Indonesia. Riset kesehatan dasar (Riskesdas) 2013. Jakarta: KEMENKES RI; 2013. p. 306.

Moser DK, Arslanian-Engoren C, Biddle MJ, et al. Psychological aspects of heart failure. Curr Cardiol Rep. 2016;18(12):119.

Dekker RL, Lennie T a, Doering L V, Chung ML, Wu J-R, Moser DK. Coexisting anxiety and depressive symptoms in patients with heart failure. Eur J Cardiovasc Nurs. 2014;13(2):168–76.

Freedland KE, Carney RM, Rich MW, Steinmeyer BC, Skala JA, Dávila-Román VG. Depression and multiple rehospitalizations in patients with heart failure. Clin Cardiol. 2016;39(5):257–62.

Yancy CW, Jessup M, Bozkurt B, et al. ACCF/AHA guideline for the management of heart failure: A report of the american college of cardiology foundation/american heart association task force on practice guidelines. Circulation. 2013;128(16).

Ponikowski P, Voors AA, Anker SD, et al. ESC Guidelines for the diagnosis and treatment of acute and chronic heart failure. Eur Heart J. 2016;37(27):2129–200.

Mann DL. Management of patients with heart failure with reduced ejection fraction. In: Mann DL, Zipes DP, Libby P, Bonow RO, Braunwald E, editors. Braunwald’s heart disease: a textbook of cardiovascular medicine. 10th ed. Philadelphia: Elsevier; 2015. p. 512–46.

Guyatt GH, Feeny DH, Patrick DL. Measuring health-related quality of life. Ann Intern Med. 1993;118(8):622–9.

Dunderdale K, Thompson DR, Miles JN V, Beer SF, Furze G. Quality-of-life measurement in chronic heart failure: Do we take account of the patient perspective? Eur J Heart Fail. 2005;7(4):572–82.

Garin O, Herdman M, Vilagut G, et al. Assessing health-related quality of life in patients with heart failure: a systematic, standardized comparison of available measures. Heart Fail Rev. 2014;19(3):359–67.

Guillemin F, Bombardier C, Beaton D. Cross-cultural adaptation of health-related quality of life measures: literature review and proposed guidelines. J Clin Epidemiol. 1993;46(12):1417–32.

Beaton DE, Bombardier C, Guillemin F, Ferraz MB. Guidelines for the process of cross-cultural adaptation of self-report measures. Spine (Phila Pa 1976). 2000;25(24):3186–91.

Rector TS, Kubo S, Conh J. Patients’ selfassessment of their congestive heart failure: content, reliability and validity of a new measure, the Minnesota living with heart failure questionnaire. Heart Fail. 1987;3:198–209.

Rector TS, Kubo SH, Cohn JN. Validity of the Minnesota living with heart failure questionnaire as a measure of therapeutic response to enalapril or placebo. Am J Cardiol. 1993;71(12):1106–7.

Wild D, Grove A, Martin M, et al. Principles of good practice for the translation and cultural adaptation process for patient-reported outcomes (PRO) measures: report of the ISPOR task force for translation and cultural adaptation. 2005;8(2):94–104.

Ho CC, Clochesy JM, Madigan E, Liu C-C. Psychometric evaluation of the Chinese version of the Minnesota living with heart failure questionnaire. Nurs Res. 2007;56(6):441–8.

Moon JR, Jung YY, Jeon ES, Choi JO, Hwang JM, Lee SC. Reliability and validity of the Korean version of the Minnesota living with heart failure questionnaire. Hear Lung J Acute Crit Care. 2012;41(1):57–66.

Tangsatitkiat W, Sakthong P. Thai version of the Minnesota living with heart failure questionnaire : psychometric testing using a longitudinal design. 2010;4(6):877–84.

Rector TS, Cohn JN. Assessment of patient outcome with the Minnesota living with heart failure questionnaire: reliability and validity during a randomized, double-blind, placebo-controlled trial of pimobendan. Am Heart J. 1992;124(4):1017–25.

Heo S, Moser DK, Riegel B, Hall LA, Christman N. Testing the psychometric properties of the minnesota living with heart failure questionnaire. Nurs Res. 2005;54(4):265–72.

Franzén K, Blomqvist K, Saveman B-I. Impact of chronic heart failure on elderly persons’ daily life: a validation study. Eur J Cardiovasc Nurs. 2006;5(2):137–45.

Naveiro-Rilo JC, Diez-Juárez DM, Romero Blanco A, et al. Validation of the Minnesota living with heart failure questionnaire in primary care. Rev Esp Cardiol. 2010;63(12):1419–27.

Brokalaki H, Patelarou E, Giakoumidakis K, et al. Translation and validation of the Greek “Minnesota living with heart failure” questionnaire. Hell J Cardiol. 2015;56(1):10–9.

Rector TS, Cohn JN. Assessment of patient outcome with the Minnesota Living with Heart Failure questionnaire: reliability and validity during a randomized, double-blind, placebo-controlled trial of pimobendan. Pimobendan Multicenter Research Group. Am Heart J. 1992;124(4):1017–25.

Yurdugül H. Minimum sample size for cronbach’s coefficient alpha: a Monte-Carlo Study. HU J Educ. 2008;35(1999):397–405.

Streiner DL. Starting at the beginning: an introduction to coefficient alpha and internal consistency starting at the beginning: an introduction to coefficient alpha and internal consistency. 2016;389:37–41.

Suharsono T. Dampak home based exercise training terhadap kapasitas fungsional dan kualitas hidup pasien gagal jantung di RSUD Ngudi Waluyo Wlingi. Universitas Indonesia; 2011.

Kaawoan AYA. Hubungan self care dan depresi dengan kualitas hidup pasien heart failure di RSUP DR RD Kandou Manado. Universitas Indonesia; 2012.


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