Psychometric Evaluation of the Serbian MacNew Heart Disease Health-Related Quality of Life Questionnaire Before and After Elective Coronary Artery Bypass Grafting.
9 affiliations
- 1Clinic of Cardiac Surgery, Institute for Cardiovascular Diseases "Dedinje", 11000 Belgrade, Serbia.
- 2Faculty of Medicine, University of Belgrade, 11000 Belgrade, Serbia.
- 3Department of Physiotherapy, Olabisi Onabanjo University Teaching Hospital, Sagamu 121001, Ogun State, Nigeria.
- 4School of Health Sciences, University of KwaZulu-Natal, Durban 4001, South Africa.
- 5Clinic for Anesthesia and Intensive Care, Institute for Cardiovascular Diseases "Dedinje", 11000 Belgrade, Serbia.
- 6Heart Surgery Department, University Children's Hospital Tirsova, 11000 Belgrade, Serbia.
- 7Clinic for Obstetrics and Gynecology, University Clinical Center of Serbia, 11000 Belgrade, Serbia.
- 8Department of Cardiology, University Clinical Hospital Center "Dr. Dragisa Misovic-Dedinje", 11000 Belgrade, Serbia.
- 9Institute of Epidemiology, Faculty of Medicine, University of Belgrade, 11000 Belgrade, Serbia.
Abstract
Background/Objectives: To evaluate the psychometric properties of the MacNew Heart Disease Health-Related Quality of Life Questionnaire (MacNew HRQL) in patients who underwent elective coronary artery bypass grafting (CABG) in Serbia. Methods: Recruitment of participants was organized at the Institute for Cardiovascular Diseases "Dedinje". The MacNew HRQL was administered prior to having CABG, and 1, 6 and 12 months after CABG. The scale was compared to the Short Form-36 (SF-36) and Depression, Anxiety and Stress Scale-21 (DASS-21). Clinical data were obtained from medical records. Results: A total of 192 patients had complete follow-up data (80.2% male, 64.1 ± 7.6 years old). The Cronbach's alpha and McDonald's omega coefficients were ≥0.80. The original three-factor structure was supported by indices on the confirmatory factor analysis using the Unweighted Least Squares estimator (ULS) at 6 and 12 months post-CABG, but not at baseline and 1 month after CABG. Longitudinal measurement invariance suggested that models were not supported. The MacNew HRQL global score correlated with clinical parameters at all four time points. All MacNew HRQL domains correlated with mental and physical scores of the SF-36 and with depression, anxiety and stress scores. Conclusions: The MacNew HRQL in Serbian had good internal consistency and construct validity. The three-factor structure was most favorable under the ULS at 6 and 12 months post-CABG. As the measurement invariance was not supported, changes in scores over time cannot be interpreted unequivocally as changes in the same underlying constructs. The scores right before and after CABG should be interpreted with caution.
Related
- German Adaptation and Psychometric Evaluation of the Conversation Questionnaire
- Preliminary Psychometric Evaluation of an Ultraviolet Radiation-Related Questionnaire in a Case-Control Sample
- Development and Preliminary Psychometric Evaluation of a Questionnaire on Comprehensive Protection, Quality, and Humanization in Pediatric Hospital Care
- Subjective word-finding complaints in older adults: Development and preliminary psychometric evaluation of a novel self-reported questionnaire
- A network psychometric evaluation of the Acceptance and Action Questionnaire – III and PsyFlex
BibTeX
@article{nesic2026psychometric,
title = {{Psychometric Evaluation of the Serbian MacNew Heart Disease Health-Related Quality of Life Questionnaire Before and After Elective Coronary Artery Bypass Grafting.}},
author = {Ivan Nesic and Olufemi O Oyewole and Petar Vukovic and Marko Kaitovic and Petar Tomic and Milica Ludoski and Djordje Krstic and Aleksandar Nenadovic and Aleksandar Milutinovic and Jelena Dotlic and Aleksandra Sljivic and Tatjana Gazibara},
journal = {Epidemiologia (Basel, Switzerland)},
year = {2026},
month = oct,
doi = {10.3390/epidemiologia7050144},
url = {https://europepmc.org/article/MED/42930332},
note = {CC BY},
}
RIS
TY - JOUR
TI - Psychometric Evaluation of the Serbian MacNew Heart Disease Health-Related Quality of Life Questionnaire Before and After Elective Coronary Artery Bypass Grafting.
AU - Ivan Nesic
AU - Olufemi O Oyewole
AU - Petar Vukovic
AU - Marko Kaitovic
AU - Petar Tomic
AU - Milica Ludoski
AU - Djordje Krstic
AU - Aleksandar Nenadovic
AU - Aleksandar Milutinovic
AU - Jelena Dotlic
AU - Aleksandra Sljivic
AU - Tatjana Gazibara
PY - 2026
DA - 2026/10/15
JO - Epidemiologia (Basel, Switzerland)
DO - 10.3390/epidemiologia7050144
UR - https://europepmc.org/article/MED/42930332
AB - Background/Objectives: To evaluate the psychometric properties of the MacNew Heart Disease Health-Related Quality of Life Questionnaire (MacNew HRQL) in patients who underwent elective coronary artery bypass grafting (CABG) in Serbia. Methods: Recruitment of participants was organized at the Institute for Cardiovascular Diseases "Dedinje". The MacNew HRQL was administered prior to having CABG, and 1, 6 and 12 months after CABG. The scale was compared to the Short Form-36 (SF-36) and Depression, Anxiety and Stress Scale-21 (DASS-21). Clinical data were obtained from medical records. Results: A total of 192 patients had complete follow-up data (80.2% male, 64.1 ± 7.6 years old). The Cronbach's alpha and McDonald's omega coefficients were ≥0.80. The original three-factor structure was supported by indices on the confirmatory factor analysis using the Unweighted Least Squares estimator (ULS) at 6 and 12 months post-CABG, but not at baseline and 1 month after CABG. Longitudinal measurement invariance suggested that models were not supported. The MacNew HRQL global score correlated with clinical parameters at all four time points. All MacNew HRQL domains correlated with mental and physical scores of the SF-36 and with depression, anxiety and stress scores. Conclusions: The MacNew HRQL in Serbian had good internal consistency and construct validity. The three-factor structure was most favorable under the ULS at 6 and 12 months post-CABG. As the measurement invariance was not supported, changes in scores over time cannot be interpreted unequivocally as changes in the same underlying constructs. The scores right before and after CABG should be interpreted with caution.
SN - 2673-3986
ER -