Assessing HRQL among Chinese patients with coronary heart disease: Angina, myocardial infarction and heart failure

Yu, Doris S. F., Thompson, David R., Yu, Cheuk-man and Oldridge, Neil B. (2009) Assessing HRQL among Chinese patients with coronary heart disease: Angina, myocardial infarction and heart failure. International Journal of Cardiology, 131 3: 384-394. doi:10.1016/j.ijcard.2007.10.043

Author Yu, Doris S. F.
Thompson, David R.
Yu, Cheuk-man
Oldridge, Neil B.
Title Assessing HRQL among Chinese patients with coronary heart disease: Angina, myocardial infarction and heart failure
Journal name International Journal of Cardiology   Check publisher's open access policy
ISSN 0167-5273
Publication date 2009-01-24
Year available 2008
Sub-type Article (original research)
DOI 10.1016/j.ijcard.2007.10.043
Volume 131
Issue 3
Start page 384
End page 394
Total pages 11
Editor Cchuichi Kawai
Andrew J. S. Coats
Place of publication Amsterdam , The Netherlands
Publisher Elsevier
Language eng
Subject C1
321003 Cardiology (incl. Cardiovascular Diseases)
920103 Cardiovascular System and Diseases
110201 Cardiology (incl. Cardiovascular Diseases)
Formatted abstract
To perform a psychometric evaluation of the Myocardial Infarction Dimensional Assessment Scale (MIDAS) in Chinese patients with coronary heart disease.

Design and Setting

Patients with angina (n = 162), MI (n = 124) or heart failure (n = 95) were recruited from a regional university-affiliated hospital. The Chinese version of the MIDAS (C-MIDAS), the Hospital Anxiety and Depression Scale (HADS) and the Short-Form 36 Health Survey (SF-36) were administered to all patients at baseline and the C-MIDAS was also administered seven day (n = 92) and three months (n = 363) later.


The C-MIDAS conforms to the 7-factor structure as proposed in the original version. It is reliable with Cronbach's alphas from 0.73 to 0.94 and test–retest reliabilities from 0.76 to 0.92. Four of its subscales (physical activity, insecurity, emotional reaction and dependency) correlated significantly with the SF-36 and the HADS in each diagnostic group and had good discriminative properties in terms of gender, emotional disturbance and perceived health deterioration, with responsiveness supported by medium-high effect sizes (0.43–0.83) and standardize response means (0.46–0.82). The other three subscales measuring treatment-related impacts added little to the validity and esponsiveness of the C-MIDAS.


To render the C-MIDAS a core health-related quality of life measure for Chinese-speaking patients with coronary heart disease, further studies need to clarify the content adequacy and cultural relevancy of those subscales measuring treatment-related impact. 
Keyword health-related quality of life
coronary heart disease
psychometric evaluation
myocardial infarction dimensional assessment scale
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Document type: Journal Article
Sub-type: Article (original research)
Collection: School of Nursing, Midwifery and Social Work Publications
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Created: Tue, 05 May 2009, 10:34:46 EST by Vicki Percival on behalf of School of Nursing, Midwifery and Social Work