EXPLORING AND DEVELOPING ITEMS MEASURING QUALITY OF LIFE CONSTRUCT AMONG HEART FAILURE PATIENTS: A CASE OF MALAYSIA
Heart failure is a chronic disease that spoils patients' quality of life (QoL) and is associated with both high hospital readmission rates and healthcare resource utilization such as emergency services. The purpose of this study is to measure the quality of life using the validated Minnesota Living with Heart Failure Questionnaire (MLWHF). The study used a non-experimental, quantitative design with a theoretical framework based on health-related quality of life among heart failure patients. A simple random sampling method was used, which covered the medical and cardio clinics in two tertiary and secondary hospitals. The overall data were collected for four weeks from these hospitals. The total number of respondents in this study was 200. SPSS version 25.0 was used to analyse the data. The instrument was composed of three components, and the first component included eight items that measured the patients’ physical aspects. The second component measured other aspects that comprised eight items that covered social, work, and sexual topics, and the final component measured emotional aspects with five items. The overall MLHFQ scale consisted of 21 items. MLHFQ was translated into the Malay language by using back-to-back translation procedures by experts in their fields. The results of the exploratory factor analysis (EFA) found that all 21 items were accepted due to factor loading being more significant than 0.6. However, question number 16part three relaying other aspects had a factor loading of only 0.67. As a result, for local use, this instrument needs to rearrange the items measuring the construct into their respective components accordingly before proceeding with data collection in the field study. In conclusion, for local content, this instrument needs to rearrange the items measuring the construct into their respective components accordingly before proceeding with data collection in the field study.
Awang, Z. (2012). Research methodology and data analysis. Penerbit Universiti Teknologi MARA Press.
Awang, Z. (2015). SEM Made Simple: A Gentle Approach to Learning Structural Equation Modeling. Bandar Baru Bangi, MPWS Rich Resources.
Awang, Z., Afthanorhan, A., Mohamad, M., & Asri, M. A. M. (2015). An evaluation of measurement model for medical tourism research: the confirmatory factor analysis approach. International Journal of Tourism Policy, 6(1), 29-45.
Awang, Z, Lim, SH. and Zainudin, NFS. (2018). Pendekatan Mudah SEM- Structural Equation Modelling. Bandar Baru Bangi, MPWS Rich Resources.
Awang, Z., Rahlin, N.A., & Afthanorhan, A. (2019). Conceptual Framework for Best Practices of Behavior-Based Safety Performance Evaluation in SME. Journal of Applied Engineering Science, 17(4).
Bahkia, A.S., Awang, Z., Afthanorhan, A., Ghazali, P.L., Foziah, H. (2019). Exploratory Factor Analysis on occupational stress in context of Malaysian sewerage operations AIP Conference Proceedings.
Baistaman, J., Awang, Z., Nawawi, R., Arifin, N., Mustapha, W.M., and Shari, A.S. (2020). Assessing Measurement Model of Malaysian Voluntary Saving Decision for Future Retirement Planning using Confirmatory Factor Analysis. International Journal of Accounting, Finance and Business (IJAFB). 5 (26), 1-7.
Baistaman, J., Awang, Z., Afthanorhan, A., and Abdul Rahim, M.Z. (2020a). Developing and Validating the Measurement Model for Financial Literacy Construct using Confirmatory Factor Analysis. Humanities and Social Science Review. 8(2), 2020, 413-422. https://doi.org/10.18510/hssr.2020.8247.
Bentler, P. M. (1990). Comparative fit indexes in structural models. Psychological bulletin, 107(2), 238.
Bentler, P.M. & Bonett, D.G. (1980). Significance tests and goodness of fit in the analysis of covariance structures. Psychological Bulletin, 88:588–606.
Bollen, K. A. (1989). A new incremental fit index for general structural equation models. Sociological methods & research, 17(3), 303-316.
Brown, M. W., and R. Cudeck. (1993). Alternative Ways of Assessing Model Fit. Sage focus editions, 154, 136-136.
Carlson, B., Riegel, B. and Moser, D.K. (2001) Self-care abilities of patients with heart failure. Heart and Lung. 30(5):351-9.
Carvalho VO, Guimraes GV, Carrara D, Bacal F, Bocchi EA. Validation of the Portuguese version of the Minnesota Living with Heart Failure Questionnaire. Arq Bras Cardiol.2009;93:39-44
Ehido, A., Awang, Z., Halim., B.A., and Ibeabuchi., C. (2020). Developing Items for Measuring Quality of Worklife among Malaysian Academics: An Exploratory Factor Analysis Procedure. Humanities & Social Sciences Reviews eISSN: 2395-6518, Vol 8, No 3, 2020, pp 1295-1309 https://doi.org/10.18510/hssr.2020.83132.
Ehido, A., Awang, Z., Halim., B.A., and Ibeabuchi., C. (2020a). Establishing Valid and Reliable Measures for Organizational Commitment and Job Performance: An Exploratory Factor Analysis. International Journal of Social Sciences Perspectives 7 (2), 58-70.
Ekman I, Fagerberg B, Lundman B. Health-related quality of life and sense of coherence among elderly patients with severe chronic heart failure in comparison with healthy controls. Heart Lung.2002; 31: 94-101
Hoque, A.S.M.M, Awang, Z., Jusoff, K., Salleh, F., and Muda, H (2017). Social Business Efficiency: Instrument Development and Validation Procedure using Structural Equation Modelling. International Business Management, 11(1), 222-231.
Hoque, A. S. M. M., Siddiqui, B. A., Awang, Z. B., & Baharu, S. M. A. T. (2018). Exploratory Factor Analysis of Entrepreneurial Orientation in the Context of Bangladesh Small and Medium Enterprises
Hoque, A. S. M. M., & Awang, Z. (2016). The Exploratory Factor Analysis (EFA) of Entrepreneurial Marketing Scale - Development and Validation. Tourism Conference 20-22 APRIL 2016 (p. 22).
Khamaiseh., Z., Halim., B.A., Afthanorhan., A., & Alqahtani., A.H. (2020). Exploring and Developing Items for Measuring Situational Leadership II (SLII). Humanities & Social Sciences Reviews. eISSN: 2395-6518, Vol 8, No 2, 2020, pp 579-588 https://doi.org/10.18510/hssr.2020.826.
Mohamad, M., Awang, Z., Ali, N.A.M. (2017). Validating the Maqasid Shariah Prison Quality of Life (MSPQoL) among drug-abuse inmates using confirmatory factor analysis. International Journal of Applied Business and Economic Research. Vol. 15, No. 24, Pages 91-103.
Mohamad, M., Ali, N.A.M., and Awang, Z. (2018). The impact of life satisfaction on substance abuse: delinquency as a mediator. International Journal of Adolescence and Youth. Open Access. Vol. 23, No.1, Pages 25-35.
Muda, H., Baba, Z. S., Awang, Z., Badrul, N. S., Loganathan, N., & Ali, M. H. (2020). Expert review and pretesting of behavioral supervision in higher education. Journal of Applied Research in Higher Education.
Noor, N. M., Aziz, A. A., Mostapa, M. R., & Awang, Z. (2015). Validation of the Malay version of the Inventory of Functional Status after Childbirth questionnaire. BioMed research international, 2015.
Muller-Tasch T, Peters-Klimm F, Schellberg D, et al. Depression is a major determinant of quality of life in patients with chronic systolic heart failure in general practices. J Card Fail. 2007; 13:818-824.
O’Leary N, Murphy NF, O’Loughlin C, Tiernan E, McDonald K.A comparative study of the palliative care needs of heart failure and cancer patients. Eur J Heart Fail.2009, 11:406-412.
Parajon T, Lupon J, Gonzalez B,et al [Use of the Minnesota Living with Heart Failure Quality of Life Questionnaire in Spain]. Rev Esp Cardiol.2004;57:155-160
Parissis JT, Farmakis D, Nikolou M, et al. Plasma B-type natriuretic peptide and anti-inflammatory cytokine interleukin-10 levels predict adverse clinical outcome in chronic heart failure patients with depressive symptoms: a 1-year follow-up study. Eu J Heart Fail.2009;11:967-972.
Gantz, S.B. (1990). Self-care: perspectives from six disciplines. Holistic Nursing Practice, 4(2), 1-12.
Rahlin, N.A., Awang, Z., Afthanorhan, A., & Aimran, N. (2019). Antecedents and Consequences of Employee Safety Climate in Small Manufacturing Enterprises: Translation, Validation and Application of Generic Safety Climate Questionnaire. International Journal of Innovation, Creativity and Change, 7(10).
Rosamond, W., Flegal, K., Furie, K., et al. (2008) Heart Disease and Stroke Statistics—2008 Update: A Report from the American Heart Association Statistics Committee and Stroke Statistics
Shkeer, A.S., and Awang, Z. (2019). Exploring Items for Measuring Marketing Information System Construct: An Exploratory Factor analysis. International Review of Management and Marketing, 9(6), 87-97.
Yahaya, T., Idris, K., Suandi, T., & Ismail, I. (2018). Adapting instruments and modifying statements: The confirmation method for the inventory and model for information sharing behavior using social media. Management Science Letters, 8(5), 271-282.