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European Journal of Heart Failure 2005 7(2):235-242; doi:10.1016/j.ejheart.2004.05.012
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© 2005 European Society of Cardiology

Reliability and validity of the Kansas City Cardiomyopathy Questionnaire in patients with previous myocardial infarction

Kjell I. Pettersena,b,*, Aasmund Reikvamc, Arnfinn Rollagb and Knut Stavema,b

a Quality Evaluation Department, Norwegian Health Services Research Centre P.O.B. 55, NO-1474 Nordbyhagen, Norway
b Department of Medicine, Akershus University Hospital NO-1474 Nordbyhagen, Norway
c The Department of Pharmacotherapeutics, University of Oslo PB 1065 Blindern, NO-0316 Oslo, Norway

* Corresponding author. Quality Evaluation Department, Norwegian Health Services Research Centre, P.O.B. 55, NO-1474 Nordbyhagen, Norway. Tel.: +47 67929460; fax: +47 67929469. E-mail address: kjell.pettersen{at}kunnskapssenteret.no


  Abstract

Background: The Kansas City Cardiomyopathy Questionnaire (KCCQ) is a recently developed disease-specific instrument for measuring health-related quality of life (HRQoL) in patients with chronic heart failure (CHF) regardless of aetiology.

Aim: To assess the reliability and validity of the KCCQ in patients with previous myocardial infarction (MI).

Methods and results: In 754 myocardial infarction patients who were discharged alive, we collected clinical data from the patients' medical records. Two and a half years after the acute myocardial infarction, we mailed a self-administered questionnaire to the 548 patients still alive. The response rate was 74%. Internal consistency reliability, assessed with Cronbach's {alpha}, ranged 0.66–0.95. Test-retest reliability, tested with an intraclass correlation coefficient (ICC), ranged 0.41–0.83. The pattern of association between similar and dissimilar scales of the KCCQ and Short Form 36 (SF-36) supported the convergent/divergent validity of the KCCQ. Four of the KCCQ scales and the two summary scores discriminated between patients with and without medication for heart failure, and between different levels of left ventricular ejection fraction (LVEF) supporting different groups validity.

Conclusions: The Norwegian version of the KCCQ showed acceptable reliability and cross-sectional validity, which support the use of this questionnaire to measure health-related quality of life after myocardial infarction.

Key Words: Quality of life • Heart failure • Myocardial infarction

Received November 7, 2003; Revised March 31, 2004; Accepted May 12, 2004


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