COSMIN database

Psychosocial outcome assessments for use in cardiac rehabilitation service evaluation: a 10-year systematic review

McGee, H. M., Hevey, D., and Horgan, J. H.
A variety of measures are currently used to assess psychosocial outcome (quality of life) in cardiac rehabilitation programmes. However, there is no consensus on the most appropriate instruments to use. Instruments that are not sufficiently responsive to change in cardiac populations are unsuitable as audit tools as they underrepresent the benefits of programme attendance. To identify the most responsive instruments in cardiac rehabilitation populations a systematic overview of studies for the 10-year period 1986-1995 was conducted. The following databases were searched: Medline, Psychlit, Cinahl and Sociofile and 32 relevant studies were identified. The effect size statistic (a comparison of the magnitude of change to the variability in baseline scores) was used to determine those instruments most responsive to change. The following instruments were identified as being responsive in more than one study: Beck Depression Inventory, Global Mood Scale, Health Complaints Checklist, Heart Patients Psychological Questionnaire and Speilberger State Anxiety Inventory. There is little consensus on psychosocial evaluation instrument use in the cardiac rehabilitation literature. A number of measures show significant potential for routine outcome assessment. Formal assessment of these instruments is recommended to inform final recommendations about instrument selection for audit and evaluation purposes in cardiac rehabilitation. (C) 1999 Elsevier Science Ltd. All rights reserved.
Doi 10.1016/S0277-9536(98)00428-6
<Go to ISI>://WOS:000080013000007
Social Science & Medicine
Publication year:
Symptom status:
Cognitive/mental state
Emotional state
General health perceptions / HRQoL:
Health-related quality of life
Adults (18-65)
Seniors (65+)
Diseases of and symptoms related to the circulatory system
PRO / non-PRO:
Patient Reported Outcome
Type of measurement instrument:
1 - Questionnaires
BDI - Beck Depression Inventory (versions: mBDI)   
CDS - Cardiac Depression Scale (versions: sf-CDS)
GHQ - General Health Questionnaire (versions: original = GHQ-60; GHQ-12; GHQ-20; GHQ-28; GHQW-30; GHQ-36)
GMS - Global Mood Scale
HADS - Hospital Anxiety and Depression Scale   
HCC - Health Complaints Checklist
HPPQ - Heart Patients Psychological Questionnaire
MAAC - Multiple Aff€ect Adjective Checklist
PAIS - Psychosocial Adjustment to Illness Scale (versions: PAIS-SR - PAIS-Self Report)
POMS - Profile of Mood States (versions: POMS-11; POMS-14; POMS-37; POMS-65; Brief POMS; POMS-Adolescent; POMS-sf; revised POMS)
QLMI - Quality of Life after Myocardial Infarction Questionnaire   
STAI - State-Trait Anxiety Inventory