TY - JOUR T1 - The left ventricular dysfunction questionnaire (LVD-36): reliability, validity, and responsiveness JF - Heart JO - Heart SP - 634 LP - 640 DO - 10.1136/heart.83.6.634 VL - 83 IS - 6 AU - C J O'Leary AU - P W Jones Y1 - 2000/06/01 UR - http://heart.bmj.com/content/83/6/634.abstract N2 - OBJECTIVE To examine the reliability, validity, and responsiveness of a new health status measure (LVD-36) for patients with left ventricular dysfunction which was designed with emphasis on content validity, clarity, brevity, and ease of use.DESIGN At baseline, patients completed the LVD-36 and a range of measures reflecting general health and disease severity. The LVD-36 was repeated after one week. After six months, it was repeated again, along with a transition question to measure global changes in health.SETTING Patients were recruited from the cardiology and general medical clinics at a south west London hospital.PATIENTS 60 patients with chronic left ventricular dysfunction.INTERVENTIONS None.MAIN OUTCOME MEASURES Short form 36 questionnaire (SF-36), Minnesota living with heart failure questionnaire (LIhFE), New York Heart Association criteria, and exercise performance and echocardiographic tests.RESULTS The LVD-36 showed good internal consistency (κ = 0.95) and repeatability (r i = 0.95). Its scores were significantly associated with SF-36 mental and physical component scores (r = −0.48 and −0.75; p < 0.0001), with exercise capacity (r = −0.52; p < 0.0001), and with systolic shortening fraction (r = −0.27; p < 0.05). Change in the LVD-36 over six months was associated with change in overall health (F = 5.7; p < 0.001). In tests of validity and responsiveness, the LVD-36 performed similarly to or marginally better than the LIhFE.CONCLUSIONS The LVD-36 showed a high level of reliability and validity, and appears to measure changes in health. It provides a short, simple, valid, and reliable measure of health status in patients with left ventricular dysfunction. ER -