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Agreement between pre-exercise screening questionnaires completed online versus face-to-face.

Lynda Norton¹, Jessica Thomas^1,2, Nadia Bevan¹

¹Health and Exercise Science, Flinders University, Bedford Park, South Australia.

|June 27, 2018

Summary

Online pre-exercise screening shows substantial agreement with face-to-face methods for initial health questions. The Adult Pre-exercise Screening System (APSS) online option is supported for pre-exercise screening.

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Area of Science:

Exercise Science
Public Health
Digital Health

Background:

Pre-exercise screening is crucial for identifying health risks before physical activity.
Traditional face-to-face (F2F) screening methods can be time-consuming and resource-intensive.
Online modalities offer a potentially more accessible and efficient alternative for pre-exercise screening.

Purpose of the Study:

To evaluate the agreement between self-reported responses on the Adult Pre-exercise Screening System (APSS) questionnaire administered online versus F2F.
To determine the reliability of online APSS for capturing essential health information for exercise safety.

Main Methods:

Adult volunteers (n=94) completed the APSS via both online and F2F modalities.
Responses were compared using kappa and correlation statistics.
Objective health risk factors were also measured for comparison in later stages.

Main Results:

High agreement (>94%, kappa 0.644-0.794) was found for Stage 1 APSS questions (diseases, symptoms) between online and F2F modalities.
Stage 2 questions (health risk factors) also showed high agreement (>82%).
Significant discrepancies emerged between self-reported and objectively measured risk factors in Stage 3.

Conclusions:

Substantial agreement in Stage 1 responses supports the use of online APSS for pre-exercise screening.
Online screening is a viable and reliable method for initial health risk assessment.
Further investigation is needed for self-reported versus measured risk factors in later screening stages.