Telephone Administration of the Human Activity Profile Questionnaire in Patients With Cardiovascular Disease:...

Area of Science:

• Cardiology
• Rehabilitation Medicine
• Health Services Research

Background:

• The Human Activity Profile (HAP) questionnaire assesses functional capacity in chronic diseases.
• Remote administration of HAP via telephone lacks validation in cardiovascular disease (CVD) patients.
• Accessible assessment methods are crucial for CVD patients with mobility issues or limited healthcare access.

Purpose of the Study:

• To validate telephone administration of the HAP questionnaire for CVD patients in a cardiovascular rehabilitation program.

Main Methods:

• Methodological study involving 56 CVD patients.
• Participants completed HAP face-to-face and via telephone (3-14 day interval).
• Analyzed Maximum Activity Score (MAS) and Adjusted Activity Score (AAS) for internal consistency, reliability (ICC), and agreement (Bland-Altman plots).

Main Results:

• No significant difference in MAS (P=.10) or AAS (P=.05) between administration modes.
• Excellent internal consistency (Cronbach α=0.919) and high reliability (ICC=0.794 for MAS, 0.910 for AAS).
• Acceptable agreement with no systematic bias observed via Bland-Altman analysis.

Conclusions:

• Telephone administration of HAP is reliable, consistent, and agrees well with face-to-face assessments.
• It offers a valid, practical, and accessible method for assessing functional capacity in CVD patients.
• This approach is particularly beneficial when in-person evaluations are not feasible.