Accepted for/Published in: JMIR Rehabilitation and Assistive Technologies
Date Submitted: Mar 28, 2025
Open Peer Review Period: Apr 7, 2025 - Jun 2, 2025
Date Accepted: Nov 22, 2025
(closed for review but you can still tweet)
Warning: This is an author submission that is not peer-reviewed or edited. Preprints - unless they show as "accepted" - should not be relied on to guide clinical practice or health-related behavior and should not be reported in news media as established information.
VALIDATION OF THE HUMAN ACTIVITY PROFILE QUESTIONNAIRE BY TELEPHONE CALL IN CARDIOVASCULAR DISEASE PATIENTS
ABSTRACT
Background:
To validate the application of the Human Activity Profile (HAP) questionnaire via telephone call in patients with cardiovascular disease (CVD).
Objective:
Objective of this study is to investigate the validity of applying the HAP questionnaire via telephone call to patients with cardiovascular disease participating in a cardiovascular rehabilitation program.
Methods:
Two scores were calculated based upon HAP scores: the maximum activity score (MAS), the number of the most difficult task the respondent is “still doing”; and the adjusted activity score (AAS), the number of items that the individual “stopped doing”, prior to the last one that he “still does”. Patients with CVD answered the HAP questionnaire on 2 random occasions, face-to-face and by telephone call.
Results:
Fifty-six patients with CVD (64.30% men) with a mean age of 75.14±10.28 years participated in this study. The MAS was similar in both applied modes (Face-to-face: 79.11±11.48; Telephone call: 82.71±7.48; p=0.101). Similarly, The AAS did not differ in both applied modes (Face-to-face: 69.11±14.18; Phone call: 71.21±13.43; p=052). There was high agreement between the two modes of administration (ICC - 0.999; 95%CI, 0.879-0.948; p<0.05). The mean bias and 95% limits of agreement evaluated by Bland-Altman plot for average applied face-to-face and the telephone call versus the mean difference in the MAS and AAS applied face-to-face and the telephone call were, respectively, -4.0 (95%CI 12.1 to -19.3) and -2.1 (95%CI 13.4 to -17.6).
Conclusions:
The MAS and AAS from HAP can be applied over the telephone call in patients with CVD. Clinical Trial: CAAE 58283422.0.0000.5134 (number: 5.646.387)
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