Ïã¸ÛÁùºÏ²Ê¼´Ê±¿ª½±

Hospitalized adults admitted clinically and surgically, diagnosed with acute myocardial infarction, chronic obstructive pulmonary disease, and spinal cord injury: (Souza, Wegner, Costa, Chiavegato, & Lunardi, 2017; n = 100; mean age 41 (15) years; admitted for fewer than 48 hours for clinical or surgical reasons)

• SEM for hospitalized patients (n = 100): 1.44

Hospitalized adults admitted clinically and surgically, diagnosed with acute myocardial infarction, chronic obstructive pulmonary disease, and spinal cord injury: (Souza et al., 2017)

• MDC?? for hospitalized patients, 3.34.

• MDC for MAS and AAS not distinguished.

Normative data established and available for research purposes if request submitted to David M. Daughton. Normative data in HAP manual (Fix & Daughton, 1988).

Heart failure: (Ribeiro-Samora et al., 2016, n = 62, mean age = 47.98 years (range 25-59 years); New York Heart Association functional classes I-III; body mass index <30 kg/m?; resting left ventricular ejection fraction ¡Ü 45% on transthoracic echocardiography)

• Maximum activity score mean = 79.76 ¡À 8.76

• Adjusted activity score mean = 65.81 ¡À 17.01

Hospitalized adults admitted clinically and surgically, diagnosed with acute myocardial infarction, chronic obstructive pulmonary disease, and spinal cord injury: (Souza et al., 2017)

• All patients HAP test mean score 68.34 ¡À 12.83, HAP retest 68.45 ¡À 12.54

• Clinical conditions HAP test mean score 67.23 ¡À 13.53, HAP retest 67.37 ¡À 13.24

• Surgical conditions HAP test mean score 69.52 ¡À 12.08, HAP retest 69.60 ¡À 11.76. Please note these data were collected as mean scores from the sample and contribute to, but not intended as normative data.

Stem Cell Transplantation: (Kramer et al., 2013, n = 27, median age = 47 (range 16 ¨C 69) years; 3 months after transplantation available for all evaluation time points)

• At baseline, HAP maximum achievable score mean 80.8¡À9.6, adjusted score 67.3 ¡À 14.8.

• Post stem cell transplant (SCT), HAP mean adjusted score 76.3 ¡À 12.2.

• One month post SCT, HAP maximum achievable score mean 69.4 ¡À 19.2, adjusted 49.5 ¡À 21.7.

• Three months post SCT, maximum achievable score mean 76.7¡À14.6, adjusted 58.4 ¡À 2.3.

Hospitalized adults admitted clinically and surgically, diagnosed with acute myocardial infarction, chronic obstructive pulmonary disease, and spinal cord injury: (Souza et al., 2017)

• Excellent test-retest reliability (ICC = 0.99)

Hospitalized adults admitted clinically and surgically, diagnosed with acute myocardial infarction, chronic obstructive pulmonary disease, and spinal cord injury: (Souza et al., 2017)

• Excellent internal consistency, Cronbach¡¯s ¦Á = 0.937

Concurrent validity:

Heart failure: (Ribeiro-Samora et al., 2016)

• Excellent correlation associated the HAP with 6 Minute Walk Test distance (r = 0.62).

Concurrent Validity

Stem Cell Transplantation: (Kramer et al., 2013)

• Poor correlation (r = -0.4, r =-0.5) noted with HAP AAS score and HADS anxiety and depression at baseline, 1 month, and 3 months.

Predictive Validity:

Stem Cell Transplantation: (Kramer et al., 2013)

• Multivariate regression analyses completed to identify adequate predictors of HAP adjusted scores to include the grip test (at 1 month, R^2 = 0.2, ? = 0.6, p = 0.03) and the 2 Minute Walk Test (at 3 months, R^2 = ¨C 0.2, ? = -0.8, p = 0.04).

Convergent Validity:

Hospitalized adults admitted clinically and surgically, diagnosed with acute myocardial infarction, chronic obstructive pulmonary disease, and spinal cord injury: (Souza et al., 2017)

• Adequate construct validity as evidenced by completed Chi-square with classification by IPAQ-6, 3.39 (p = 0.18).

Heart failure: (Ribeiro-Samora et al., 2016)

• When used with the 6 Minute Walk Test, the HAP is a clinically valid assessment for functional capacity of patients diagnosed with heart failure. However, despite the 6 Minute Walk Test used in conjunction with the HAP test demonstrating a positive correlation, it should not replace the gold standard, cardio-pulmonary exercise test.

Hospitalized adults admitted clinically and surgically, diagnosed with acute myocardial infarction, chronic obstructive pulmonary disease, and spinal cord injury: (Souza et al., 2017)

• The HAP questionnaire is appropriate for assessing physical activity level if used as a tool for classification.

Stem Cell Transplantation: (Kramer et al., 2013)

• The HAP and grip test may serve as a valid substitute marker for strength loss during a stem cell transplant.

Hospitalized adults admitted clinically and surgically, diagnosed with acute myocardial infarction, chronic obstructive pulmonary disease, and spinal cord injury: (Souza et al., 2017)

• Excellent floor/ceiling effect as evidenced by 10.0% floor/ceiling effects

Osteoarthritis and Rheumatoid Arthritis: (Bennell et al, 2008; n = 256; 226 diagnosed with OA and 33 diagnosed with RA)

• SEM (MAS) = 3.0 and SEM (AAS) = 3.0

Osteoarthritis and Rheumatoid Arthritis: (Bilek et al., 2005; n = 13; mean age = 57.14 ¡À 11.60; 7 diagnosed with OA and 6 with RA)

• SEM (MAS) = 36.57 and SEM (AAS) = 29.42

Osteoarthritis and Rheumatoid Arthritis: (Bennell et al., 2004. Data retrieved from Davidson and Morton, 2006)

• MDC?? = 7 for both MAS and AAS for 20 people over 50 years with OA knee

Osteoarthritis and Rheumatoid Arthritis: (Calculated using data from Bilek et al., 2005)

• MDC for maximum activity score: 3.05

• MDC for adjusted activity score: 5.54

Osteoarthritis and Rheumatoid Arthritis: (Bennell et al., 2004)

• Mean HAP scores:
  • Maximal Activity score = 76.0 ¡À 8
  • Adjusted activity score = 62.0 ¡À 13

Osteoarthritis and Rheumatoid Arthritis: (Bilek et al., 2005)

• Mean HAP scores:
  • Maximal Activity score = 74.64 ¡À 9.15
  • Adjusted activity score = 67.5 ¡À 12.26

Osteoarthritis and Rheumatoid Arthritis: (Bilek et al., 2005)

• Excellent for maximum achievable score test-retest reliability (ICC = 0.76)

• Excellent adjusted score test-retest reliability (ICC = 0.87)

Osteoarthritis and Rheumatoid Arthritis: (Bennell et al., 2004)

• Excellent for maximum achievable score test-retest reliability (ICC = 0.96)

• Excellent adjusted score test-retest reliability (ICC = 0.95)

Concurrent validity:

Osteoarthritis and Rheumatoid Arthritis: (Bennell et al., 2004)

• Weak to Moderate correlations between HAP and commonly used pain and physical function measures (r = 0.15-0.63)

Osteoarthritis and Rheumatoid Arthritis: (Bilek et al., 2005)

• Excellent to Poor Spearman rho correlations of HAP scores and self-report questionnaires and physical performance tests

• Significant Spearman's rho correlation of HAP scores (MAS and AAS scores) with the Timed-Stands Test (MAS = -0.77, AAS = -0.72) and 50-foot Walk Test (MAS = -0.70, AAS = -0.71) physical performance tests

Discriminant Validity:

Osteoarthritis and Rheumatoid Arthritis: (Hinmam et al., 2002, cross-sectional design, n = 41, with symptomatic knee osteoarthritis and 33 controls matched for age, sex, and body mass)

• OA knee and no knee problems were similar on MAS score (P > .05) but AAS scores were significantly lower in OA group (P >.01)

Osteoarthritis and Rheumatoid Arthritis: (Bilek et al., 2008)

• The HAP is a useful tool in estimating fitness level of patients diagnosed with OA and RA, when standard exercise testing is not feasible (Bilek et al., 2008)

Osteoarthritis and Rheumatoid Arthritis: (Bilek et al., 2005)

• Moderate response to change demonstrated by HAP as evidenced by effect size, ES = 0.5

• Following a 12-week exercise program, the HAP demonstrates similar response to change when compared to other questionnaires examining physical function

Community-dwelling older adult women: (Farrell et al., 1996, n = 28; older people with chronic pain)

• SEM (MAS) = 3.0 It is important to note that this data retrieved from Davidson and Morton (2006).

Community-dwelling older adult women: (Farrell et al., 1996; retrieved from Davidson & Morton, 2006)

• MDC?? = 7 (MAS) and MDC?? = 8 (AAS) for 28 older people with chronic pain

Community-dwelling older adult women: (Bastone et al., 2014)

Community-dwelling older adult women: (Bastone et al., 2014)

• Excellent for maximum achievable score test-retest reliability (ICC = 0.79)

• Excellent adjusted score test-retest reliability (ICC = 0.94)

Concurrent validity:

Community-dwelling older adult women: (Bastone et al., 2014)

• Adequate to Excellent Spearman's rho correlation detected (rho = .47-.75) between HAP MAS and AAS scores and Accelerometer measures to include counts/day, sedentary activity/day, moderate activity/day, steps/day, and energy expenditure/day.

Community-dwelling older adult women: (Bastone et al., 2014)

• The HAP is valid indicator of physical activity levels in older community-dwelling adult women.