A systematic review of the Human Activity Profile.
OBJECTIVE
To review the measurement properties (reliability, validity, responsiveness) of the Human Activity Profile (HAP), a self-report measure of energy expenditure or physical fitness.


METHODS
MEDLINE, CINAHL and EMBASE were searched up to September 2005 and the reference lists of included studies were checked for additional relevant studies.


METHODS
Studies were included that reported Human Activity Profile scores, test-retest reliability, correlations with other measures, or responsiveness (sensitivity to change). Of 83 potentially relevant articles, 39 articles were included plus the test manual. Two independent reviewers extracted data from the included studies.


RESULTS
The Human Activity Profile has been used to evaluate physical activity in a wide variety of clinical populations and in healthy individuals. The change in score required to be 90% confident that change is beyond measurement error was estimated to be 7.8 for the Maximum Activity Score and 6.8 for the Adjusted Activity Score. The construct validity of the Human Activity Profile was supported by a large number of studies, although evidence for criterion validity was limited to four studies. No studies have investigated a priori the responsiveness or minimum clinically important difference of the Human Activity Profile.


CONCLUSIONS
The Human Activity Profile appears to be a useful indicator of physical activity levels in people with chronic pain, arthritis, renal failure, various neurological and cardiorespiratory conditions, as well as in healthy older people.
Davidson
Megan
M
Musculoskeletal Research Centre, School of Physiotherapy, La Trobe University, Victoria, Australia. m.davidson@latrobe.edu.au
de Morton
Natalie
N
D000203:Activities of Daily Living; D004734:Energy Metabolism; D006801:Humans; D010809:Physical Fitness; D015203:Reproducibility of Results; D011795:Surveys and Questionnaires