title: HY-Quest, standardized patient questionnaire to be completed at home before a first visit for hypertension: a validation study in specialized centres in France.
abstract: OBJECTIVE
  To evaluate a patient questionnaire (HY-QUEST) to be completed at home before consulting in a hypertension clinic for the first time.
  
  
  METHODS
  HY-QUEST is a questionnaire translated into patient language of the items from a standardized computerized medical record used since 1975 and regularly updated. This questionnaire contains 97 closed and seven free-text questions designed to evaluate cardiovascular risk and possible secondary hypertension, and to guide therapeutic strategy. One hundred and thirty-three new patients were asked to complete it at home and to bring it with them to their first visit in the hypertension clinic. The primary end-point was completeness of the answers. Other end-points were legibility and correctness of the answers.
  
  
  RESULTS
  Questionnaires were available for 128 out of 133 patients (96%). More than 80% of the 97 closed questions were answered in 121 out of 128 questionnaires [94.6%; 95% confidence interval (CI) 90.7-98.5] and no question had a response rate less than 85%. The answers were legible in 85% of the closed questions and the concordance rate with the physician's assessment was 94%. Among the 101 treated patients, 72 (71.3%; 95% CI 62.5-80.1) were able to provide the correct names, doses and schedule of their antihypertensive treatments.
  
  
  CONCLUSIONS
  The HY-QUEST questionnaire can be completed by most patients with few missing or incorrect answers. It is well accepted by patients and provides useful information to orient the first consultation in a hypertension clinic. Whether the same approach is feasible and useful in primary care remains to be investigated.
authors.affiliation: aAssistance Publique - Hôpitaux de Paris, European Georges Pompidou Hospital, Hypertension Unit bUniversité Pierre et Marie Curie-Paris 6 cAssistance Publique - Hôpitaux de Paris, Tenon Hospital, Internal Medicine Department dCHU Poitiers, Cardiology Department eUniversité Poitiers, Poitiers fDepartment of Cardiology, University Hospital gBioclinic Radiopharmaceutics Laboratory, INSERM U1039, Joseph Fourier University, Grenoble hCardiology/Hypertension Department, Saint André Hospital, CHU Bordeaux iUniversité Paris-Descartes, Sorbonne Paris Cité, France.
authors.forename: Nicolas
authors.initials: N
authors.lastname: Postel-Vinay
authors.forename: Guillaume
authors.initials: G
authors.lastname: Bobrie
authors.forename: Olivier
authors.initials: O
authors.lastname: Steichen
authors.forename: Philippe
authors.initials: P
authors.lastname: Sosner
authors.forename: Jean-Philippe
authors.initials: JP
authors.lastname: Baguet
authors.forename: Philippe
authors.initials: P
authors.lastname: Gosse
authors.forename: Pierre-François
authors.initials: PF
authors.lastname: Plouin
mesh_terms: D000368:Aged; D000554:Ambulatory Care Facilities; D059026:Diagnostic Self Evaluation; D005260:Female; D005602:France; D006801:Humans; D006973:Hypertension / Q000175:diagnosis / Q000188:drug therapy; D008297:Male; D008487:Medical History Taking / Q000379:methods; D008875:Middle Aged; D012307:Risk Factors; D011795:Surveys and Questionnaires