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HY-Quest, standardized patient questionnaire to be completed at home before a first visit for hypertension: a validation study in specialized centres in France

Postel-Vinay, Nicolasa; Bobrie, Guillaumea; Steichen, Olivierb,c; Sosner, Philipped,e; Baguet, Jean-Philippef,g; Gosse, Philippeh; Plouin, Pierre-Françoisa,i

Journal of Hypertension:
doi: 10.1097/HJH.0000000000000050
ORIGINAL PAPERS: Hypertension management
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.

Conclusion: 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.

Author Information

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

Correspondence to Docteur Nicolas Postel-Vinay, Service de Médecine Vasculaire et Hypertension Artérielle, Hôpital Européen Georges Pompidou, 20-40 rue Leblanc, 75908 Paris cedex 15, France. Tel: +33 1 56 09 37 71; fax: +33 1 56 09 37 91; e-mail: nicolas.postel-vinay@egp.aphp.fr

Abbreviations: BP, blood pressure; ESH, European Society for Hypertension; SFHTA, French Society for Hypertension

Received 11 February, 2013

Accepted 15 October, 2013

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© 2014 Wolters Kluwer Health | Lippincott Williams & Wilkins