Home Assessment Profile (HAP)

BioPsychoSocial Assessment Tools for the Elderly - Assessment Summary Sheet

Test: Home Assessment Profile (HAP)

Year: 2001

Domain: Biological

Assessment Tool Category: Physical Functioning/ADLs

Variations/Translations: N/A

Setting: Home setting

Method of Delivery: Home assessment by a trained clinician

Description: The HAP is a performance-based assessment that evaluates how a person functions in his/her home environment. The examiner follows the subject through their home, and in each room has the subject perform standard activities for that room (e.g. in bathroom, subject shows how he/she gets in and out of shower). The examiner is not looking separately at the subject or environment. Rather, the focus is on combined person-environment interactions that pose hazards. Person-environment interactions are assessed as lying between ‘no hazard’ to ‘severe hazard.’

Scoring/Interpretation: The higher the HAP score, the greater the risk of falls. The person-environment interactions get a hazard score from 0-2. Zero represents no hazard, a score of one is a mild hazard and a score of two is a moderate to severe hazard. The person-environment interactions also get a frequency score for how often that hazard occurs (0=never, 5=several times daily). The hazard score is multiplied by the frequency score to get a sum score for that interaction. The sum of all interactions is the final HAP score.

Time to Administer: 1-2 hours

Availability: Available in the below noted publication, as Appendix 1.

Software: N/A

Website: N/A

Quantitative/Qualitative: Quantitative

Validity (Quantitative): Through the use of multivariate logistic regression, the HAP was shown to be a good independent predictor of falls, adjusting for age, cognition, and mobility level (p = 0.03) (Chandler, Duncan, Weiner, & Studenski, 2001).

Reliability (Quantitative): : The HAP was shown to have good interrater reliability (0.92) and test-retest reliability (0.92) (Chandler et al., 2001).

References:

Chandler, J., Duncan, P., Weiner, D., & Studenski, S. (2001). Special feature: The home assessment profile – a reliable and valid assessment tool. Topics in Geriatric Rehabilitation, 16(3), 77-88.

Comments: N/A