Table 1.
Timepoints Administered | Questionnaires (Number of Questions) |
---|---|
BL | Demographics (MDS) (19-21) |
BL, 3 mo. | History of Low Back Pain (MDS) (9) |
BL, 3, 6, 9, 12 mo. | PROMIS Physical Function (6) |
BL, 3, 6, 9, 12 mo. | PROMIS Anxiety symptoms (4) |
BL, 3, 6, 9, 12 mo. | PROMIS Depression symptoms (4) |
BL, 3, 6, 9, 12 mo. | PROMIS Fatigue (4) |
BL, 3, 6, 9, 12 mo. | PROMIS Sleep Disturbance (6) |
BL, 3, 6, 9, 12 mo. | PROMIS Ability to Participate in Social Roles and Activities (4) |
BL, 1, 2, 3, 4, 5, 6, 12 mo. | PROMIS Pain Interference (4) |
BL, 1, 2, 3, 4, 5, 6, 12 mo. | PROMIS Pain Intensity (1) |
BL, 3, 6, 9, 12 mo. | PROMIS Cognitive Function (2) |
BL, 3, 6, 9, 12 mo. | Patient Satisfaction with PROMIS symptom level (8) |
BL, 3, 6, 9, 12 mo. | Patient Preferences regarding Outcomes (1) |
BL, 3 mo. | Tobacco, Alcohol, Prescription medications, Substance (TAPS)(1-5) |
BL | PROMIS Prescription Pain Medication Misuse (1–9) |
BL, 1, 2, 3, 4, 5, 6, 12 mo. | Pain, Enjoyment, General Activity (PEG) (3) |
BL | Michigan Body Map of pain locations (1) |
BL | painDETECT (trajectories of pain, and neuropathic pain) (9) |
BL, 3, 6, 9, 12 mo. | Oswestry Disability Index (ODI) (10) |
BL, 6 mo. | StarT Back Tool (9) |
BL | PROMIS Pain Behavior (4) |
BL | Fear Avoidance Beliefs Questionnaire (FABQ) - Physical Activity (5) |
BL | Chronic Pain Acceptance Questionnaire (8) |
BL, 3 mo. | Pain Catastrophizing Scale (6) |
BL | Interoception: Multidimensional Assessment of Interoceptive Awareness (MAIA-2) – Not Distracting Subscale (6) |
BL, 3 mo. | Patient Health Questionnaire—depressive disorder screen (2) |
BL, 3 mo. | Generalized Anxiety Disorder screen: GAD2 (2) |
BL | Perceived Stress Scale (4) |
BL | Primary Care Post-traumatic Stress Disorder Screen (history of trauma) (1–7) |
BL | Financial Strain (1) |
BL | Perceived Discrimination based on race/color/ethnicity, sexual orientation or gender identity (2) |
BL | PROMIS General Self-Efficacy (4) |
BL | PROMIS Emotional Support (4) |
BL | HEAL Positive Outlook (6) |
BL | Global Physical Activity Questionnaire (8–22) |
3, 6, 9 mo. | Treatment Expectations: (1+) |
BL, 3, 6, 9, 12 mo. | Medication Form (1+) |
BL, 3, 6, 9, 12 mo. | Pregnancy (for female): (1) |
BL, Baseline; mo, months; MDS, Minimum data set; PROMIS, Patient-Reported Outcomes Measurement Information System.