Table 4.

Modified items of the HC-PAIRS. Modified components are highlighted in bold.

Item No.	Item
1	Low back pain patients can still be expected to fulfil work and family responsibilities despite pain
2	An increase in pain is an indicator that a low back pain patient should stop what they are doing until the pain decreases
3	Low back pain patients cannot go about normal life activities when they are in pain
4	If their pain would go away, low back pain patients would be every bit as active as they used to be
5	Low back pain patients should have the same benefits as the handicapped* because of their painful problem
6	Low back pain patients owe it to themselves and those around them to perform their usual activities even when their pain is bad
7	Most people expect too much of low back pain patients, given their pain
8	Low back pain patients have to be careful not to do anything that might make their pain worse
9	As long as they are in pain, low back pain patients will never be able to live as well as they did before
10	Low back pain patients have to accept that they are disabled persons, due to their pain
11	There is no way that low back pain patients can return to do the things that they used to unless they first find a cure for their pain
12	Even though their pain is always there, low back pain patients often don't notice it at all when they are keeping themselves busy
13	All of low back pain patients' problems would be solved if their pain would go away

* The following caveat to item 5 was added as a footer in the modified version: We are aware that the term 'handicapped' is not liked by many people who have completed this questionnaire in the past but the research team are unfortunately unable to change this previously validated questionnaire as we may affect the results if we did so.