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. 2017 Jul 6;4:7. doi: 10.1186/s40814-017-0150-y

Table 1.

Long-list of PMR PROM questionnaire items derived from the qualitative study

Item Question
1 How severe has the pain from your PMR been in the last 2 weeks? (0-10 visual analogue scale (VAS) with 0 = no pain and 10 = the worst pain you’ve ever had)
2 How severe has the stiffness from your PMR been in the last 2 weeks? (0-10 VAS with 0 = no stiffness and 10 = the worst stiffness you’ve ever felt)
3 How severe has the weakness from your PMR been in the last 2 weeks? (0-10 VAS with 0 = no weakness and 10 = complete weakness)
4 On average, for how much of each day has the pain/stiffness/weakness from your PMR been present for during the last 2 weeks?
All day/About half the day/Around 1-3 hours/< 1 hour
5 FUNCTION: Over the last 2 weeks, compared to what you can normally do, has PMR limited your ability to do the following activities?
Graded as 1) no, not limited at all, 2) yes, limited a little, 3) yes, limited a lot, 4) not relevant
Bend down
Get up after bending down
Get in and out of a car
Drive a car
Get in and out of bed
Get in or out of a chair
Get in or out of a bath
Wash yourself fully
Dry yourself fully after a shower/bath
Take your coat on or off
Put on or take off your socks and shoes
Comb or blow dry your hair
Get on or off the toilet
Wipe yourself after going to the toilet
Engage in intimate/sexual activity
Walk up stairs
Walk up hills
Walk on the flat
Carry or lift things
Reach above your head for things
Grip objects
Do housework
Do gardening
Sit for more than 30 minutes at a time
Participate in sports
6 EMOTIONAL AND PSYCHOLOGICAL WELL-BEING: In the last 2 weeks have your PMR symptoms…
Graded as 1) none of the time, 2) a little of the time, 3) some of the time, 4) most of the time, 5) all of the time
Caused you to feel low in mood
Caused you to feel anxious
Caused you to feel vulnerable
Lowered your self-confidence
Made you worried that you might fall over
Caused you to need more help with looking after yourself
Made you less inclined to go out
Stopped you doing hobbies that you used to do
Made you worry about the future
Affected your sleep
Made you feel more tired than usual
7 TREATMENT SIDE EFFECTS: How much have you been affected by side effects from your medication in the last 2 weeks? (VAS with 0 = unaffected, 10 = severely affected)
8 In the last 2 weeks, have you been bothered by any of the following side effects of your steroid medication? (Yes/No)
Weight gain
Change in appearance (fatter face, saggy skin)
Irritability
Low mood
Euphoria
Hyperactivity
Easy bruising
Indigestion
Insomnia
Hair loss
9 Do you feel back to the level of health you were at before you first experienced PMR symptoms? (Yes/No)