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. 2017 Nov 28;1:12. doi: 10.1186/s41687-017-0019-0

Table 7.

PROMIS v1.1 Pain Interference item bank

Item ID Question
1 PAININ1 In the past 7 days, how difficult was it for you to take in new information because of pain?a
2 PAININ3 In the past 7 days, how much did pain interfere with your enjoyment of life?a
3 PAININ5 In the past 7 days, how much did pain interfere with your ability to participate in leisure activities?a
4 PAININ6 In the past 7 days, how much did pain interfere with your close personal relationships?a
5 PAININ8 In the past 7 days, how much did pain interfere with your ability to concentrate?a
6 PAININ9 In the past 7 days, how much did pain interfere with your day to day activities?a
7 PAININ10 In the past 7 days, how much did pain interfere with your enjoyment of recreational activities?a
8 PAININ11 In the past 7 days, how often did you feel emotionally tense because of your pain?a
9 PAININ12 In the past 7 days, how much did pain interfere with the things you usually do for fun?a
10 PAININ13 In the past 7 days, how much did pain interfere with your family life?a
11 PAININ17 In the past 7 days, how much did pain interfere with your relationships with other people?a
12 PAININ18 In the past 7 days, how much did pain interfere with your ability to work (included work at home)?a
13 PAININ19 In the past 7 days, how much did pain make it difficult to fall asleep?a
14 PAININ20 In the past 7 days, how much did pain feel like a burden to you?a
15 PAININ22 In the past 7 days, how much did pain interfere with work around the home?a
16 PAININ31 In the past 7 days, how much did pain interfere with your ability to participate in social activities? a
17 PAININ34 In the past 7 days, how much did pain interfere with your household chores? a
18 PAININ35 In the past 7 days, how much did pain interfere with your ability to make trips from home that kept you gone for more than 2 h? a
19 PAININ36 In the past 7 days, how much did pain interfere with your enjoyment of social activities? a
20 PAININ48 In the past 7 days, how much did pain interfere with your ability to do household chores? a
21 PAININ49 In the past 7 days, how much did pain interfere with your ability to remember things? a
22 PAININ56 In the past 7 days, how irritable did you feel because of pain? a
23 PAININ14 In the past 7 days, how much did pain interfere with doing your tasks away from home (e.g., getting groceries, running errands)? a
24 PAININ16 In the past 7 days, how often did pain make you feel depressed?b
25 PAININ24 In the past 7 days, how often was pain distressing to you? b
26 PAININ26 In the past 7 days, how often did pain keep you from socializing with others?b
27 PAININ29 In the past 7 days, how often was your pain so severe you could think of nothing else? b
28 PAININ32 In the past 7 days, how often did pain make you feel discouraged?b
29 PAININ37 In the past 7 days, how often did pain make you feel anxious?b
30 PAININ38 In the past 7 days, how often did you avoid social activities because it might make you hurt more?b
31 PAININ40 In the past 7 days, how often did pain prevent you from walking more than 1 mile?
32 PAININ42 In the past 7 days, how often did pain prevent you from standing for more than one hour?b
33 PAININ46 In the past 7 days, how often did pain make it difficult for you to plan social activities? b
34 PAININ47 In the past 7 days, how often did pain prevent you from standing for more than 30 min?b
35 PAININ50 In the past 7 days, how often did pain prevent you from sitting for more than 30 min?b
36 PAININ51 In the past 7 days, how often did pain prevent you from sitting for more than 10 min?b
37 PAININ52 In the past 7 days, how often was it hard to plan social activities because you didn’t know if you would be in pain?b
38 PAININ53 In the past 7 days, how often did pain restrict your social life to your home?b
39 PAININ55 In the past 7 days, how often did pain prevent you from sitting for more than one hour? b
40 PAININ54 In the past 7 days, how often did pain keep you from getting into a standing position?b

aResponse options for questions 1–23 are 1 = Not at all; 2 = A little bit; 3 = Somewhat; 4 = Quite a bit; 5 = Very Much

bResponse options for questions 24–40 are 1 = Never; 2 = Rarely; 3 = Sometimes; 4 = Often; 5 = Always