Skip to main content
. 2018 Jul 20;7(7):e167. doi: 10.2196/resprot.9379

Table 1.

Overview of the information collected at the baseline.

Baseline information Response options or questionnaire reference
Demographics Age, gender, height, weight, family, ethnicity, education, employment status
Physical work characteristics Saltin–Grimby Physical Activity Scale [37]
Current LBPa

Average last week Visual analog scale, 0-10 [38]

Worst last week Visual analog scale, 0-10 [38]
History of LBP

Length of current episode <1 week; 1-4 weeks; 5-12 weeks; >12 weeks

Days with LBP past year 0 days; 1-7 days; 8-30 days; >30 but not every day; every day
Use of pain medication last week (days) None; 1-2 days; 3-5 days, daily
Pain-related disability Roland-Morris Disability Questionnaire [39]
Function Patient Specific Functional Scale [40]
Activity limitation

Reduced work activity Yes; no

Reduced leisure time activity Yes; no
Current work ability Work ability index, 0-10 (single item) [41]
Leisure time physical activity Saltin–Grimby Physical Activity Scale [37]
Comorbidities, musculoskeletal Pain mannequin
Comorbidities, others Cardiovascular disease; heart failure; stroke or brain hemorrhage; asthma; chronic bronchitis or emphysema, COPDb; diabetes; gastrointestinal problems; kidney disease; cancer; epilepsy; osteoporosis; osteoarthritis; depression; anxiety; sleep apnea; rheumatoid arthritis; psoriatic arthritis or psoriasis; other
Quality of life EQ-5Dc [42]
Sleep problems Sleep Screening Questionnaire [43]
Fear-avoidance beliefs Fear-Avoidance Beliefs Questionnaire [44]
Pain self-efficacy Pain-Related Self-Efficacy Questionnaire [45]
Illness perception Brief Illness Perception Questionnaire [46]
Perceived stress Perceived Stress Scale [47]
Mood Patient Health Questionnaire [48]

aLBP: low back pain.

bCOPD: chronic obstructive pulmonary disease.

cEQ-5D: European Quality of Life-5 Dimensions.