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. 2019 Apr 25;5:57. doi: 10.1186/s40814-019-0442-5

Table 1.

Data collection tool and time points

Tool Day 0 (T1) Day 15 (T2)
Demographic and clinical survey captures the following:
• Participant’s demographic information, medication use details, social support, technology use pattern, and clinician details
• Comorbidity: Charlson Comorbidity Index
• Mobility: Life-Space Assessment questionnaire
• Performance status: Australian-modified Karnofsky Performance Scale
Pain outcomes measurement Case Report Form includes the following:
• The Brief Pain Inventory-short form
• Pain Self-Efficacy Questionnaire-short form (two-item scale)
• Online Technology Self-Efficacy Questionnaire