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. 2018 Jun 29;29(2):106–117. doi: 10.31138/mjr.29.2.106

Table 1.

Questionnaires administered at baseline (Time 1) and 6-month follow-up (Time 2), specifically on visit 1 to the hospital

Outcome Questionnaire Description Example
Pain McGill Pain Questionnaire Questions pertaining to the past 2 weeks
  • 17 items
    • - Sensory descriptors
    • - Affective descriptors
    • - Present pain
    • - Average pain
  • For each of these words, please place a tick in onecolumn:
    • - E.g., Throbbing
    • - (0 = none, to 3 = severe)
Fatigue Multidimensional Assessment of Fatigue Scale Questions pertaining to the past 2 weeks
  • 16 items

  • 4 dimensions:
    • - E.g., Degree and severity
  • Global fatigue index

  • Please complete the following items based on the past 2 weeks:
    • - E.g., To what degree have you experienced fatigue?
    • - (1 = not at all, to 10 = a great deal)
Fatigue Multidimensional Fatigue Inventory Questions pertaining to the past 2 weeks
  • 20 items

  • 5 dimensions:
    • - E.g., Physical fatigue
  • Over the past 2 weeks:
    • - E.g., I feel fit
    • - (1 = yes that is true, to 5 = no that is not true)
Physical function Health Assessment Questionnaire Questions pertaining to the past 2 weeks
  • 8 categories:

  • Self-reported ability to complete activities of daily living
    • - E.g., Dressing and Grooming
  • Are you able to:
    • - E.g., Dress yourself, including tying shoelaces and doing buttons?
    • - (0 = without any difficulty, to 3 = unable to do)
Physical function Dartmouth Coop Functional Assessment Charts Questions pertaining to the past 2 weeks
  • 6 items

  • 6 dimensions:
    • - E.g., Physical fitness
  • During the past 2 weeks:
    • - E.g., what was the hardest physical activity you could do for at least 2 minutes?
    • - (1 = very heavy, to 5 = very light)
Sleep Pittsburgh Sleep Quality Index Questions pertaining to the past 2 weeks
  • 18 items

  • Aspects of sleep
    • - E.g., Sleep disturbances
  • Global sleep index

  • In the past 2 weeks:
    • - E.g., How often have you had trouble sleeping because you have to get up to use the bathroom?
    • - (0 = not during the past 2 weeks, to 3 = three or more times a week)
Satisfaction with life Satisfaction With Life Scale Questions pertaining to the present time
  • 5 items

  • Satisfaction with life

  • I currently feel:
    • - E.g., In most ways, my life is close to my ideal
    • - (1 = strongly disagree, to 7 = agree)
Vitality Subjective Vitality Scale Questions pertaining to the past 2 weeks
  • 6 items

  • Vitality

  • Over the past 2 weeks, generally:
    • - E.g., I have been feeling alive and vital
    • - (1 = not at all true, to 7 = very true)
Anxiety and depression Hospital Anxiety and Depression Scale Questions pertaining to the past 2 weeks
  • 14 items

  • Depression (7 items)

  • Anxiety (7 items)

  • Over the past 2 weeks:
    • - E.g., I still enjoy the things I used to enjoy
    • - (0 = definitely as much, to 3 = not at all)
Positive and negative affect Positive and Negative AffectSchedule Questions pertaining to the past 2 weeks
  • 20 items

  • Words describing different feelings/emotions

  • Over the past 2 weeks:
    • - E.g., Interested
    • - (1 = very slightly or not at all, to 5 = extremely)
Quality of life World Health Organisation Quality Of Life Scale Questions pertaining to the past 2 weeks
  • 26 items

  • 4 domains:
    • - E.g., Physical health
  • Thinking about the past 2 weeks:
    • - E.g., How would you rate your quality of life?
    • - (1 = very poor, to 5 = very good)
Support from participant-identified other for physical activity, reducing sedentary behaviour and breaking up sitting time Important Other Climate Questionnaire
  • 6 items
    • - Perceived autonomy support from important other regarding physical activity, reducing sedentary behaviour and breaking up sitting time
  • With regards to being physically active/reducing my sedentary behaviour/breaking up my sitting time:
    • - E.g., I feel that my important other provides me with choices and options about reducing my sedentary behaviour
    • - (1 = strongly disagree, to 7 = strongly agree)
Support from consultant for physical activity, reducing sedentary behaviour and breaking up sitting time Health Care Climate Questionnaire
  • 6 items
    • - Perceived autonomy support from consultant regarding physical activity, reducing sedentary behaviour and breaking up sitting time
  • With regards to being physically active/reducing my sedentary behaviour/breaking up my sitting time:
    • - E.g., I feel that my consultant understands how I see things with respect to reducing my sedentary behaviour
    • - (1 = strongly disagree, to 7 = strongly agree)
Need satisfaction for physical activity Psychological Need Satisfaction For Exercise Scale Questions pertaining to the past 4 weeks
  • 18 items
    • - Personal experiences of physical activity
  • With regards to my experiences of physical activity:
    • - E.g., I feel free to do physical activity in my own way
    • - (1 = false, to 6 = true)
Self-efficacy for physical activity and breaking up sitting time Self-Efficacy for Exercise Scale
  • 9 items
    • - Extent of self-efficacy to take part in physical activity in different situations
    • - Extent of self-efficacy to break up sitting time in different situations
  • How confident would you feel taking part in physical activity (e.g., walking) 3 times per week for 20 minutes if:
    • - E.g., You felt pain when being physically active
    • - (1 = not confident, to 10 = very confident)
  • How confident would you feel breaking up your sitting time every 20 minutes if:
    • - E.g., You did not enjoy breaking up your sitting time
    • - (1 = not confident, to 10 = very confident)
Motivation for physical activity, reducing sedentary behaviour and breaking up sitting time Behavioural Regulation in Exercise Questionnaire-2 Questions pertaining to the past 4 weeks
  • 19 items
    • - Reasons for taking part in physical activity, reducing sedentary behaviour and breaking up sitting time
  • 5 dimensions:
    • - Intrinsic regulation (autonomous motivation)
    • - Identified regulation (autonomous motivation)
    • - Introjected regulation (controlled motivation)
    • - External regulation (controlled motivation)
    • - Amotivation
  • I take part in physical activity/reduce my sedentary behaviour/break up my sitting time:
    • - E.g., Because it is fun
    • - E.g., Because I value the benefits of doing this
    • - E.g., Because I feel guilty when I am not doing this
    • - E.g., Because other people say I should
    • - E.g., But I don’t see why I should
Motivation to limit screen time Motivation to Limit Screen Time Questionnaire Questions pertaining to the past 4 weeks
  • 9 items
    • - Feelings/beliefs regarding screen-time behaviour in leisure time
  • I try to limit my screen-time because:
    • - E.g., I believe too much screen time is bad for my health
    • - (1 = not true at all, to 7 = very true)
Environmental perceptions – active travel and physical activity Assessing Levels of Physical Activity Scale
  • 3 sections
    • - Home and neighbourhood environment
    • - Walkability
  • About how long would it take to get from your home to the nearest businesses or facilities listed below if you walked to them?
    • - E.g., Supermarket
    • - (1 = 1-5 min, to 5 = more than 30 min)