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. 2020 Sep 24;9(9):e19496. doi: 10.2196/19496

Table 2.

Outcomes and covariates and their measurement details.

Outcomes and covariates Measure Collection point Response type or analysis Statistical test
Primary patient-reported outcomes



Risk awareness and recall Opioid Risk Tool and risk assessment recall Baseline, day 14, and at 3 months Ordinal (three options) for baseline risk and risk recall Cohen weighted kappa (within treatment arm) and χ2 tests (crude agreement)

Self-reported opioid use Yes or no if taking opioids Days 1, 2, 4-6, and 14 and at 3 months Dichotomous (yes or no) Zero-inflated negative binomial or zero-inflated Poisson models

Patient-reported preference for pain relief Patient pain relief preference survey Baseline Five options for patient-reported pain relief preference Cochran-Armitage χ2 test for trend

Agreement on pain treatment between patient preference and provider decision Patient preference vs electronic medical record documentation
Five options for patient-reported pain preference and concordance with provider decision Cohen weighted kappa, intraclass correlation coefficient, Bland-Altman plots (within treatment arm), and χ2 tests (crude agreement)
Secondary patient-reported outcomes



Days to no opioid use Number of pain medications taken daily Days 1,2, 4-6, and 14 and at 3 months Continuous (number of pills of each type) Kaplan Meier and proportional hazards (time to full functionality)

Functional status Back Pain Functional Scale and the 20-Item Short Form Survey from the Medical Outcomes Study Days 1, 7, and 14 and at 3 months Likert scale (0-10) and composite score for five items (0-50) Kaplan Meier, proportional hazards (time to full functionality), and random-effects mixed model  to measure clinically important changes in functionality

Satisfaction with pain treatment American Pain Society Patient Outcome Questionnaire Baseline; days 1, 7, and 14; and at 3 months Likert scale (1-6) and dichotomous (satisfied vs not satisfied) χ2 tests, Mantel-Haenszel summary statistics, and general linear model with log-linear link

Trust in provider Trust in Physician Scale Day 7 Likert scale (1-5) and composite score for 11 items (11-55) Analysis of variance or Kruskal-Wallis test

Follow-up visits for pain Self-report of additional provider visits Day 14 and at 3 months Dichotomous (yes or no visits; yes or no provide pain pills) χ2 test and general linear model with log-linear link

Patient-reported measure of shared decision making CollaboRATE Day 1 Likert scale (1-10) Analysis of variance or Kruskal-Wallis test

Opioid misuse Current Opioid Misuse Measure At 3 months Dichotomous score (≥9 vs <9) χ2 test and general linear model with log-linear link
Covariates (subgroup analyses)




Demographics GENACISa and BRFSSb 2011 Baseline Varies by question N/Ac

Overall health Self-rated health Baseline and at 3 months Likert scale (1-5) N/A

Medical condition (back vs renal colic) ICD-9d codes and primary complaint Baseline ICD-9 codes N/A

Medical history Electronic health record Baseline ICD-9 codes N/A

Risk for opioid dependency Opioid Risk Tool Baseline Continuous score (0-26) risk level (high, medium, or low) N/A

aGENACIS: Gender, Alcohol, and Culture: An International Study.

bBRFSS: Behavioral Risk Factor Surveillance System.

cN/A: not applicable. As these were not outcomes, we do not report statistical tests; these are listed as covariates.

dICD-9: International Classification of Diseases, Ninth Revision.