Variables / outcomes
| Variables | Measurement tool | Initial Questionnaire | Follow up Questionnaire |
|---|---|---|---|
| Patient ID (site, language, ID)
| X | X | |
| Date of completion of the questionnaire
| X | X | |
| Pain location All painful areas | Body map | X | X |
| Most painful area | Body map | X | X |
| Pain area(s) for which the patient has been referred to the clinic
| Body map | X | X |
| Circumstances surrounding the onset of the pain for which the patient has been referred to the clinic
| X | ||
| Duration of the pain for which the patient has been referred to the clinic
| X | ||
| Frequency of the pain for which the patient has been referred to the clinic (continuous or intermittent)
| X | X | |
| Neuropathic component of the pain for which the patient has been referred to the clinic
| Self-reported portion of the DN4 | X | X |
| Presence of pain in the past 7 days
| X | X | |
| Worst pain intensity in the past 7 days
| PROMIS 0-10 pain intensity scale (0 = no pain, 10 = worst imaginable pain) | X | X |
| Average pain intensity in the past 7 days
| PROMIS 0-10 scale | X | X |
| Pain interference | Interference items of the Brief Pain Inventory | X | X |
| Physical functioning | Physical functioning subscale of the SF-12 | X | X |
| Anxiety | Anxiety Subscale of the Patient Health Questionnaire – 4 | X | X |
| Depression | Depression Subscale of the Patient Health Questionnaire – 4 | X
| X |
| Psychological distress | Patient Health Questionnaire – 4 | X | X |
| Age
| X | ||
| Biological sex at birth (female, male, intersex, prefer not to disclose the information)
| X | ||
| Gender (woman, man, do not identify within the gender binary, prefer not to disclose the information)
| X | ||
| Preferred gender pronoun (she/her, he/his, they/them, prefer to use another gender pronoun (specify)
| X | ||
| Employment status
| X | X | |
| Canadian Armed Forces | |||
| Ever | X | ||
| Currently active | X | X | |
| Year of release | X | X | |
| Pain related to the work in the Canadian Armed Forces
| X | X |
