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 |