| Screeninga | Baseline | During treatment | Three month | Six month |
---|---|---|---|---|---|
Gender | X* | Â | Â | Â | Â |
Age | X* | Â | Â | Â | Â |
Source of referral | X* | Â | Â | Â | Â |
Date of referral | X* | Â | Â | Â | Â |
Suitability for OBI (from information provided on referral) | X* | Â | Â | Â | Â |
Has the patient been sent a questionnaire? | X* | Â | Â | Â | Â |
BPI | X | X | Â | X | X |
(pain location only) | (full) | (full) | (full) | ||
TSK | X | Â | Â | X | X |
STarT Back | X | Â | Â | Â | Â |
Demographic information (age, gender, ethnicity) | Â | X | Â | Â | Â |
History of the pain condition | Â | X | Â | Â | Â |
Contact details | Â | X | Â | Â | Â |
CPAQ | Â | X | Â | X | X |
AAQ-II | Â | X | Â | X | X |
RDQ | Â | X | Â | X | X |
SF-12 | Â | X | Â | X | X |
EQ-5D | Â | X | Â | X | X |
HADS | Â | X | Â | X | X |
Expectation and satisfaction with treatment | Â | X | Â | X | Â |
(expectation) | (satisfaction) | ||||
Date of each scheduled CCBT or physiotherapy session and whether the session was attended | Â | Â | X | Â | Â |
Reasons for non-attendance or early withdrawal | Â | Â | X | Â | Â |
Details of any concomitant treatments | Â | Â | X | Â | Â |
Details of any treatments the participant has been referred on to | Â | Â | X | Â | Â |
Recovery (MPGIC) | Â | X | Â | X | X |
Health economics | Â | X | Â | X | X |
Help questions (How long it has taken to complete the questionnaire? Did anyone help you to complete the questionnaire?) | X | X | Â | X | X |
Face-to-face interview | Â | X | Â | X | Â |