Table 1
Content of the patient questionnaires
| Demographics | Baseline | 2 weeks | 6 weeks | 3 months | 6 months | 9 months | 12 months |
|---|---|---|---|---|---|---|---|
| Age | X | ||||||
| Gender | X | ||||||
| Ethnicity | X | ||||||
| Education level | X | ||||||
| Marital Status | X | ||||||
| Weight (for BMI) | X | ||||||
| Height (for BMI) | X | ||||||
| Primary Outcome Measures | |||||||
| Global Perceived Effect | X | X | X | X | X | X | |
| Recurrence of back pain | X | X | X | X | X | X | |
| Severity of pain (11-point numeric rating scale) | X | X | X | X | X | X | X |
| Roland Morris Disability Questionnaire | X | X | X | X | X | X | X |
| E5-Q5-DL | X | ||||||
| Cost Evaluation/ Healthcare Satisfaction | X | X | X | X | X | X | X |
| Adverse Events to Treatment | X | X | X | X | X | X | |
| Pain Factors | |||||||
| Duration, onset of symptoms, frequency, radiation, numbness, weakness | X | ||||||
| Expectations of recovery | X | ||||||
| Satisfaction with the current physical condition | X | ||||||
| Lifestyle Factors | |||||||
| Physical activity: International Physical Activity Questionnaire | X | ||||||
| Smoking | X | ||||||
| AUDIT-C Questionnaire | X | ||||||
| Pittsburgh Sleep Quality Index | X | ||||||
| Comorbidity Questionnaire | X | ||||||
| Psychosocial Factors | |||||||
| STarT Back Screening Tool | X | ||||||
| Physical Exam | |||||||
| Get Up & Go Test | X | ||||||