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GENERAL SECTION
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Perceived general health
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MOS SF-12 [8]
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physical and mental component summary scores
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|
Participation
|
Keele Assessment of Participation (KAP) [9]
|
11 item measure of person-perceived, performance-based participation
|
|
Demographic characteristics
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- date of birth, gender
| |
| |
- marital status
|
single, married, divorced, separated, widowed
|
|
Occupational characteristics
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Current employment status
|
employed, not working due to ill health, seeking employment, retired, housewife, other
|
|
Bodily pain
|
- self-completed manikin
|
In the past 4 weeks have you had pain that has lasted for one day or longer in any part of your body?
|
| |
- specific sites questions
|
"Have you had any problems in your hands or pain in your hands/knees/ hips/feet in the last year?
|
|
HAND PAIN/PROBLEMS SECTION
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|
Characteristic of complaint
|
- hand dominance
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right, left, both
|
| |
- side of pain
|
right, left, both
|
| |
- duration of pain in past 12 months
|
<7 days, 1–4 weeks, 1–3 months, 3+ months
|
|
Pain
|
- AIMS 2 [19]
|
pain sub-scale
|
| |
- hand drawings
|
painful areas
|
|
Physical features
|
- hand drawing
|
self-reported nodes
|
|
Function
|
- AIMS 2 [19]
|
hand and finger function sub-scale
|
| |
- AUSCAN [21]
|
pain, stiffness, physical function sub-scales
|
|
Illness perceptions
|
Illness Perceptions Questionnaire Revised (IPQ(R)) [13]
|
9 dimensions: illness coherence, treatment control, personal control, timeline (acute/chronic), timeline (cyclical), consequences, emotional representation, identify, causes
|
|
Health care
|
NHS & private services [22]
|
past 3 years
|
|
HIP PAIN SECTION
|
|
Characteristic of complaint
|
- side of pain
|
right, left, both
|
| |
- duration of pain in past 12 months
|
<7 days, 1–4 weeks, 1–3 months, 3+ months
|
|
Health care seeking
|
consulted with GP
|
ever
|
|
Complaint specific functioning
|
Western Ontario and McMaster Universities OA index (WOMAC) [23]
|
pain, stiffness, physical function
|
|
KNEE PAIN SECTION
|
|
Characteristic of complaint
|
- side of pain
|
right, left, both
|
| |
- duration of pain in past 12 months
|
<7 days, 1–4 weeks, 1–3 months, 3+ months
|
|
Health care seeking
|
Consulted with GP
|
ever
|
|
Complaint specific functioning
|
Western Ontario and McMaster Universities OA index (WOMAC) [23]
|
pain, stiffness, physical function
|
|
FOOT PAIN SECTION
|
|
Characteristic of complaint
|
- side of pain
|
right, left, both
|
| |
- duration of pain in past 12 months
|
<7 days, 1–4 weeks, 1–3 months, 3+ months
|
|
Health care seeking
|
Consulted with GP
|
ever
|
|
Complaint specific functioning
|
Foot Disability Index (FDI) [24]
|
pain, appearance, physical function
|
