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Table 1 Content of the patient questionnaires

From: BAck complaints in the elders - chiropractic (BACE-C): protocol of an international cohort study of older adults with low back pain seeking chiropractic care

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