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Table 5 Phase 3 Assessment Schedule

From: Acupuncture and chiropractic care for chronic pain in an integrated health plan: a mixed methods study

 

Assessment Month

 

0

1

3

6

12

Chronic Musculoskeletal Pain Patient Measures:

Pain and related disability (patient-reported, primary outcomes)

   Pain Severity (BPI-SF subscale)

√

√

√

√

√

   Pain Interference (BPI-SF subscale)

√

√

√

√

√

   Pain Bothersomeness (single item)

√

√

√

√

√

Secondary Outcomes (survey instruments)

   Overall well-being (Arizona Integrative Outcomes Scale)

√

√

√

√

√

   Patient global impression of change

 

√

√

√

√

   Quality of sleep (ISI)

√

√

√

√

√

   Work- and activity-related impairment (NHIS questions)

√

√

√

√

√

   Depression (PHQ-8)1

√

√

√

√

√

   Anxiety (GAD-2)1

√

√

√

√

√

   Quality of Life/health utility index (SF-12)

√

√

√

√

√

   Patient satisfaction

 

√

√

  

Secondary outcomes (health care utilization collected through EMR and administrative records)

   Overall use of healthcare services and associated costs

 

EMR2

EMR

EMR

EMR

   Use of medications (short and long-acting opiates, sedatives, hypnotics, antidepressants)

 

EMR

EMR

EMR

EMR

   Pain-related procedures (injections and imaging)

 

EMR

EMR

EMR

EMR

   Pain-related visits (primary and specialty care)

 

EMR

EMR

EMR

EMR

   ER/urgent care visits

 

EMR

EMR

EMR

EMR

   Adverse events associated with conventional and CAM CMP treatment3

 

EMR

EMR

EMR

EMR

   Use of health insurance reimbursed CAM

 

A4

A

A

A

Patient characteristics and potential moderators (including predisposing, enabling, and need factors associated with A/C use decision from Figure 1)

   Demographics

√

    

   Received/seeking pain-related disability compensation

√

    

   Patient expectations/CAM attitudes

√

    

   Other characteristics of pain condition (type(s)/duration)

√

    

   Previous use of acupuncture/chiropractic services (adapted from NHIS survey)

√

    

   Utilization of non-plan CAM health services & products

√

 

√

√

√

Healthcare Provider (Allopaths/Acupuncturists/Chiropractors) Measures:

   Allopathic provider characteristics and CAM beliefs

√

    

   Acupuncturist/chiropractic service provided & general practices

  

√

√

 
  1. Note: 1depression and anxiety about pain will also be examined as potential moderators of pain outcomes; 2EMR = electronic medical record, 3participants will also be asked directly about CMP treatment-related adverse events; 4A = administrative record;