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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)
   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;