From: Acute flares of knee osteoarthritis in primary care: a feasibility and pilot case-crossover study
Concept | Measurement method | Detail | Time available for completion | Reminder sent |
---|---|---|---|---|
Baseline questionnaire | ||||
Section A: knee pain | Duration | Pain in last 12 months. Left, right | 7 days | Yes |
Time since onset | < 1 year, 1–4 years, 5–9 years, 10+ years. Left, right | |||
Pattern [36] | 5 flare pattern illustrations. Left, right | |||
Experience of knee pain [37] | In past 6 months: no pain, predictable pain, some unpredictability, constant. Left, right | |||
Walking difficulty [38] | Injury induced walking problems for at least 1 week. Left, right | |||
No days, few days, some days, all days. Left, right | ||||
Worst/least in last week, average, current [41] | 0–10 NRS with anchors (no pain, pain as bad as you can imagine) | |||
Flare-up at present | Yes/no. Left, right | |||
Self-reported main flare trigger | Free text | |||
Bothersomeness in last 24 h [42] | Not at all, slightly, moderately, very much, extremely. Left, right | |||
Leg angles [43] | Very bow legged, bowed legged, normal, knock-knee, very knock-knee. Left, right | |||
Foot angles [43] | Very turned out feet, turned out feet, straight, turned in feet, very turned in feet. Left, right | |||
KOOS-PS [44] | 7-item and 5-option categories for difficulties with daily activities in last week | |||
KOOS-Qol [45] | 4-item and 5-option categories for quality of life in last week | |||
Medications for knee pain, last week Health professional consultation for knee pain, last year | 17-option categories for drug use General practitioner, practice/district nurse, physiotherapist, surgeon, rheumatologist, acupuncturist, occupational therapist. | |||
Section B: general health | Perceived general health [46] Physical activity(GPPAQ) [47] | Excellent, very good, good, fair, poor Work physical activity (5-response options), general physical activity in last week (5-response options, 4-option categories), walking pace | ||
Self-reported weight | Stones/lbs. or kg | |||
Self-reported height | Feet/inches or cm | |||
Section C: demographics | Gender Date of birth Current employment | Male/female Date/month/year Paid employment or self-employed, retired, looking after home and/or family, unable to work because of sickness or disability, unemployed, doing unpaid or voluntary work, full or part-time student | ||
Scheduled (control-period) and event-driven (case-period) questionnaires* | ||||
Knee pain | Flare-up at present | Yes/no. Left, right | 7 days/ 2 days | Yes |
Average pain in last 24 h [27] | 0–10 NRS with anchors (no pain, pain as bad as you can imagine). Left, right | |||
Changes noticed since flare-up† | Limping, swelling, stiffness, increased difficulty with activities of daily living, sleep disturbed by knee pain | Tick as many boxes as apply | ||
Physical activities | Vigorous physical activity > 10 mins [48] | Yes/no | ||
Climbing several flights of stairs | Yes/no | |||
Repetitive or prolonged squatting | Yes/no | |||
Repetitive or prolonged kneeling | Yes/no | |||
Climbing up and down ladders | Yes/no | |||
Lifting or moving heavy objects | Yes/no | |||
Prolonged periods of sitting without a break | Yes/no | |||
Prolonged periods of standing without a break | Yes/no | |||
Any unusual activities involving knees | Yes/no | |||
Slips, trips, sprains, strains | Slip, trip, or fall Episode of buckling or giving way [49] | Yes/no Yes/no. Left, right | ||
Health and healthcare | Reduce or miss medication Take extra medication | Yes/no Yes/no | ||
Cough, cold, other minor infection | Yes/no | |||
Stress and other things | Work related stress [50] Home related stress [50] | Yes/no Yes/no | ||
Friend/family-related stress [50] | Yes/no | |||
Low mood/depression | Yes/no | |||
Feeling angry, irritable, hostile | Yes/no | |||
Poor night’s sleep | Yes/no | |||
Eat foods usually avoided | Yes/no | |||
Cold/damp weather | Not at all, slightly, moderately, severely, extremely | |||
Day of above exposure | All yes responses from above sections (physical activity; slips, trips, sprains, strains; health and healthcare; stress and other things) anchored to day of the week | Grid of previous 7 days from declared flare-up onset. Tick as many boxes as apply | ||
Brief daily questionnaire during flare-up | ||||
Knee pain | Average pain in last 24 h [27] | 0–10 NRS with anchors (no pain, pain as bad as you can imagine). Left, right | 6 h | No |
Impact of pain | Bothersomeness in last 24 h [42] | Not at all, slightly, moderately, very much, extremely. Left, right | ||
Medication use | Pain medication taken in last 24 h | No; yes, but less than usual; yes, but about the same as usual; yes, more than usual | ||
Flare-up resolution | Has your flare-up ended | Yes/no | ||
Brief daily questionnaire for sub-study | ||||
Main flare-up trigger | Did your main trigger for a flare-up of knee pain [baseline response reminder] happen today | Yes/no | 6 h | No |
Knee pain | Average pain in last 24 h [27] | 0–10 NRS with anchors (no pain, pain as bad as you can imagine). Left, right |