| 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 |  |  | √ | √ |  |