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2-089 - Ad-hoc questionnaire type: Other - detail
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2-090 - Survey mode
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2-091 - Height
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2-092 - Weight
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2-093 - Pain description
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2-094 - Health service use: general practitioner
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2-095 - Health service use: specialist
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2-096 - Health service use: allied health
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2-097 - Health service use: emergency department
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2-098 - Health service use: hospital
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2-099 - Health service use: diagnostic tests
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2-100 - Site of main pain
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2-101 - Pain site: head
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2-102 - Pain site: face
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2-103 - Pain site: neck
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2-104 - Pain site: chest
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2-105 - Pain site: abdomen
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2-106 - Pain site: groin
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2-107 - Pain site: upper back
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2-108 - Pain site: mid back
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2-109 - Pain site: low back
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2-110 - Pain site: left shoulder
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2-111 - Pain site: right shoulder
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2-112 - Pain site: left upper arm
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2-113 - Pain site: right upper arm
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2-114 - Pain site: left elbow
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2-115 - Pain site: right elbow
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2-116 - Pain site: left forearm
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2-117 - Pain site: right forearm
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2-118 - Pain site: left wrist
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2-119 - Pain site: right wrist
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2-120 - Pain site: left hand
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2-121 - Pain site: right hand
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2-122 - Pain site: left hip
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2-123 - Pain site: right hip
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2-124 - Pain site: left thigh
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2-125 - Pain site: right thigh
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2-126 - Pain site: left knee
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2-127 - Pain site: right knee
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2-128 - Pain site: left calf
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2-129 - Pain site: right calf
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2-130 - Pain site: left ankle
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2-131 - Pain site: right ankle
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2-132 - Pain site: left foot
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2-133 - Pain site: right foot
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2-134 - Brief Pain Inventory: Severity - worst pain
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2-135 - Brief Pain Inventory: Severity - least pain
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2-136 - Brief Pain Inventory: Severity - average pain
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2-137 - Brief Pain Inventory: Severity - current pain
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2-138 - Brief Pain Inventory: Interference - general activity
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2-139 - Brief Pain Inventory: Interference - mood
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2-140 - Brief Pain Inventory: Interference - walking
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2-141 - Brief Pain Inventory: Interference - work
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2-142 - Brief Pain Inventory: Interference - relations
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2-143 - Brief Pain Inventory: Interference - sleep
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2-144 - Brief Pain Inventory: Interference - enjoyment
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2-145 - Depression Anxiety Stress Scale: Q1
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2-146 - Depression Anxiety Stress Scale: Q2
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2-147 - Depression Anxiety Stress Scale: Q3
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2-148 - Depression Anxiety Stress Scale: Q4
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2-149 - Depression Anxiety Stress Scale: Q5
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2-150 - Depression Anxiety Stress Scale: Q6
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2-151 - Depression Anxiety Stress Scale: Q7
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2-152 - Depression Anxiety Stress Scale: Q8
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2-153 - Depression Anxiety Stress Scale: Q9
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2-154 - Depression Anxiety Stress Scale: Q10
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2-155 - Depression Anxiety Stress Scale: Q11
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2-156 - Depression Anxiety Stress Scale: Q12
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2-157 - Depression Anxiety Stress Scale: Q13
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2-158 - Depression Anxiety Stress Scale: Q14
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2-159 - Depression Anxiety Stress Scale: Q15
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2-160 - Depression Anxiety Stress Scale: Q16
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2-161 - Depression Anxiety Stress Scale: Q17
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2-162 - Depression Anxiety Stress Scale: Q18
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2-163 - Depression Anxiety Stress Scale: Q19
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2-164 - Depression Anxiety Stress Scale: Q20
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2-165 - Depression Anxiety Stress Scale: Q21
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2-166 - Pain Self-Efficacy Questionnaire: Q1
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2-167 - Pain Self-Efficacy Questionnaire: Q2
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2-168 - Pain Self-Efficacy Questionnaire: Q3
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2-169 - Pain Self-Efficacy Questionnaire: Q4
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2-170 - Pain Self-Efficacy Questionnaire: Q5
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2-171 - Pain Self-Efficacy Questionnaire: Q6
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2-172 - Pain Self-Efficacy Questionnaire: Q7
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2-173 - Pain Self-Efficacy Questionnaire: Q8
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2-174 - Pain Self-Efficacy Questionnaire: Q9
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2-175 - Pain Self-Efficacy Questionnaire: Q10
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2-176 - Pain Catastrophising Scale: Q1
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2-177 - Pain Catastrophising Scale: Q2
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2-178 - Pain Catastrophising Scale: Q3
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2-179 - Pain Catastrophising Scale: Q4
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2-180 - Pain Catastrophising Scale: Q5
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2-181 - Pain Catastrophising Scale: Q6
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2-182 - Pain Catastrophising Scale: Q7
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2-183 - Pain Catastrophising Scale: Q8
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2-184 - Pain Catastrophising Scale: Q9
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2-185 - Pain Catastrophising Scale: Q10
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2-186 - Pain Catastrophising Scale: Q11
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2-187 - Pain Catastrophising Scale: Q12
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2-188 - Pain Catastrophising Scale: Q13
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2-189 - Opioid replacement program
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2-190 - Oral Morphine Equivalent Daily Dose (oMEDD)
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2-191 - Opioid frequency
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2-192 - Medication inaccuracies
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2-193 - Work status: employed
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2-194 - Work status: employment status
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2-195 - Work status: work hours missed
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2-196 - Work status: number of hours worked
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2-197 - Work status: lost productivity
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2-198 - Work status: reason for unemployment
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2-199 - ePPOC patient impression of change, overall
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2-200 - ePPOC patient impression of change, physical
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2-201 - Medication use
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2-202 - Medication reported
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2-203 - Medication use: opioid
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2-204 - Medication use: paracetamol
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2-205 - Medication use: NSAID
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2-206 - Medication use: antidepressant
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2-207 - Medication use: anticonvulsant
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2-208 - Medication use: sedative
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2-209 - Medication, medicinal cannabinoids
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2-210 - Site of main pain: none
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2-211 - Pain site: none
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2.X.XX - Pain Catastrophising Scale: Helplessness score
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2.X.XX - Pain Catastrophising Scale: Magnification score
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2.X.XX - Pain Catastrophising Scale: Rumination score
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2.X.XX - Pain Catastrophising Scale: Total score
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2.X.XX - Work status: impairment while working
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2.X.XX - Work status: Overall work impairment
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2.X.XX - Work status: proportion of time missed
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D-001 - Body Mass Index (BMI)
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D-002 - Brief Pain Inventory: Severity score missing responses
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D-003 - Brief Pain Inventory: Severity score
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D-004 - Brief Pain Inventory: Interference score missing responses
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D-005 - Brief Pain Inventory: Interference score
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D-XXX - Pain Self-Efficacy Questionnaire: Total score
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X-001 - Patient Identifier
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2-169 - Pain Self-Efficacy Questionnaire: Q4
2-169 - Pain Self-Efficacy Questionnaire: Q4
Linda Foskett
Samuel Allingham (Unlicensed)
Owned by
Linda Foskett
Last updated:
30-08-2022
by
Samuel Allingham (Unlicensed)
1 min read
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Item name
Pain Self-Efficacy Questionnaire: Q4
epiCentre name
PSEQQ4
Definition
Patient rating for PSEQ statement “
I can cope with my pain in most situations
”
Usage
The score on this item contributes to the
PSEQ total score
(see D-XXX)
ID
2-169
Mandatory
Source
Element of
Pain Self-Efficacy Questionnaire (PSEQ)
Business rules
Nil
Dependencies
Data type
Numeric
Format
N
Maximum length
1
Data domain
Likert scale 0-6
Code
Description
0
Not at all confident
1
2
3
4
5
6
Completely confident
Conditions
Nil
Level
Survey
Derived item
Derived by
Not applicable
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