Skip to main content

Table 1 Versions of the Questionnaire

From: The “STOP Pain” Questionnaire: using the Plan-Do-Study-Act model to implement a patient-family preferences-informed questionnaire into a pediatric transitional pain clinic

Questionnaire Version

Date of Implementation

Number of Completed Questionnaires Associated with this Version

Defining Characteristic/Change in Version

1

July 29, 2019

11

Original document

2

September 3, 2019

45

Parents/guardians answering the goal-based questions which were only asked of patients previously

3

December 3, 2019

15

Added PROMIS® Pediatric and Parent Proxy Depressive Symptoms scales and question about current pharmaceutical/medication use for pain management

4

January 14, 2020

17

Question about mobility impairment is added in order for patients unable to walk/run to skip over the PROMIS® Pediatric and Parent Proxy Pain Interference scales