Table 3 Revision of Activities and Participation Children and Adolescents – Neck (APCAN) after two rounds of cognitive interviews

1

b140

Concentrating/focusing on an activity of choice for more than 30 min

Preferred: Watching TV, leisure reading

Non-preferred: Doing homework/classwork

Within the last week, I can pay attention to what I am doing for more than 30 min.

For example: Watching TV, leisure reading, homework/classwork

2

b134

Falling asleep/staying asleep

I sleep well at night and I feel well rested even when my neck hurts.

3

b780, s710

Moving your neck (for example, looking behind you, looking up/down or over your shoulder).

Right now, I can move my neck (looking behind me, looking up/down or over my shoulder).

4

b730

Lifting the arms over your head

I can lift my arms over my head without neck pain.

5

d445, d520, d 150

Brushing teeth, grooming, brushing or washing hair, taking a bath/shower

I can brush my teeth, take a shower, and wash my hair without discomfort.

I can brush my teeth, take a shower, and wash my hair without neck pain

6

d540

Dressing your upper body (for example: putting on a sweatshirt)

I can put on a shirt/top/sweatshirt easily and without neck pain.

I can put on a shirt/sweatshirt easily and without neck pain.

7

d140

Sitting in a chair (home, classroom etc.) for more than 30 min

I can sit on a chair (at home, in the classroom etc.) comfortably for more than 30 min.

8

d455, d410

Bending down to pick up toys/objects from the floor

I can bend down to pick up toys/things from the floor.

9

d475, e115, d455

Participating in an age-appropriate activity. Select all that apply:

• Riding my bike/scooter/skateboard

• Climbing on a slide

• Playing on a play structure

Jumping on a Trampoline

I can do these outdoor things just the way I do them when I do not have pain. For example, ride my bike/scooter/skateboard, climb on a slide, play on a play structure, and jump on a Trampoline.

If your choice is not in the examples, you can write your own activity of choice below.

Other preferred activity of choice: ______

10

d920

Playing with toys/board games/puzzles/doing arts, crafts

I can play with toys/board games/puzzles/do arts, crafts while sitting on a chair/floor like I usually do.

I can play with toys/board games/puzzles/do arts and crafts while sitting on a chair/floor like I usually do.

11

e125, d110, d360

Using a hand held device. Select all that apply:

• Talking and/or texting on the phone

• Playing video games

Operating tablet/I-pad

I can do these technology related things easily (For example Talk and/or text on the phone while holding the phone in my hands, play video games, use my tablet/i-pad).

If your choice is not in the examples, you can write your own activity of choice below.

I use technology most often for:

12

d455

Running/hopping/skipping/jumping

I can run/hop/skip/jump.

13

d445

Throwing/catching/bouncing a ball

I can throw a ball (For example, Football, baseball, basketball) as far as I want.

14

d170, d345, d155

d166

Performing the following activities. Select all that apply:

● Writing

● Typing in class/home

● Classroom or leisure reading

● Using fork and knife

Others: please specify

I can do these things as I usually do. Select all that apply:

● Write, type in class/home

● Classroom or leisure reading

Others:

15

d470

Riding in the school bus/car and/or driving a car

I can ride in a car/school bus.

16

d430

Carrying books/ school bag/backpacks/toys

I can stand/walk for up to 10 min with my backpack on my shoulders.

17

d640

Helping with household chores. Select all that apply:

• Washing dishes

• Using a broom

• Vacuuming

• Making bed

• Cleaning room

Others (please specify):

I can help with household chores (for example, wash dishes, use a broom, vacuum, make my bed, and clean my room). If your choice is not in the examples, you can write it below.

The chores I do most often:

18

d220, d920

Participating in recreational sports like swimming, gymnastics or other sporting activity of choice

Specify:

I can participate in recreational sports like swimming, gymnastics or other sporting activity of my choice for as long as I want

Specify (other sport of choice):

19

d830, d820, d815

Attending school/preschool regularly

I can attend school regularly.

20

d920

Keeping up with friends in the gym class/siblings at home

I can keep up with friends in the gym class/siblings at home.

I can keep up with friends in the gym class/siblings at home.