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Table 3 Schedule of data collection

From: Physio4FMD: protocol for a multicentre randomised controlled trial of specialist physiotherapy for functional motor disorder

Study Procedures

Face-to-face assessment

Post Treatment telephone call

Telephone, mail or online form assessment*

Screening & Baseline Assessment

6 Months

12 Months

Informed consent

✓

   

CRF

Inclusion/exclusion criteria

✓

   

Medical history

✓

   

Demographics

✓

   

Clinical characteristics

✓

   

Assessments

Short Form 36

✓

 

✓

✓

Functional Mobility Scale

✓

 

✓

✓

Revised Illness Perception Questionnaire

✓

 

✓

✓

Hospital Anxiety & Depression Scale

✓

 

✓

✓

Client Service Receipt Inventory

✓

 

✓

✓

EQ-5D-5 L

✓

 

✓

✓

Work Productivity & Impairment Questionnaire

✓

 

✓

✓

Clinical Global Impression Scale (CGI-I)

 

✓

✓

✓

Fatigue State

✓

✓

✓

✓

Confidence in correctness of diagnosis

✓

 

✓

✓

Extended Patient Health Questionnaire-15

✓

   

Randomisation

✓

   

Adverse events screen

 

✓

✓

✓

Satisfaction with intervention Questionnaire

 

✓

  

Participant description of intervention

 

✓

  

HES data obtained from NHS Digital and eDRIS services covering the previous 18 months

   

✓

  1. *6 and 12 month follow up assessments will be completed by the participant's preferred option out of telephone, mail or online form