Questionnaires | Target | T0 | T1-T8 | T9 | Response format |
---|---|---|---|---|---|
Demographic & medical characteristics | Descriptive of the population | X | X | X | Multiple answers |
EORTC QLQ-C30 | Functional scales: physical, role, emotional, social, and cognitive functioning (15 items) | X | X | X | 4 point Likert scale Range 15–60 |
Symptom scales: fatigue, pain, nausea/vomiting (7 items) | X | X | X | Range 7–28 | |
Single symptom items (6 items) | X | X | X | Range 6–24 | |
Global Health and global quality of life* (2 items) | X | X | X | 7 point linear analogue scale Range 2–14 | |
EORTC QLQ- BR23 | Functional scales: body image, sexual functioning, sexual enjoyment, future perspective (8 items) | X | X | X | 4 point Likert scale Range 8–32 |
Symptoms scales: arm symptoms, breast symptoms, systemic therapy side effects, upset by hair loss (15 items) | X | X | X | Range 15-60 | |
DT | General distress | X | X1 | X | 11 point visual analogue Scale: range 0–10 |
Problem list (47 items) | X | X1 | X | Yes/no | |
Question: wish for referral (1 item) | X | X1 | X | Yes/no/maybe | |
HADS | Emotional distress (14 items) Subscales: Anxiety (7 items) Depression (7 items) | X | X | X | 4 point Likert scale Range 0–42 (total scale) Range 0–21 Range 0-21 |
IES | Coping with the cancer (15 items) Subscales: Intrusion (7 items) Avoidance (8 items) | X | X | X | 4 point scale Range 0–75 (total score) Range 0–35 Range 0-40 |
ICQ | Illness perceptions (18 items) Subscales: Helplessness (6 items) Acceptance (6 items) Perceived benefits (6 items) | X | X | X | 4 point Likert scale Range 6–24 Range 6–24 Range 6-24 |
Diary | Health care use and work absence | Â | X | X | Yes/no, frequency and reason |
EQ-6D | Quality of life in relation to economic evaluations (1 item) | X | X | X | Visual Analogue Scale: range 0–100 |
Dimensions: mobility, self-care, usual activities, pain/discomfort, anxiety/depression and cognition (6 items) | X | X | X | Range 1–3 for each dimension. |