Simple and Evidence-based Examination and Treatment of Shoulder Pain in General Practice

13 item patient reported questionnaire on shoulder pain and disability. (0 = no pain or shoulder disability, 100 = worst pain and disability).

Health related quality of life ((0 (death) - 1.0 (perfect health))

Patient reported content of treatment measured on six items according to treatment prescribed by the GP measured on 5-item Likert scales. Sum score above 18 points regarded as consultation of high quality according to guideline intervention.

1 item (7-point) ( 0 = worse than ever, 7 =I have become completely well)

Illness perception 0-80 where a higher score reflects a more threatening view of the illness

Self efficacy for pain 0-60 where higher score reflects higher self efficacy for pain.

Sick leave reported as whole days away from work

Psychosocial, prognostic factors for musculoskeletal pain. The total score will range between 1 and 100, with a score >50 indicating higher estimated risk for future work disability

Reported number of consultations by GPs, specialists (orthopeds, rheumatologists, physiatrists or neurologists), physiotherapists, chiropractists and alternative therapists, injections and surgery.

Number of investigations; blood tests and radiology (Projectional radiograph, CT, MRI)

Patient reported use of medication reported as type of medication and frequency last week

Patient reported travel distance to therapy measured in km

Patient reported time away for therapy measured in hours

Patient reported time away from work measured in hours

Patient reported production loss measured as patient estimated per cent production loss due to shoulder pain. A higher number means a higher loss of production.

Registry data

1 item (5-point Likert scale); 0=dissatisfied, 5=very satisfied

4 subscales (communication, emotions, outcome, barriers) with 4 items measured on 4 or 7 point Likert scales. A high score represents a good communication experience, positive emotions, positive consultation outcome, no communication barriers.

1 item measured on a 7-point Likert scale. A higher score indicate higher patient perceived outcome expectancy.

Qualitative interview with selected patients, feasibility/ barriers and facilitators

Measurement of the implementation process from the perspective of the GPs

9 items measured on 6-point Likert scales analysing change in individual items and sum score before and 12 weeks after educational outreach. A higher score indicates higher self-efficacy

10 item measured on 5-point Likert scales concerning satisfaction with the different topics and content of the work shop.We will analyze individual items. A higher score indicate higher satisfaction.

4 item measured on 5-point Likert scales. We will analyze individual items. A higher score indicate higher satisfaction, benefit, usability and frequency of use of the intervention.

4 items measured on 7-point Likert scales. We will analyze individual items. A higher score indicate higher degree of use in daily practice and a higher degree of simplifying shoulder evaluation and treatment, recommending exercises, information and patient involvement.

Qualitative interview with selected GPs, feasibility/ barriers and facilitators