T0 Prior to first clinic visit | T1 At first clinic visit | T2 At 12 month follow-up | |
---|---|---|---|
Socio-demographic data | CRD patient questionnaire | Socio-demographic history (family status, education) | – |
Employment status (includes unemployment and disability) | CRD patient questionnaire | Social history (employment status, salaries), ZSE-DUO health economics questionnaire (changes in employment status, salaries) | ZSE-DUO health economics questionnaire (changes in employment status, salaries) |
Signs and symptoms | CRD patient questionnaire, medical summary from referring physician, medical letters | Medical history, physical examination, psychopathological statusa, diagnostic procedures | – |
Prior diagnoses | medical summary by referring physician, medical letters | Medical history | – |
New diagnoses / symptomatology explained | – | Medical history, physical examination, mental disordersa, diagnostic procedures | Medical information available after clinic visit |
Successful transition to standard care delivered by other health care providers | – | – | Medical information available after clinic visit |
Quality of life (QoL) | EQ-5D-5L, SF-12 (adults), Kidscreen-10 (youth) a, qualitative telephone interviews | EQ-5D-5L, SF-12 (adults), life satisfaction, Kidscreen-10 (youth) | EQ-5D-5L, SF-12 (adults), life satisfaction, Kidscreen-10 (youth), qualitative telephone interviews |
Mental status | PHQ-15, GAD-7, DSS-4, SCL-K-9, SDQ (youth) a | PHQ-15, GAD-7, DSS-4, SCL-K-9, SDQ (youth), MINI-DIPSa, PSS-Ka | PHQ-9, GAD-7, SDQ (youth) |
Health economics data | – | ZSE-DUO health economic questionnaire (adaption of FIMA-questionnaire) | ZSE-DUO health economic questionnaire (adaption of FIMA-questionnaire) |
Expectationsb | qualitative telephone interviewsb | – | – |
Satisfaction | – | – | ZUF-8, qualitative telephone interviewsb |
Health insurance data | – | Selected items | Selected items |