Form 2 Card survey (clinician)

1. Clinician Survey

Time of day: _____________________

Satisfaction with discussion

Thinking back to the conversation you just had with your patient, how satisfied are you with the discussion?

Not at all satisfied 1

2

3

4

Extremely satisfied 5

Identification of a decision or problem solving

In the visit today, did any of the following occur? (circle Yes or No)

1. There was a choice between two or more treatment options: Yes / No

2. Problem-solving was needed between me and my patient to determine the best care plan: Yes / No

If you answered “no” to both statements, you are finished with this survey.

If you answered “yes”, please answer the last set of questions below.

OPTIONS scale

	Strongly agree 1	Agree 2	Disagree 3	Strongly disagree 4
My patient and I identified a health problem and I made it clear that a decision was needed
I asked my patient their preference to take part in the decision (or not)
I discussed different options (including the possibility of doing nothing) with me patient
I discussed advantages, disadvantages and possible outcomes of options with my patient.
I made sure my patient understood the information that I shared.
I described to my patient more than one way to manage the health problem.
I discussed ideas or expectations about managing the health problem with my patient.
I offered different sources of information (e.g., leaflets, websites, contact with other people) to help my patient make the decision.
I gave my patient opportunities to ask questions.
I asked the patient about his/her preferences.
I asked my patient about any concerns or worries about managing the health problem.
My patient and I made a decision; Or, my patient and I agreed to postpone making a decision
I discussed the possibility of coming back to the decision with my patient.

2. Audio recording coding scheme

OPTION12^20,21

 

Scale Score	Definition
0	The behavior is not observed
1	A minimal attempt is made to exhibit the behavior
2	The clinician asks the patient about their preferred way of receiving information to assist decision
3	The behavior is exhibited to a good standard
4	The behavior is observed and executed to a high standard

 

 

OPTION Item		0	1	2	3	4
1	The clinician draws attention to an identified problem as one that requires a decision-making process.
2	The clinician states that there is more than one way to deal with the identified problem (‘equipoise’).
3	The clinician assesses the patient’s preferred approached to receiving information to assist decision making (e.g., discussion, reading printed material, assessing graphical data, using videotapes or other media).
4	The clinician lists ‘options’, which can include the choice of ‘no action’.
5	The clinician explains the pros and cons of options to the patient (taking ‘no action’ is an option).
6	The clinician explores the patient’s expectations (or ideas) about how the problem(s) are to be managed.
7	The clinician explores the patient’s concerns (fears) about how problem(s) are to be managed.
8	The clinician checks that the patient has understood the information.
9	The clinician offers the patient explicit opportunities to ask questions during the decision-making process.
10	The clinician elicits the patient’s preferred level of involvement in decision making.
11	The clinician indicates the need for a decision making (or deferring) stage.
12	The clinician indicates the need to review the decision (or deferment).

Total Score 0-28

Rescale 0-100