4 Audio recorded encounters

1. 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