90 | Chapter 3 Appendix A. SDM-Q-9 and SDM-Q-Doc items Item Description Referred to in the text Item 1 Clarifying a decision needs to be made ‘clarification’ Item 2 Eliciting the patients’ preferred involvement ‘involvement’ Item 3 Stating there is more than one way to deal with the problem ‘alternatives’ Item 4 Explaining the pros and cons of treatment options ‘options’ Item 5 Investigating if the patient has understood all the information ‘understanding’ Item 6 Identifying the patients’ preferred treatment option ‘preference’ Item 7 Weighing the treatment options ‘weighing’ Item 8 Making a shared decision ‘decision’ Item 9 Agreement on follow-up arrangements ‘agreement’ Appendix B. OPTIONmcc+ items and measure scoring guide Item Behavior description 1 Goal talk: identify patient values and goals of care 2 Alternative option talk: discussion of alternate options 3 Team talk: forming a partnership 4 Option talk: information about options 5 Decision talk: eliciting patient’s preferences 6 Integrative decision talk: integrating patient’s preferences 7 Evaluation talk: check satisfaction with choice and SDM process Score for physicians Description (based on the OPTIONmcc) 0 = no effort Zero effort was observed. The behavior is not observed. 1 = minimal effort Efforts to communicate could be implied or interpreted. A minimal attempt is made to exhibit the behavior. 2 = moderate effort Basic phrases or sentences used. The behavior is exhibited to a good standard. 3 = skilled effort Substantive phrases or sentences are used. The behavior is exhibited to a good standard. 4 = exemplary effort Clear, accurate communication methods are used. The behavior is executed to a very high standard.
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