Fig. 2

OPTION scores per item. OPTION items: 1 = Identifying a problem(s) needing a decision making process; 2 = the provider will support/explain the need to deliberate about the options; 3 = the provider list the options and explains the pros/cons; 4 = the provider explores the personal preference of the patient; 5 = the provider makes an effort to integrate the patient’s preferences as decisions are either made by the patient or arrives at by a process of collaboration and discussion. OPTION scores: 0 = not observed; 1 = there is a perfunctory or unclear attempt to perform the behavior; 2 = the behavior is performed at baseline skill level; 3 = the behavior is performed to a good standard; 4 = the behavior is performed to a high standard. Boxes represent values between 25th and 75th percentiles, whiskers the upper and lower adjacent values and the horizontal lines represent the median values. Outliers are displayed as asterisks