Table 2 Refined scoring definitions for the OPTION5 manual
From: The current level of shared decision-making in anesthesiology: an exploratory study
Item | Description | Specification |
|---|---|---|
1 | The provider draws attention to, or re-affirms, a problem where alternate treatment or management options exist, and which requires the initiation of a decision making process. If the patient draws attention to the availability of options, and the provider responds by agreeing that the options need consideration, the item can also be scored positively. | 0 – not observed |
1 – stating that several options exist | ||
2 – listing the options | ||
3 – equality of the options | ||
4 – is it clear / any questions | ||
2 | The provider reassures the patient, or re-affirms, that the provider will support the patient to become informed. The provider will support/explain the need to deliberate about the options. | 0 – not observed |
1 – decide together | ||
2 – mention is it a difficult choice | ||
3 – will support irrespective of the choice of the patient | ||
4 – both options are o.k., depends on the preferences of the patient, provider has a supportive role | ||
3 | The provider gives information, or re-affirms/checks understanding, about options that are considered reasonable (including taking ‘no action’), to support the patient in understanding/comparing the pros and cons. | 0 – no information |
1 – explaining pros and cons of one treatment | ||
2 – explaining pros and cons of more than one treatment | ||
3 – is it clear/any questions | ||
4 – ask the patient to repeat the information | ||
4 | The provider supports the patient to examine, voice, and explore his/her personal preference in response to the options that have been described. | 0 – not observed |
1 – exploring one of the following items: preferences, concerns, expectations | ||
2 – exploring two of the following items: preferences, concerns, expectations | ||
3 – exploring all of the following items: preferences, concerns, expectations | ||
4 – integrates preferences/concerns/expectations for recommendation | ||
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. | 0 – not observed |
1 – indicates need for decision | ||
2 – indicates need for decision based on the preferences of the patient | ||
3 – asking the patient if the patient is in agreement with the decision | ||
4 – provider indicates that the patient can abandon earlier choice | ||
Total score 0–20 | ||
Rescale 0–100 |