Table 2 OPTION⁵* scores from observations of patients and professionals (n = 29)

1. For the health issue being discussed, the clinician draws attention to or confirms the fact that there are alternate treatment or management options or that a decision needs to be taken. If the patient rather than the clinician draws attention to the availability of options, the clinician responds by agreeing that the options need deliberation.

1

1

13

13

1

2.4 (0.8)

2. The clinician reassures the patient or reaffirms that they will support the patient in informing them or deliberating the options. If the patient states that they have sought or obtained information before the meeting, the clinician supports the deliberation process.

7

13

6

3

0

1.2 (0.9)

3. The clinician gives information or checks understanding about the options that are considered reasonable (this can include taking no action), to support the patient in comparing alternatives. If the patient requests clarification, the clinician supports the process.

0

3

18

4

4

2.3 (0.8)

4. The clinician makes an effort to elicit the patient’s preferences in response to the options that have been described. When the patient states their preference, the clinician is supportive.

2

4

6

14

3

2.4 (1.1)

5. The clinician makes an effort to integrate the patient’s elicited preferences as decisions are made. If the patient indicates how best to integrate their preferences as decisions are made, the clinician makes an effort to do so.

2

10

7

10

0

1.9 (1.0)

Total

12

31

50

44

8

50.9 (14.4)