Perceptions and observations of shared decision making during pediatric otolaryngology surgical consultations

Table 2 Individual OPTION items by frequency, percentages and median consultation score

OPTION item for parents	Number of consultations in which the competence is demonstrated	Percentage of visits that include the competence	Median score per consultation
The clinician draws attention to an identified problem as one that requires a decision-making process	106	90.6	2
The clinician states that there is more than one way to deal with an identified problem	106	90.6	1
The clinician assesses the patient’s preferred approach to receiving information to assist decision making	0	0	0
The clinician lists “options”, which can include the choice of “no action”	95	81.2	2
The clinician explains the pros and cons of the options to the patient	113	96.6	3
The clinician explores the patient’s expectations (or ideas) about how problems are to be managed	83	70.9	1
The clinician explores the patient’s concerns (fears) about how the problems are to be managed	106	90.6	1
The clinician checks that the patient has understood the information	112	95.7	1
The clinician offers the patient explicit opportunities to ask questions during the decision-making process	108	92.3	1
The clinician elicits the patient’s preferred level of involvement in decision making	57	48.7	0
The clinician indicates the need for a decision-making (or deferring) stage	102	87.2	1
The clinician indicates the need to review the decision (or deferment)	79	67.5	2