Table 2.
Physician Adherence to Framework Behaviors (N=35 video-recorded meetings)
| Behavior a | Present b n (%) | Absent c n (%) | Not Appropriate d n (%) | Not Ratable e n (%) | Quality score f Mean ± SD |
|---|---|---|---|---|---|
| Opening the meeting | |||||
| Welcome the family | 20 (57) | 5 (14) | 0 | 10 (29) | 4.1 ± 0.6 |
| Express condolences | 23 (66) | 6 (17) | 0 | 6 (17) | 4.0 ± 0.8 |
| Make introductions | 16 (46) | 4 (11) | 1 (3) | 14 (40) | 4.1 ± 0.8 |
| Ask parents how they are doing | 13 (37) | 20 (57) | 0 | 2 (6) | 3.9 ± 0.8 |
| Encourage parents to identify discussion topics | 32 (91) | 1 (3) | 0 | 2 (6) | 4.4 ± 0.6 |
| Make transition to meeting content | 13 (37) | 20 (57) | 1 (3) | 1 (3) | 3.7 ± 0.8 |
| During the meeting | |||||
| Cover a balance medical, social, emotional topics | 35 (100) | 0 | 0 | 0 | 4.5 ± 0.5 |
| Make transitions between topics | 1 (3) | 34 (97) | 0 | 0 | 3.0 |
| Encourage questions | 35 (100) | 0 | 0 | 0 | 4.2 ± 0.5 |
| Be responsive to questions and concerns | 35 (100) | 0 | 0 | 0 | 4.6 ± 0.4 |
| Encourage feedback | 31 (89) | 4 (11) | 0 | 0 | 4.6 ± 0.7 |
| Acknowledge emotions | 35 (100) | 0 | 0 | 0 | 4.1 ± 0.5 |
| Provide reassurance | 34 (97) | 1 (3) | 0 | 0 | 4.6 ± 0.5 |
| Use terminology parents can understand | 35 (100) | 0 | 0 | 0 | 4.5 ± 0.3 |
| Set a comfortable pace | 35 (100) | 0 | 0 | 0 | 4.5 ± 0.5 |
| Provide information in short segments | 34 (97) | 1 (3) | 0 | 0 | 4.1 ± 0.6 |
| Tailor discussion to the specific family | 35 (100) | 0 | 0 | 0 | 4.7 ± 0.4 |
| Closing the meeting | |||||
| Summarize discussion | 4 (11) | 29 (83) | 0 | 2 (6) | 4.6 ± 0.5 |
| Ask for further questions | 14 (40) | 14 (40) | 5 (14) | 2 (6) | 4.5 ± 0.6 |
| Clarify next steps and provide referrals | 31 (89) | 1 (3) | 0 | 3 (9) | 4.2 ± 0.7 |
a
Each behavior on the checklist was categorized as one of the following: Present, Absent, Not Appropriate or Not Ratable for each of 35 video-recorded meetings.
b
Present = behavior was observed;
c
Absent = behavior was not observed but would have been appropriate in the context of the meeting;
d
Not Appropriate = behavior was not observed and would not have been appropriate in the context of the meeting;
e
Not Ratable = behavior could not be identified or judged because the quality of the recording was compromised.
f
Quality of performance of each present behavior was scored using a 5-point scale (1=low quality, 5=high quality).