Table 2.

Quotations Related to “Choice Talk”

Concept	Speaker	Quotation
Initiate “choice talk”	IBD Provider	“You know one thing for sure is that despite the 6MP medicine and the other medicines, things haven’t completely healed. They just---they kind of wax and wane.”
	JIA Provider and Mother	”So the arthritis is still there. So it brings up the question…” “What do we do next?” “Yeah. What do we do next?”
Summarize the situation	IBD Provider	“For the most part [patient] has had a, what we would call a very stable remission but some of the belly pain that he occasionally gets and the joint pain is from the Crohn’s not being completely healed….”
Discuss the existence of choice		Never observed
Importance of family preferences		Never observed
Assess reaction to the situation	Mother and IBD Provider	“… I never wanted to talk about [infliximab].” “How come?” “I’m just afraid of-- ya know-- those scary side effects.”
Provide a recommendation; rather than deferring until later	Mother and JIA Provider	“Well, let me ask this, which one would you recommend?” “Probably, the first one we used, the one we have the most experience in kids is Enbrel.”
	IBD Provider	“So that’s why I think for him in particular it would be better to go with the Remicade up front.”

Italics indicate a step that was not observed or is in contradiction to SDM model.