Box 1.

Analytical framework for analysing videos

Emergent theme (mechanism)	Gross structure informed by model of shared decision making19,20	Evidence of activity and interactional competencies (skills used — not mutually exclusive)
Patient preparation and engagement	Pre-beginning Preparation and opening	GP checks patient understanding of goal setting Patient attends with completed paperwork or refers to it Patient indicates they have discussed goals, for example, with family, friends Both parties establish the agenda GP invites patient to lead Patient initiates discussion about own goals/priorities
Eliciting and legitimising goals	Eliciting goals Assessing options	GP encourages early identification of patient priority/priorities GP listens attentively without interruption GP supports and validates patient’s view about importance of goal GP picks up and explores cues and clues Patient talks openly about what is important to them and why GP explores patient’s personal circumstances GP explores patient goal(s) GP and patient discuss options for goals
Collaborative action planning	Making goals SMART Decision making Summary Evaluation Closure	GP invests time in this process GP and patient deliberate together Patient describes own thinking on steps to take to achieve goal Choices discussed by both parties to explore and set goals Pros and cons of options are discussed A SMART goal informed action plan is negotiated GP or patient record agreed goal and current level of attainment

SMART = Specific, Measurable, Attainable, Realistic/Relevant, and Time bound.