Table 2.

Observed, Parent-Reported, and Provider-Reported Shared Decision-Making Ratings

OPTION5 Item Itemsa	Mean (SD)
	Observed (n = 22)	Provider-Reported (n = 6)	Parent-Reported (n = 22)
1. For the health issue being discussed, the clinician draws attention to or confirms that alternate treatment or management options exist or that the need for a decision exists. If the patient rather than the clinician draws attention to the availability of options, the clinician responds by agreeing that the options need deliberation.	0.59 (0.49)	2.7 (0.39)	2.7 (1.1)
2. The clinician reassures the patient or reaffirms that the clinician will support the patient to become informed or deliberate about the options. If the patient states that they have sought or obtained information before the encounter, the clinician supports such a deliberation process.	0.05 (0.21)	2.8 (0.52)	3.2 (0.8)
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.	0.23 (0.39)	3.2 (0.41)	2.8 (1.0)
4. The clinician makes an effort to elicit the patient's preferences in response to the options that have been described. If the patient declares their preference(s), the clinician is supportive.	0.05 (0.21)	3.0 (0.32)	2.4 (1.2)
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.	0.18 (0.35)	3.2 (0.26)	3.2 (1.0)
Total score (range: 0–20)	1.09 (1.11)	14.9 (1.42)	14.2 (3.7)

^aOPTION^{5 Item} Items are scored 0 to 4, total scores can range from 0 to 20.