Domain (measure) | Source | Timing |
---|---|---|
Primary outcomes | ||
Frequency of cost conversations (adapted Politi [14]/Hunter [26] checklist) | Patient report; observation | Immediately post-visit |
Initiator of cost conversations (adapted Politi [14]/Hunter [26] checklist) | Patient report; observation | Immediately post-visit |
Referral to address costs (adapted Politi [14]/Hunter [26] checklist) | Patient report; observation | Immediately post-visit |
Secondary outcomes | ||
Shared decision-making (collaboRATE [27]) | Patient report | Immediately post-visit |
Effort made to compare costs of treatment options | Patient report | Immediately post-visit |
Clinical communication (CAHPS communication composite [28]) | Patient report | Immediately post-visit |
Decisional conflict (SURE [29]) | Patient report | Immediately post-visit, 3 months post-visit |
Decision regret (Decision Regret Scale [30]) | Patient report | 3 months post-visit |
Exploratory outcomes | ||
Patient report | Immediately post visit; 3 months post-visit | |
Implementation and acceptability outcomes | ||
Attitudes toward SDM (Continuing Professional Development Reaction Scale [33]) | Clinician report | Beginning of study period; end of study period |
Feasibility of sustained cost conversations and Option Grid use | Clinician report | End of study period |
Acceptability of cost conversations and Option Grid use (adapted Ottawa Acceptability Scale [34]) | Clinician report | End of study period |
Other data | ||
Treatment choice | Patient report | Immediately post-visit |
Treatment received | Electronic health record | 3 months post-visit |
Health literacy (Single-Item Literacy Screener [35]) | Patient report | Immediately post-visit |
Patients’ other (comorbid) health conditions | Electronic health record | Immediately post-visit |
Patients’ demographic characteristics | Patient report | Immediately post-visit |