Table 2 Results from round 1 of the Delphi process
Habit | Proposed list of patient behaviors (original) | Changes suggested in Round 1 |
|---|---|---|
Invest in the beginning | Make personal remarks | Modifications      Respond to clinician's welcome |
|  |  |    Engage in social talk until comfortable |
|  |  |    Return the physician's greeting |
| Â | Disclose relevant concerns | Modifications |
|  |  |    Disclose all relevant concerns to the best of my knowledge |
|  |  |    Share all relevant concerns |
| Â | Articulate priorities | Modification |
|  |  |    State which concerns are most important |
| Â | Â | Additions |
|  |  |    Approve or modify stated agenda for the visit |
|  |  |    Set the agenda for the visit |
|  |  |    Solicit physician's goals for the visit |
|  |  |    Explain how one learns best |
|  |  |    Greet or verbally welcome physicians |
Provide your perspective* | Express preferences | Modification      Share values |
| Â | Express expectations | Modifications |
|  |  |    State specific requests |
|  |  |    Share wishes and expectations |
|  |  |    Express hopes, desires, expectations |
| Â | Describe impact | Modification |
|  |  |    Tell how illness affects daily life |
| Â | Participate in the visit | Modifications |
|  |  |    Provide details about symptoms, concerns, and previous treatments |
|  |  |    Give opinions about possible causes of illness |
|  |  |    Answer questions in reasonable detail, raise new comments, demonstrate respect |
| Â | Tell story | Modifications |
|  |  |    Offer information about medical history |
|  |  |    Tell the whole story of illness |
|  |  |    Tell the whole story of your concern(s) |
|  |  |    Tell story with answers to Kleinman's explanatory model |
| Â | Â | Additions |
|  |  |    Explain personal beliefs or worries about symptoms |
|  |  |    Honestly point out when areas are left unaddressed |
|  |  |    State own understanding of problem (explanatory model) to the physician |
|  |  |    Give frank opinions about choices offered |
|  |  |    Offer explanations |
|  |  |    Ask questions about explanations and choices |
Communicate | Express feelings and concerns | Modifications |
about your feelings |  |    Discuss psychosocial issues and express feelings and concerns |
and concerns* |  |    Express and elaborate on feelings and concerns |
| Â | Â | Additions |
|  |  |    Explore impact of feelings and concerns on health |
|  |  |    Respond to physician expression of empathy |
|  |  |    Talk openly about psychosocial issues |
|  |  |    Listen to physician for understanding |
Invest in the end | Use own language and terms | Modification |
|  | to describe diagnosis |    Use own language and terms to describe diagnosis, evaluation or treatment plans |
| Â | Participate in decision making | Modifications |
|  |  |    Express level of participation in decision making desired and participate to that extent |
|  |  |    Make opinions or concerns about choices known |
|  |  |    State preferences about tests or treatment options |
| Â | Ask questions | No modifications suggested |
| Â | Seek clarifying information | No modifications suggested |
|  | Restate recommendations and information provided by doctor | Modification     Restate decisions made during the visit |
| Â | Â | Additions |
|  |  |    Describe any barriers to following the treatment plan |
|  |  |    Ask the doctor to explain any words or ideas that are confusing |
|  |  |    Explore barriers to implementing the plan |
|  |  |    Answer the "Ask me 3" questions (e.g., "What is my main problem?", "What do I need to do?", "Why is it important for me to do this?") |
|  |  |    Ask about options interested in but not mentioned by the doctor |