Rochester Participatory Decision-Making Scale (RPAD)
| Items | Score | |
|---|---|---|
| * Indicates modified Braddock items. | ||
| 1 | Explain the clinical issue or nature of the decision* | |
| 0 No evidence | ______ | |
| ½ Physician gives a cursory, hurried, unclear, rushed explanation, or long confusing lecture | ||
| 1 Physician clearly explains his/her view of the medical/clinical problem | ||
| 2 | Discussion of the uncertainties associated with the situation* | |
| 0 No evidence | ______ | |
| ½ Physician acknowledges uncertainties but does not explain thorough or only does with active patient prompting | ||
| 1 Physician thoroughly explains uncertainties in the problem or treatment | ||
| 3 | Clarification of agreement | |
| 0 No evidence | ______ | |
| ½ Patient expressed passive assent | ||
| 1 Physician actively asks for patient agreement and tries to obtain a commitment from the patient to the treatment plan | ||
| 4 | Examine barriers to follow-through with treatment plan | |
| 0 No evidence | ______ | |
| ½ Patient discloses concerns or problems with following through with treatment | ||
| 1 Physician actively examines patients concerns or problems with following through with treatment | ||
| 5 | Physician gives patient opportunity to ask questions and checks patients understanding of the treatment plan* | |
| 0 No opportunity for patient to ask questions | ______ | |
| ½ Patient has opportunity to ask questions | ||
| 1 Physician asks patients for their understanding of problem or plans | ||
| 6 | Physician’s medical language matches patient’s level of understanding | |
| −½ Clear mismatch between the technicality of physician’s and patient’s language | ______ | |
| ½ Level of technicality or detail of the physician’s and patient’s language matches most of the time. | ||
| 1 Level of technicality or detail of the physician’s and patient’s language clearly matches. | ||
| 7 | Physician asks, “Any questions?” | |
| 0 No evidence | ______ | |
| ½ Yes, but no discussion ensues | ||
| 1 Yes. and physician engages in a discussion with patient about the questions | ||
| 8 | Physician asks open-ended questions. | |
| 0 No evidence | ______ | |
| ½ Yes. but no discussion ensues | ||
| 1 Yes.and physician engages in a discussion with patient about the question | ||
| 9 | Physician checks his/her understanding of patient’s point of view* | |
| 0 No evidence | ______ | |
| ½ Yes, but no discussion ensues | ||
| 1 Yes, and physician engages in a discussion with patient about the physician’s perceptions of patients | ||
| Sum ______ | ||
| Discarded items | ||
| Discussion of the patient’s role in decision making* | ||
| 0 No evidence | ||
| ½ Yes, but no discussion ensues | ||
| 1 Yes, and physician engages in a discussion with patient about the patient’s role | ||
| Discussion of the alternatives* | ||
| 0 No evidence | ||
| ½ Yes, but no discussion ensues | ||
| 1 Yes, and physician engages in a discussion with patient about the alternative treatments available | ||
| Discussion of the pros (potential benefits) and cons (risks) of the alternatives* | ||
| 0 No evidence | ||
| ½ Yes, but no discussion ensues | ||
| 1 Yes, and physician engages in a discussion with patient about the pros and cons of the alternative treatments | ||