The Chinese version of OPTION scale: Is it reliable on measuring the shared decision-making among preoperative conversations.

Objective: To test the reliability of the Chinese version of the OPTION ¹² (OPTION ¹² -C) scale; and to evaluate the level of shared decision-making (SDM) in the preoperative conversations for high-risk procedures by using the OPTION ¹² -C.
Methods: Two hundred and ninety-seven conversations were rated. Cronbach's alpha, Pearson's correlation coefficient and intraclass correlation coefficient (ICC) were used to assess the reliability of the OPTION ¹² -C. Mean and median were applied to evaluate the scores.
Results: The Cronbach's alpha was 0.603. The Pearson's correlation coefficient of the sub-items ranged from 0.002 to 0.595; the inter-rater ICC was 0.992. The mean and median of the total scores were 9.61 ( ± 3.583) and 9 respectively. 430 family members appeared in the conversations.
Conclusion: The reliability of the OPTION ¹² -C was acceptable. The SDM behaviors of doctors were only scored at or close to the minimal skill level. High level of family involvement demonstrated the Chinese culture of family- centeredness.
Practice Implications: The OPTION ¹² -C was proved to be applicable for testing the extent of SDM. The low level of SDM indicates a need to improve Chinese doctors' communication skills.
Competing Interests: Declaration of competing interests The authors declare they have no competing interests.
(Copyright © 2021. Published by Elsevier B.V.)