The linguistic validation of the gut feelings questionnaire in three European languages

Barais, Marie; Hauswaldt, Johannes; Hausmann, Daniel; Czachowski, Sławomir; Sowińska, Agnieszka; Royen, Paul Van; Stolper, Erik

doi:10.1186/s12875-017-0626-0

Cited by 17 publications

(20 citation statements)

References 24 publications

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“… 12 The linguistic validation procedure used to translate the GFQ from Dutch to English and then from English to French has been found to guarantee the cultural transposition from Dutch to French. 8 In spite of the differences between healthcare systems, the French and the Dutch versions of the GFQ do examine the same phenomenon. The GFQ is also feasible across practice settings in different countries.…”

Section: Discussionmentioning

confidence: 99%

“…An international network group called COGITA was established with the aim of coordinating and stimulating research into the role of GFs in general practice (see www.gutfeelingsingeneralpractice.eu ). Linguistic validation procedures produced a French, Polish and German version of the GFQ, 8 and a Spanish and a Catalan version 9 (publication in process).…”

Section: Introductionmentioning

confidence: 99%

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Gut Feelings Questionnaire in daily practice: a feasibility study using a mixed-methods approach in three European countries

et al. 2018

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ObjectivesThe validated Gut Feelings Questionnaire (GFQ) is a 10-item questionnaire based on the definitions of the sense of alarm and the sense of reassurance. The purpose of the GFQ is to determine the presence or absence of gut feelings in the diagnostic reasoning of general practitioners (GPs).The aim was to test the GFQ on GPs, in real practice settings, to check whether any changes were needed to improve feasibility, and to calculate the prevalence of the GPs’ sense of alarm and sense of reassurance in three different countries.SettingPrimary care, six participating centres in Belgium, France and the Netherlands.ParticipantsWe performed a think-aloud study with 24 experienced Dutch GPs, GP trainees and medical clerks who filled in the GFQ after diagnosing each of six case vignettes. We then performed a feasibility study in two phases, using a mixed-method approach, with 42 French and Dutch GPs in the first phase and then 10 Belgian, 10 Dutch and 10 French GPs in the second phase. All GPs filled in the GFQ after each of eight consultations with patients presenting new complaints and were subsequently interviewed about the use of the GFQ.Outcome measuresGPs’ experiences on using the GFQ in real practice, more specifically the average time needed for filling in the questionnaire.The prevalence of GPs’ sense of alarm and sense of reassurance.ResultsThe modified version of the GFQ, created without altering the sense of the validated items, was easy to use in daily practice. The prevalence of the GPs’ sense of alarm occurred during 23%–31% of the included consultations.ConclusionsAfter a two-step study and several minor adaptations, the final version of the GFQ proved to be a feasible and practical tool to be used for prospective observational studies in daily practice.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Gut Feelings Questionnaire in daily practice: a feasibility study using a mixed-methods approach in three European countries

et al. 2018

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“…After deliberation with interviewees and the research team and based on the validated translations of existing surveys on the topic in Dutch and English [32,33] it was decided that 'gut feeling' would be used in the survey, but that it's definition would include elements of other terms: 'Gut feeling is the intuitive feeling that something is right or wrong, without any obvious reasons for it being found (directly)'. The self-administered survey consisted of several elements.…”

Section: Formulation Of Survey Questionsmentioning

confidence: 99%

Navigating complexity through intuition and evidence-based guidelines: a mix-methods study among child and youth healthcare practitioners

Erisman

Sabbata

Zuiderent‐Jerak

et al. 2020

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Background Dutch child and youth health care (CYHC) practitioners monitor and assess the well-being of all children. One of their main concerns is identifying cases of child abuse, which is an arduous and sensitive task. They use both evidence-based guidelines aimed at increasing the quality of care through rationalised decision-making, and intuition. These two practices are seen as being at odds with each other, yet empirical research has shown that both are needed in healthcare. This study aims to understand how Dutch CYHC-practitioners perceive the role of intuition in their work and in relation to evidence-based medicine, in the case of child abuse. Methods A sequential exploratory mixed-methods design: in-depth semi-structured interviews with CYHC-practitioners focused on perceptions on intuition, which were followed by a survey amongst CYHC-professionals on the recognition and use of the concept. Results The majority of CYHC-practitioners and professionals recognise and use intuition in their daily work, stating that it is necessary in their profession. CYHC-practitioners use intuition: 1) to sense that something is off, 2) to differentiate between ‘normal’ and ‘abnormal’, 3) to assess risks, 4) to weigh secondary information and 5) to communicate with parents. At the same time, they warn for its dangers as it may lead to tunnel vision and false accusations. Their ways of working with intuition show parallels to the practices that evidence-based guidelines try to support. Conclusion Intuition is experienced as an integral part of the work of CYHC-practitioners. It is stated to be particularly useful in the case of child abuse, which is inherently complex as signs and evidence of abuse are hidden, subtle and unique in each case. CYHC-practitioners use intuition to manage and navigate this complexity. As there is a lack of guidance on how to practice intuition, there is a need for support through guidelines.

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“…A principal component analysis confirmed one factor, with the sense of reassurance and the sense of alarm items as two opposites, explaining 70.2% of total variance 19. Linguistic validation procedures were performed to obtain an English version of the questionnaire and, subsequently, a French version 20. Finally, after a two-step study and several minor adaptations, the definitive version of the GFQ was proven to be a feasible and practical tool to be used for prospective observational studies in daily practice21 (The GFQ is available in online supplementary appendix 1).…”

Section: Introductionmentioning

confidence: 99%

Accuracy of the general practitioner’s sense of alarm when confronted with dyspnoea and/or chest pain: a prospective observational study

et al. 2020

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ObjectivesDyspnoea and chest pain are symptoms shared with multiple pathologies ranging from the benign to life-threatening diseases. A Gut Feelings Questionnaire (GFQ) has been validated to measure the general practitioner’s (GPs) sense of alarm or sense of reassurance. The aim of the study was to estimate the diagnostic test accuracy of GPs’ sense of alarm when confronted with dyspnoea and chest pain.Design and settingsProspective observational study in general practice.ParticipantsPatients aged between 18 and 80 years, consulting their GP for dyspnoea and/or chest pain, were considered for enrolment. These GPs had to complete the GFQ immediately after the consultation.Primary outcome measuresLife-threatening and non-life-threatening diseases have previously been defined according to the pathologies or symptoms in the International Classification of Primary Care (ICPC)-2 classification. The index test was the sense of alarm and the reference standard was the final diagnosis at 4 weeks.Results25 GPs filled in 235 GFQ questionnaires. The positive likelihood ratio for the sense of alarm was 2.12 (95% CI 1.49 to 2.82), the negative likelihood ratio was 0.55 (95% CI 0.37 to 0.77).ConclusionsWhere the physician experienced a sense of alarm when a patient consulted him/her for dyspnoea and/or chest pain, the post-test odds that this patient had, in fact, a life-threatening disease was about twice as high as the pretest odds.Trial registration numberNCT02932982.

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The linguistic validation of the gut feelings questionnaire in three European languages

Cited by 17 publications

References 24 publications

Gut Feelings Questionnaire in daily practice: a feasibility study using a mixed-methods approach in three European countries

Gut Feelings Questionnaire in daily practice: a feasibility study using a mixed-methods approach in three European countries

Navigating complexity through intuition and evidence-based guidelines: a mix-methods study among child and youth healthcare practitioners

Accuracy of the general practitioner’s sense of alarm when confronted with dyspnoea and/or chest pain: a prospective observational study

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