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Gut Feelings Questionnaire in daily practice: a feasibility study using a mixed-methods approach in three European
Marie Barais1, Margje W J van de Wiel2, Nicolas Groell1
1Department of General Practice, EA 7479 SPURBO, Faculté de Médecine et des Sciences de la Santé, Université de Bretagne Occidentale, Brest, France.
The Gut Feelings Questionnaire (GFQ) is a practical tool for assessing general practitioners' (GPs) diagnostic reasoning. This study found the GFQ feasible for real-world use, with GPs experiencing gut feelings in 23-31% of consultations.
Area of Science:
- Medical Education
- Diagnostic Reasoning
- Primary Care Research
Background:
- The Gut Feelings Questionnaire (GFQ) assesses 'sense of alarm' and 'sense of reassurance' in diagnostic reasoning.
- Its utility in real-world general practice settings needed validation.
Purpose of the Study:
- To test the GFQ's feasibility and practicality in general practitioners (GPs) across three countries.
- To determine the prevalence of GPs' gut feelings (alarm and reassurance) during patient consultations.
Main Methods:
- A think-aloud study with 24 Dutch GPs, trainees, and clerks using case vignettes.
- A two-phase feasibility study with 42-60 French, Dutch, and Belgian GPs using real patient consultations.
- Mixed-methods approach including questionnaires and interviews.
Main Results:
- The modified GFQ was easy to use in daily practice.
- GPs' sense of alarm occurred in 23%-31% of consultations.
- The GFQ proved feasible and practical for observational studies.
Conclusions:
- The final version of the GFQ is a feasible and practical tool for prospective observational studies.
- Minor adaptations improved the GFQ's usability in daily practice.
- The study provides prevalence data for GPs' gut feelings in diagnostic reasoning.
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