The transculturality of ‘gut feelings’. Results from a French Delphi consensus survey

Reste, Jean-Yves Le; Coppens, Magali; Barais, Marie; Nabbe, Patrice; Floch, Bernard Le; Chiron, Benoit; Dinant, Geert Jan; Berkhout, Christophe; Stolper, Erik; Barraine, Pierre

doi:10.3109/13814788.2013.779662

Cited by 23 publications

(26 citation statements)

References 15 publications

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“…This allowed eliminating obvious typos (such as Adhrärenz ) and obtaining a manageable size of items to choose from in the next round. Thus, our number of rounds is coherent and in accordance with other studies that conducted up to 3 Delphi rounds to obtain consensus on translated terms …”

Section: Discussionsupporting

confidence: 86%

“…Thus, our number of rounds is coherent and in accordance with other studies that conducted up to 3 Delphi rounds to obtain consensus on translated terms. 30,31 A significant challenge for panellists was to accept the predefined frame of translation. Some feedbacks mentioned that a translation was correct but did not fit the panellist's understanding of medication adherence or their personal convictions.…”

Section: Adherence-related Sciencesmentioning

confidence: 99%

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The ABC taxonomy for medication adherence translated into French and German

Haag

Lehmann

Hersberger

et al. 2020

Brit J Clinical Pharma

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Aims We translated the ABC adherence taxonomy (i.e. 7 terms and their corresponding definitions) published by Vrijens et al. (2012) into French and German without changing the original meaning with the aim to promote a standardised taxonomy for medication adherence to French‐ and German‐speaking researchers and clinicians. Methods A Delphi survey was performed. To generate round 1, we identified French and German synonyms for the 7 adherence terms through a literature search in PubMed. Investigators translated the original English definitions into French and German. Panellists were members of ESPACOMP—the International Society for Patient Medication Adherence; experts suggested by ESPACOMP members and first authors of medication adherence publications in French and German. Google forms were used to create online questionnaires. Delphi rounds were performed until consensus was reached. The consensus was defined according to the acceptance rate as moderate consensus (50–75%), consensus (>75–95%), and strong consensus (>95%). Results The literature search resulted in 4–6 (French) and 4–7 (German) items per English term. Delphi rounds were launched between November 2016 and April 2018. Three rounds sufficed to reach consensus on all terms and definitions from 26 French‐speaking and 25 German‐speaking panellists. Preferred terms for medication adherence are adhésion médicamenteuse (82%) in French and Medikamentenadhärenz (88%) in German. Conclusion The use of a common terminology for medication adherence with translations in French and German will contribute to standardise the vocabulary, to harmonise research projects and ultimately ease comparison of study results among researchers and clinicians.

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Section: Discussionsupporting

confidence: 86%

Section: Adherence-related Sciencesmentioning

confidence: 99%

The ABC taxonomy for medication adherence translated into French and German

Haag

Lehmann

Hersberger

et al. 2020

Brit J Clinical Pharma

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“…The gut feeling concept was originally formalized from statements raised in family medicine in the Netherlands and in Belgium [21]. Its transculturality was proven in a Romance language [22]. The FPs interviewed in our study affirmed the existence of the sense of alarm in the specific situation of a suspected PE.…”

Section: Discussionsupporting

confidence: 57%

“I Can't Find Anything Wrong: It Must Be a Pulmonary Embolism”: Diagnosing Suspected Pulmonary Embolism in Primary Care, a Qualitative Study

et al. 2014

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BackgroundBefore using any prediction rule oriented towards pulmonary embolism (PE), family physicians (FPs) should have some suspicion of this diagnosis. The diagnostic reasoning process leading to the suspicion of PE is not well described in primary care.Objectiveto explore the diagnostic reasoning of FPs when pulmonary embolism is suspected.MethodSemi-structured qualitative interviews with 28 FPs. The regional hospital supplied data of all their cases of pulmonary embolism from June to November 2011. The patient's FP was identified where he/she had been the physician who had sent the patient to the emergency unit. The first consecutive 14 FPs who agreed to participate made up the first group. A second group was chosen using a purposeful sampling method. The topic guide focused on the circumstances leading to the suspicion of PE. A thematic analysis was performed, by three researchers, using a grounded theory coding paradigm.ResultsIn the FPs' experience, the suspicion of pulmonary embolism arose out of four considerations: the absence of indicative clinical signs for diagnoses other than PE, a sudden change in the condition of the patient, a gut feeling that something was seriously wrong and an earlier failure to diagnose PE. The FPs interviewed did not use rules in their diagnostic process.ConclusionThis study illustrated the diagnostic role of gut feelings in the specific context of suspected pulmonary embolism in primary care. The FPs used the sense of alarm as a tool to prevent the diagnostic error of missing a PE. The diagnostic accuracy of gut feelings has yet to be evaluated.

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“…The sense of alarm was recognised by European GPs in their daily practice [12]. The transculturality of the gut feelings concept between Proto-Germanic and Romance languages was revealed after a Delphi procedure compared the Dutch and the French statements of the gut feelings criteria [13]. German research into this field had been sparked in 2004 by the Dutch expression “niet pluis” literally “there is danger here, something is amiss” which is commonplace for Dutch GPs but has no equivalent in German, although German GPs also expressed their incidental uneasiness (“Hier stimmt’was nicht!”) which was later coined as “Alarmgefühl”.…”

Section: Discussionmentioning

confidence: 99%

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

et al. 2017

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BackgroundPhysicians’ clinical decision-making may be influenced by non‐analytical thinking, especially when perceiving uncertainty. Incidental gut feelings in general practice have been described, namely, as “a sense of alarm” and “a sense of reassurance”.A Dutch Gut Feelings Questionnaire (GFQ) was developed, validated and afterwards translated into English following a linguistic validation procedure.The aims were to translate the GFQ from English into French, German and Polish; to describe uniform elements as well as differences and difficulties in the linguistic validation processes; to propose a procedural scheme for future GFQ translations into other languages.MethodsWe followed a structured, similar and equivalent procedure. Forward and backward-translations, repeated consensus procedures and cultural validations performed in six steps. Exchanges between the several research teams, the authors of the Dutch GFQ, and the translators involved continued throughout the procedure.Results12 translators, 52 GPs and 8 researchers in the field participated to the study in France, Germany, Switzerland and Poland. The collaborating research teams created three versions of the 10-item GFQ. Each research team found and agreed on compromises between comparability and similarity on one hand, and linguistic and cultural specificities on the other.ConclusionsThe gut feeling questionnaire is now available in five European languages: Dutch, English, French, German and Polish. The uniform procedural validation scheme presented, and agreed upon by the teams, can be used for the translation of the GFQ into other languages. Comparing results of research into the predictive value of gut feelings and into the significance of the main determinants in five European countries is now possible.Electronic supplementary materialThe online version of this article (doi:10.1186/s12875-017-0626-0) contains supplementary material, which is available to authorized users.

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The transculturality of ‘gut feelings’. Results from a French Delphi consensus survey

Abstract: 'Gut feelings' are a well-defined concept in France too. The Dutch and the French consensual statements seem very close. The transculturality of the concept is confirmed, which is a new indicator that 'gut feelings' are a self-contained concept.

Cited by 23 publications

References 15 publications

The ABC taxonomy for medication adherence translated into French and German

The ABC taxonomy for medication adherence translated into French and German

“I Can't Find Anything Wrong: It Must Be a Pulmonary Embolism”: Diagnosing Suspected Pulmonary Embolism in Primary Care, a Qualitative Study

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

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