GP Response to Decontextualised Risk

NCT05399511 | Completed

• 1 other identifier: 2021-22-25
• Study Type: observational
• Target: 9
• Locations: 1 country
• Sites: 1

Brief Summary

Decontextualised risk information is any information pertaining to diagnosis, which is introduced into a clinical consultation, or a diagnostic thought process, without being requested by the clinician. It can be risk scores, computerised warnings, or lab tests or diagnostic imaging requests ordered by other clinicians. It is a concept which (to our knowledge) has not been studied. Clinical vignettes have been developed to simulate scenarios where decontextualised risk is introduced into a consultation. These will be presented to primary care clinicians via video, who will then undergo a structured interview to explore how their perception, processing and communication of risk is challenged and changed by decontextualised risk. The findings will be analysed used qualitative methods (Thematic Analysis).

Conditions

Diagnoses Disease

Keywords

Uncertainty, Clinical Thinking, Diagnosis, Risk

Outcome Measures

Primary Outcomes (1)

• Qualitative data

  Qualitative information from "think aloud" and semi-structured interview

  At time of interview

Study Arms (1)

Practising GPs

GPs working in primary care setting.

Eligibility Criteria

• Age: 25 Years - 65 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

Given the possibility that there may be variable responses from clinicians from different backgrounds, experience and type of practice, the sampling will be purposeful. It will aim to include the following "profile" mix: Gender Early career and late career clinicians Small and large practice size Part time and full time Self-described high and low risk tolerant GPs

You may qualify if:

• GPs working in primary care in the UK are eligible

You may not qualify if:

• No current direct patient contact in a primary care setting

Sponsors & Collaborators

• University of Exeter: lead

Study Sites (1)

College of Medicine and Health, University of Exeter

Exeter, Devon, EX1 2LU, United Kingdom

Location

MeSH Terms

Conditions

Disease

Condition Hierarchy (Ancestors)

Pathologic Processes; Pathological Conditions, Signs and Symptoms

Study Officials

• Alex Burns, MBBS

  University of Exeter

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: observational
• Observational Model: OTHER
• Time Perspective: PROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: May 26, 2022
• First Posted: June 1, 2022
• Study Start: May 1, 2023
• Primary Completion: November 1, 2023
• Study Completion: July 1, 2024
• Last Updated: April 27, 2025

Record last verified: 2025-04

Locations

GB (1)