Pedi-R-MAPP: The development of a nutritional awareness tool for use in remote paediatric consultations using a modified Delphi consensus

Abstract

Background & aims: The Remote Malnutrition Application (R-MAPP) was developed during the COVID-19 pandemic to provide support for health care professionals (HCPs) working in the community to complete remote nutritional assessments, and provide practical guidance for nutritional care. The aim of this study was to modify the R-MAPP into a version suitable for children, Pediatric Remote Malnutrition Application (Pedi-R-MAPP), and provide a structured approach to completing a nutrition focused assessment as part of a technology enabled care service (TECS) consultation. Methods: A ten-step process was completed: 1) permission to modify adult R-MAPP, 2) literature search to inform the Pedi-R-MAPP content, 3) Pedi-R-MAPP draft, 4) international survey of HCP practice using TECS, 5) nutrition experts invited to participate in a modified Delphi process, 6) first stakeholder meeting to agree purpose/draft of the tool, 7) round-one online survey, 8) statements with consensus removed from survey, 9) round-two online survey for statements with no consensus and 10) second stakeholder meeting with finalisation of the Pedi-R-MAPP nutrition awareness tool. Results: The international survey completed by 463 HCPs, 55% paediatricians, 38% dietitians, 7% nurses/ others. When HCPs were asked to look back over the last 12 months, dietitians (n ¼ 110) reported that 5.7 ± 10.6 out of every 10 appointments were completed in person; compared to paediatricians (n ¼ 182) who reported 7.5 ± 7.0 out of every 10 appointments to be in person (p < 0.0001), with the remainder completed as TECS consultations.

Nurses’ Roles in mHealth App Development: Scoping Review

“…The characteristics of the included studies are summarized in Table 1 . Of the 157 included publications, 132 (84.1%) either described usability testing or were original research papers [ 32 - 49 , 51 , 52 , 55 , 56 , 58 - 65 , 67 - 75 , 77 - 81 , 83 , 85 - 87 , 89 - 107 , 110 , 112 - 117 , 119 - 124 , 126 , 129 , 130 , 132 - 134 , 136 , 138 , 140 - 145 , 147 - 160 , 162 - 169 , 171 - 173 , 175 - 187 ].…”

“…Nurses were equally involved in developing apps for care providers and apps for health care consumers. Care providers were most frequently nurses (69/157, 43.9%) [ 32 , 35 - 37 , 40 , 44 , 46 , 47 , 49 , 50 , 52 , 55 , 59 , 62 , 64 , 66 , 68 , 69 , 72 - 74 , 79 , 80 , 82 - 84 , 86 , 88 - 92 , 94 , 99 , 100 , 102 , 106 , 107 , 111 , 112 , 114 - 119 , 122 , 124 , 134 , 135 , 138 , 142 , 143 , 146 - 148 , 153 , 155 , 158 , 164 , 165 , 167 , 169 , 172 , 175 , 176 , 183 , 187 , 188 ], followed by nonnurse providers (30/157, 19.1%) [ 35 , 36 , 49 , 50 , 52 , 55 , 59 , 64 ...…”

Pediatrik hastalarda beslenme durumunun taranması ve değerlendirilmesinde kullanılan ölçekler

“…Aynı zamanda, kullanıldıkları popülasyona özgü geçerlilik güvenilirlik çalışmaları mevcut olmayan BDT araçlarının hasta hakkında doğru bir değerlendirme sağlayamayacağı unutulmamalıdır. Gelecekte planlanacak çalışmaların ve geliştirilecek ölçeklerin, Pedi-R-MAPP çalışmasında 64 olduğu gibi güncel sorunlara çözüm üretecek şekilde ve doğaları gereği belirlenen sıklıklarla tekrar edilebilecek kolaylıkta planlanmaları gerekmektedir.…”

Good nutrition across the lifespan is foundational for healthy aging and sustainable development

“…• To integrate new methods and tools, an early practical challenge is to achieve consensus among health professionals on use of age-specific tools, methods, and indicators of nutritional status for all segments of the population (15)(16)(17)(18)(19)(20)(21)(22). Based on such evidence, healthcare professionals then need to develop expert guidelines on use of these tools and measures, and to identify age-and population-specific cutoffs for measures of nutritional and functional status.…”