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Implementing the Nutrition Screening Tool for Every Preschooler (NutriSTEP®) in community health centres
Kay Watson-Jarvis1, Deborah McNeil, Tanis R Fenton
1Alberta Health Services, Calgary, AB, Canada.
Insights
The Nutrition Screening Tool for Every Preschooler (NutriSTEP®) is an easy-to-use tool for parents to identify nutritional risks in preschoolers. Implementation in community health centers showed feasibility, despite some staff workload concerns.
Area of Science:
- Pediatric Nutrition
- Public Health Screening
- Child Development
Background:
- Early identification of nutrition-related issues is crucial for supporting healthy growth.
- Parental involvement can enhance children's developmental outcomes.
- Validated screening tools are needed for preschool-aged children.
Purpose of the Study:
- To assess the feasibility of implementing the Nutrition Screening Tool for Every Preschooler (NutriSTEP®) in community health centers.
- To gather perspectives from parents, healthcare staff, and physicians on the NutriSTEP® tool.
- To evaluate the ease of use and perceived benefits of NutriSTEP® from a parent's viewpoint.
Main Methods:
- A prospective study involving parents attending preschool immunization clinics.
- Administration of the parent-completed NutriSTEP® questionnaire.
- Qualitative and quantitative feedback collected from parents, healthcare staff, and physicians.
Main Results:
- Parents found the NutriSTEP® questionnaire easy to complete and helpful in identifying nutritional concerns.
- Staff estimated brief time for screening distribution, but noted potential workload increases.
- Physicians recognized the importance of preschooler nutrition screening in health centers.
Conclusions:
- NutriSTEP® demonstrated relative ease of implementation in community health settings.
- Parental feedback was positive regarding ease of use and perceived helpfulness.
- Addressing staff workload concerns is important for successful, widespread adoption of the screening tool.
Purpose:
Identifying nutrition-related problems during the early years may provide an opportunity to enhance parents' abilities to support healthy growth and development. The Nutrition Screening Tool for Every Preschooler (NutriSTEP®) is a validated, parent-administered questionnaire designed to identify preschool children at nutritional risk. Parents can complete NutriSTEP® in under five minutes. Parents' and staff's views of NutriSTEP® implementation feasibility were assessed in two community health centres.
Methods:
Parents attending preschool immunization clinics were recruited. Parents, staff, and physicians were asked for their opinions on screening.
Results:
The 412 (34%) parent questionnaires completed indicated that parents found NutriSTEP® easy to complete and helpful for identifying areas of nutrition concern. Staff estimated screening distribution took one to three minutes. Clerks and nurses expressed concern about additional workload and demands on parents. Managers believed NutriSTEP® was easy to implement. Physicians considered nutrition screening of preschoolers important, and felt that health centres were the best location for screening.
Conclusions:
NutriSTEP® was relatively easy to implement in two community health clinics. While staff expressed concern about increased workload, parents found it easy to complete and helpful.
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