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Development of a bronchopulmonary dysplasia nutrition focused physical examination tool: A modified Delphi study
Jennifer R Bathgate1, Kimberli Pike1, Melanie Newkirk1
1Rutgers University, New Brunswick, New Jersey, USA.
Insights
Pediatric registered dietitian nutritionists (RDNs) developed a consensus-based nutrition focused physical examination (NFPE) tool to assess the unique nutrition needs of infants and children with bronchopulmonary dysplasia (BPD). This tool aids in optimizing care for this vulnerable population.
Area of Science:
- Pediatric Nutrition
- Clinical Assessment Tools
- Respiratory Medicine
Background:
- Infants and children with bronchopulmonary dysplasia (BPD) have complex and often altered nutrition needs.
- Accurate and targeted nutrition assessment is crucial for managing BPD-related complications and promoting growth.
- Existing assessment tools may not fully address the specific nutritional challenges in BPD.
Purpose of the Study:
- To identify key factors influencing nutrition requirements in pediatric patients diagnosed with bronchopulmonary dysplasia (BPD).
- To develop a specialized Nutrition Focused Physical Examination (NFPE) tool tailored for children with BPD.
- To achieve expert consensus on the components of this BPD-specific NFPE tool.
Main Methods:
- A modified Delphi approach was employed, involving pediatric registered dietitian nutritionists (RDNs).
- A two-round survey assessed the relevance and usefulness of proposed NFPE components using a 5-point Likert scale.
- Consensus was defined as 75% agreement on component usefulness or relevance.
Main Results:
- Expert consensus was achieved on 38 components across six critical domains: anthropometrics, body composition, development, gastrointestinal, respiratory, and physical signs.
- The Delphi process successfully identified essential elements for a BPD-specific NFPE.
Conclusions:
- An evidence-based nutrition assessment tool for infants and children with BPD was established through expert consensus.
- The developed NFPE tool is expected to enhance the precision of nutrition assessment in this pediatric population.
- This consensus-driven approach ensures the tool's relevance and applicability in clinical practice.
Objective:
The objectives of this study were to identify factors impacting nutrition needs in infants and children with bronchopulmonary dysplasia (BPD). A modified Delphi approach to obtain consensus among pediatric registered dietitian nutritionists (RDNs) was used to create a BPD-specific nutrition focused physical examination (NFPE) tool.
Study Design:
RDNs, recruited through pediatric nutrition professional associations, completed a survey rating proposed NFPE components on a Likert scale of 1-5 allowing open-ended responses in a two-round Delphi. Responses were analyzed, deidentified, and results were returned to panelists for in-round feedback. Consensus was defined a priori as 75% agreement for usefulness or relevance ± 1 standard deviation.
Results:
Six domains (anthropometrics, body composition, development, gastrointestinal, respiratory, and physical signs) and 38 components achieved consensus.
Conclusion:
Components for an evidence-based tool to enhance nutrition assessment in infants and children with BPD were identified with consensus agreement by an expert panel of 19 pediatric RDNs.
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