Pedi-R-MAPP 是一个数字营养意识工具的开发,测试,验证和改进
L V Marino1, C Fandinga2, J Barratt2
1Paediatric Intensive Care Unit, Southampton Children's Hospital, NIHR Southampton Biomedical Research Centre University Hospital Southampton NHS Foundation Trust, Faculty of Health Science, University of Southampton, Southampton, UK.
Clinical nutrition (Edinburgh, Scotland)
|August 2, 2023
概括
为了进行远程营养评估,开发了一种数字工具 - - 儿科远程营养不良应用程序 (Pedi-R-MAPP). 它与儿科营养学家达成98%的协议,改善了儿童的远程护理.
科学领域:
- 儿童营养学 儿童营养学
- 数字健康工具 数字健康工具
- 医疗信息学 医疗信息学
背景情况:
- 随着COVID-19的爆发,人们越来越需要远程医疗解决方案.
- 远程营养不良应用程序 (R-MAPP) 通过德尔菲共识适应儿科使用 (Pedi-R-MAPP).
- 需要在技术支持护理服务 (TECS) 中进行远程营养评估的结构化方法.
研究的目的:
- 开发和验证儿童远程营养不良应用程序 (Pedi-R-MAPP) 的数字版本.
- 在工具开发中使用IDEAS框架 (集成,设计,评估,共享).
- 创建一个结构化的数字工具,用于远程营养为中心的评估在儿科护理.
主要方法:
- IDEAS框架指导了10个步骤的开发过程.
- 代设计涉及医疗保健专业人员 (n=22) 和用户反.
- 测试包括儿童营养学家进行的回顾性 (n=80) 和大规模 (n=745) 评估.
主要成果:
- 饮食师对Pedi-R-MAPP建议的初始同意率为86% (n=640/745).
- 需要改进的关键领域包括审查频率和放任建议.
- 代算法的改进导致了98%的协议率 (p<0.0001).
结论:
- 一个数字 Pedi-R-MAPP 工具成功地使用 IDEAS 框架开发和验证.
- 该工具为远程儿科营养评估提供了一个结构化的方法.
- 对专家评估的高度同意表明该工具在指导后续和护理决策方面的实用性.
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