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Scientific paper - Original scientific paper
Pedi-R-MAPP: The development of a nutritional awareness tool for use in remote paediatric consultations using a modified Delphi consensus
Clinical Nutrition, 41 (2022), 3; 661-672. https://doi.org/10.1016/j.clnu.2022.01.009
Marino, L.V.; Collaço, N.C.; Ashton, J.J.; Cader, S.; Cooke, M.L.; Cooke, L.H.; Gerasimidis, K.; Guz-Mark, A.; Hulst, J.M.; Vranešić Bender, Darija; Huysentruyt, K.; Joosten, K.; Kolaček, Sanja; Krznarić, Željko; Meyer, R.; Nemet, D.; Niseteo, Tena; Selimoglu, M.A.; Shamir, R.; Darlington, A.S.E.; Beattie, R.M. More authors...

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Marino, L., Collaço, N., Ashton, J., Cader, S., Cooke, M., Cooke, L. ... Beattie, R. (2022). Pedi-R-MAPP: The development of a nutritional awareness tool for use in remote paediatric consultations using a modified Delphi consensus. Clinical Nutrition, 41. (3), 661-672. doi: 10.1016/j.clnu.2022.01.009

Marino, L.V., et al. "Pedi-R-MAPP: The development of a nutritional awareness tool for use in remote paediatric consultations using a modified Delphi consensus." Clinical Nutrition, vol. 41, no. 3, 2022, pp. 661-672. https://doi.org/10.1016/j.clnu.2022.01.009

Marino, L.V., N.C. Collaço, J.J. Ashton, S. Cader, M.L. Cooke, L.H. Cooke, K. Gerasimidis, et al. "Pedi-R-MAPP: The development of a nutritional awareness tool for use in remote paediatric consultations using a modified Delphi consensus." Clinical Nutrition 41, no. 3 (2022): 661-672. https://doi.org/10.1016/j.clnu.2022.01.009

Marino, L., et al. (2022) 'Pedi-R-MAPP: The development of a nutritional awareness tool for use in remote paediatric consultations using a modified Delphi consensus', Clinical Nutrition, 41(3), pp. 661-672. doi: 10.1016/j.clnu.2022.01.009

Marino L, Collaço N, Ashton J, Cader S, Cooke M, Cooke L, and sur.. Pedi-R-MAPP: The development of a nutritional awareness tool for use in remote paediatric consultations using a modified Delphi consensus. Clinical Nutrition [Internet]. 2022 March [cited 2024 April 12];41(3):661-672. doi: 10.1016/j.clnu.2022.01.009

L. Marino, et al., "Pedi-R-MAPP: The development of a nutritional awareness tool for use in remote paediatric consultations using a modified Delphi consensus", Clinical Nutrition, vol. 41, no. 3, pp. 661-672, March 2022. [Online]. Available at: https://urn.nsk.hr/urn:nbn:hr:105:023358. [Accessed: 12 April 2024]

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Metadata
Title (english)Pedi-R-MAPP: The development of a nutritional awareness tool for use in remote paediatric consultations using a modified Delphi consensus
AuthorL.V. Marino
AuthorN.C. Collaço
AuthorJ.J. Ashton
AuthorS. Cader
AuthorM.L. Cooke
AuthorL.H. Cooke
AuthorK. Gerasimidis
AuthorA. Guz-Mark
AuthorJ.M. Hulst
AuthorDarija Vranešić Bender
AuthorK. Huysentruyt
AuthorK. Joosten
AuthorSanja Kolaček
AuthorŽeljko Krznarić
MBZ: 75865
AuthorR. Meyer
AuthorD. Nemet
AuthorTena Niseteo
AuthorM.A. Selimoglu
AuthorR. Shamir
AuthorA.S.E. Darlington
AuthorR.M. Beattie
Author's institutionUniversity of Zagreb
School of Medicine
(Department of Internal Medicine)
Scientific / art field,
discipline and subdiscipline		BIOMEDICINE AND HEALTHCARE
Clinical Medical Sciences
Internal Medicine
Abstract (english)
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 = 110) reported that 5.7 ± 10.6 out of every 10 appointments were completed in person; compared to paediatricians (n = 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. Overall, 74 articles were identified and used to develop the Pedi-R-MAPP which included colour-coded advice using a traffic light system; green, amber, red and purple. Eighteen participants agreed to participate in the Delphi consensus and completed both rounds of the modified Delphi survey. Agreement was reached at the first meeting on the purpose and draft sections of the proposed tool. In round-one of the online survey, 86% (n = 89/104) of statements reached consensus, whereas in round-two 12.5% (n = 13/104) of statements reached no consensus. At the second expert meeting, contested statements were discussed until agreement was reached and the Pedi-R-MAPP could be finalised. ----- Conclusion: The Pedi-R-MAPP nutrition awareness tool was developed using a modified Delphi consensus. This tool aims to support the technological transformation fast-tracked by the COVID-19 pandemic by providing a structured approach to completing a remote nutrition focused assessment, as well as identifying the frequency of follow up along with those children who may require in-person assessment.
Keywords (english)
Languageenglish
Publication typeScientific paper - Original scientific paper
Publication statusPublished
Peer reviewPeer review
Publication versionPublished version
Journal titleClinical Nutrition
Numberingvol. 41, no. 3, pp. 661-672
p-ISSN0261-5614
DOIhttps://doi.org/10.1016/j.clnu.2022.01.009
URN:NBNurn:nbn:hr:105:023358
Publication2022-03
Document URLhttps://linkinghub.elsevier.com/retrieve/pii/S0261561422000115
Type of resourceText
Access conditionsOpen access
Terms of useLicence Attribution 4.0 International (CC BY 4.0) icon
Created on2022-10-24 11:16:45