Development of a bronchopulmonary dysplasia nutrition focused physical examination tool: A modified Delphi study

Pediatr Pulmonol. 2024 Jun;59(6):1695-1707. doi: 10.1002/ppul.26976. Epub 2024 Apr 1.

Abstract

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.

Keywords: Infants; consensus; growth; nutrition assessment.

MeSH terms

  • Bronchopulmonary Dysplasia*
  • Child, Preschool
  • Consensus
  • Delphi Technique*
  • Female
  • Humans
  • Infant
  • Infant, Newborn
  • Male
  • Nutrition Assessment*
  • Nutritional Status
  • Nutritionists
  • Physical Examination* / methods

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