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

• Published in: Pediatric pulmonology Vol. 59; no. 6; pp. 1695 - 1707
• Main Authors: Bathgate, Jennifer R., Pike, Kimberli, Newkirk, Melanie, Rigassio Radler, Diane L., Byham‐Gray, Laura, Ziegler, Jane
• Format: Journal Article
• Language: English
• Published: United States Wiley Subscription Services, Inc 01-06-2024
• Subjects: Bronchopulmonary Dysplasia; Child, Preschool; Consensus; Delphi Technique; Female; growth; Humans; Infant; Infant, Newborn; Infants; Lung diseases; Male; Nutrition Assessment; Nutritional Status; Nutritionists; Physical Examination - methods; consensus; Infants; growth; nutrition assessment
• ISSN: 8755-6863; 1099-0496
• DOI: 10.1002/ppul.26976

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.