Pedi R‐MAPP
The development of a nutritional awareness tool for use as part of a nutrition-focused consultation with children

Dr Luise Marino, RD PhD
Paediatric 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

The global health crisis has led to rapid adoption and implementation of technology-enabled care services (TECS),^{1, 2} significantly changing the way health professionals deliver care. An in-person nutrition-focused assessment of children typically includes a review of: (i) anthropometry; (ii) biochemistry; (iii) clinical condition; (iv) a review of usual food intake and the effect of nutritional interventions; (vi) goal setting with caregivers, and a plan for follow-up as appropriate.³ Prior to the pandemic, it was reported that 45% of dietitians had no formal training in conducting remote counselling,⁴ and 24% reported that inability to perform growth monitoring and nutrition assessment was a barrier to using TECS,⁵ and less experienced dietitians reported lower satisfaction with performing a TECS assessment.⁴ Recommendations from the literature suggested developing tools to support remote performance of nutrition-specific assessments could improve the confidence and support of healthcare professionals (HCPs).^{4, 6}

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References:

1. Marino LV, Meyer R. British Dietetic Association Paediatric Specialist Group. (2020). COVID-19 - Guidelines for Remote Dietetic Consultations. Accessed online: www.bda.uk.com/uploads/assets/7bf38706-cf65-4bbe-97eec8f59928cbf9/BDA-PSG-Guidelines-for-Remote-Dietetic-Consultations-Final-2420.pdf (Feb 2023). 2. Abbott Nutrition Health Institute (2021). One Year in The Covid-19 Pandemic: Key Learnings for Paediatric Dietetic Practice. Accessed online: https://anhi.org/uk/education/course-catalog/B0DA50BE4D784DCDA09360B5C4BE36C3 (Feb 2023). 3. Krznarić Ž, et al. (2020). A simple remote nutritional screening tool and practical guidance for nutritional care in primary practice during the COVID-19 pandemic. Clin Nutr Edinb Scotl.; 39(7): 1983-1987. 4. Marino LV, et al. (2022). Pedi-R-MAPP: The development of a nutritional awareness tool for use in remote paediatric consultations using a modified Delphi consensus. Clin Nutr Edinb Scotl.; 41(3): 661-672. 5. Mummah SA, et al. (2016). IDEAS (Integrate, Design, Assess, and Share): A Framework and Toolkit of Strategies for the Development of More Effective Digital Interventions to Change Health Behavior. J Med Internet Res.; 18(12): e317. 6. Ashton JJ, et al. (2022). Pedi-R-MAPP: The development of a nutritional awareness tool for use in remote paediatric consultations using a modified Delphi consensus. Clin Nutr.; https://doi.org/10.1016/j.clnu.2022.01.009

UK-N/A-2300170 | April 2023