Item Generation in the Development of an Interactive Nutrition Specific Physical Exam Competency Tool (INSPECT): A Qualitative Study Utilizing Technology-Based Focus Groups in the United States
An alarming 30% to 50% prevalence rate of disease-related malnutrition among hospitalized patients compels the need for early diagnosis and treatment of malnutrition. Registered Dietitian Nutritionists (RDNs) can utilize the nutrition-focused physical examination (NFPE) as one of the nutrition asses...
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doaj-a3d3b95820fb444d9e62e93be20616102021-05-31T23:53:45ZengMDPI AGHealthcare2227-90322021-05-01957657610.3390/healthcare9050576Item Generation in the Development of an Interactive Nutrition Specific Physical Exam Competency Tool (INSPECT): A Qualitative Study Utilizing Technology-Based Focus Groups in the United StatesSunitha Zechariah0Leigh Lehman1Jennifer L. Waller2Gianluca De Leo3Judith Stallings4Ashley J. Gess5Applied Health Sciences Program, College of Allied Health Sciences, Augusta University, Augusta, GA 30912, USASchool of Occupational Therapy, Brenau University, Norcross, GA 30071, USADepartment of Population Health Sciences, Division of Biostatistics and Data Science, Augusta University, Augusta, GA 30912, USADepartment of Interdisciplinary Health Sciences, College of Allied Health Sciences, Augusta University, Augusta, GA 30912, USADepartment of Physician Assistant, College of Allied Health Sciences, Augusta University, Augusta, GA 30912, USADepartment of Teaching and Leading, College of Education, Augusta University, Augusta, GA 30912, USAAn alarming 30% to 50% prevalence rate of disease-related malnutrition among hospitalized patients compels the need for early diagnosis and treatment of malnutrition. Registered Dietitian Nutritionists (RDNs) can utilize the nutrition-focused physical examination (NFPE) as one of the nutrition assessment criteria to accurately diagnose malnutrition. Although RDNs are striving to employ NFPE in practice, a lack of experience and adequate training impedes full utilization of this technique. This results in wide skill variations requiring continuous evaluation of RDNs’ NFPE competency. However, a standardized, validated competency tool is not widely available and hence this study aims to develop a standardized, interactive nutrition-specific physical exam competency tool (INSPECT). As a first step in the development of INSPECT, a qualitative, technology-based focus group approach with 7 content and practice experts was utilized to generate appropriate tool items. A total of 70 NFPE items under 9 areas including 12 items for muscle loss, 4 items for subcutaneous fat loss, 31 items for micronutrient deficiencies, 1 item for fluid status, 2 items for handgrip strength, 5 items for initial preparation, 4 items for bedside manner, 8 items for swallowing, and 3 items for abdominal evaluation were generated. This study successfully utilized technology-based focus groups to generate appropriate NFPE items for the competency tool development. Using the items, an initial version of INSPECT has been developed, which is presently being investigated for content and face validity. The final version will undergo field tests and will be examined for reliability, validity, and item-level psychometric properties.https://www.mdpi.com/2227-9032/9/5/576nutrition-focused physical examcompetencyfocus groupsitem generationmalnutritionregistered dietitian nutritionist |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Sunitha Zechariah Leigh Lehman Jennifer L. Waller Gianluca De Leo Judith Stallings Ashley J. Gess |
spellingShingle |
Sunitha Zechariah Leigh Lehman Jennifer L. Waller Gianluca De Leo Judith Stallings Ashley J. Gess Item Generation in the Development of an Interactive Nutrition Specific Physical Exam Competency Tool (INSPECT): A Qualitative Study Utilizing Technology-Based Focus Groups in the United States Healthcare nutrition-focused physical exam competency focus groups item generation malnutrition registered dietitian nutritionist |
author_facet |
Sunitha Zechariah Leigh Lehman Jennifer L. Waller Gianluca De Leo Judith Stallings Ashley J. Gess |
author_sort |
Sunitha Zechariah |
title |
Item Generation in the Development of an Interactive Nutrition Specific Physical Exam Competency Tool (INSPECT): A Qualitative Study Utilizing Technology-Based Focus Groups in the United States |
title_short |
Item Generation in the Development of an Interactive Nutrition Specific Physical Exam Competency Tool (INSPECT): A Qualitative Study Utilizing Technology-Based Focus Groups in the United States |
title_full |
Item Generation in the Development of an Interactive Nutrition Specific Physical Exam Competency Tool (INSPECT): A Qualitative Study Utilizing Technology-Based Focus Groups in the United States |
title_fullStr |
Item Generation in the Development of an Interactive Nutrition Specific Physical Exam Competency Tool (INSPECT): A Qualitative Study Utilizing Technology-Based Focus Groups in the United States |
title_full_unstemmed |
Item Generation in the Development of an Interactive Nutrition Specific Physical Exam Competency Tool (INSPECT): A Qualitative Study Utilizing Technology-Based Focus Groups in the United States |
title_sort |
item generation in the development of an interactive nutrition specific physical exam competency tool (inspect): a qualitative study utilizing technology-based focus groups in the united states |
publisher |
MDPI AG |
series |
Healthcare |
issn |
2227-9032 |
publishDate |
2021-05-01 |
description |
An alarming 30% to 50% prevalence rate of disease-related malnutrition among hospitalized patients compels the need for early diagnosis and treatment of malnutrition. Registered Dietitian Nutritionists (RDNs) can utilize the nutrition-focused physical examination (NFPE) as one of the nutrition assessment criteria to accurately diagnose malnutrition. Although RDNs are striving to employ NFPE in practice, a lack of experience and adequate training impedes full utilization of this technique. This results in wide skill variations requiring continuous evaluation of RDNs’ NFPE competency. However, a standardized, validated competency tool is not widely available and hence this study aims to develop a standardized, interactive nutrition-specific physical exam competency tool (INSPECT). As a first step in the development of INSPECT, a qualitative, technology-based focus group approach with 7 content and practice experts was utilized to generate appropriate tool items. A total of 70 NFPE items under 9 areas including 12 items for muscle loss, 4 items for subcutaneous fat loss, 31 items for micronutrient deficiencies, 1 item for fluid status, 2 items for handgrip strength, 5 items for initial preparation, 4 items for bedside manner, 8 items for swallowing, and 3 items for abdominal evaluation were generated. This study successfully utilized technology-based focus groups to generate appropriate NFPE items for the competency tool development. Using the items, an initial version of INSPECT has been developed, which is presently being investigated for content and face validity. The final version will undergo field tests and will be examined for reliability, validity, and item-level psychometric properties. |
topic |
nutrition-focused physical exam competency focus groups item generation malnutrition registered dietitian nutritionist |
url |
https://www.mdpi.com/2227-9032/9/5/576 |
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