The development, testing, and preliminary feasibility of an adaptable pediatric oncology nutrition algorithm for low‑middle income countries.
Indian J Cancer
;
2015 Apr-June; 52(2): 225-228
Article
in English
| IMSEAR
| ID: sea-173286
ABSTRACT
PURPOSE:
Despite advances in the field of pediatric oncology, which have contributed to an overall increase in event‑free survival, high rates of malnutrition in low‑middle income countries (LMICs) is still a major concern. This paper aims to describe the multifaceted development process of a nutrition intervention algorithm for pediatric oncology in LMIC.METHODS:
The development of evidence‑based algorithm took place over seven developmental phases, utilizing an interdisciplinary process with the clinical review. Phase 1 Collaboration with the International Paediatric Oncology Nutrition Group. Phase 2 Review of peer‑reviewed literature for evidence‑based algorithm. Phase 3 Draft algorithm development. Phase 4 Draft algorithm presented at international meetings for stakeholder feedback. Phase 5 Consultation with LMIC dieticians to identify additional needs and feasibility of the algorithm in resource‑poor settings. Phase 6 Review of the final draft algorithm by an expert panel. Phase 7 Pilot and Preliminary Feasibility.RESULTS:
The nutrition algorithm was piloted in three LMIC countries (Brazil, South Africa and India). Overall the LMIC nutrition intervention algorithm was considered feasible for use with a “yes” response to the question “was the algorithm useful to know what nutrition to give the child and when” 90% of the time, rendering to the tool feasible. However, the testing process did identify several limitations that need to be considered in future versions.CONCLUSIONS:
This comprehensive collaborative process with interdisciplinary health professionals has successfully developed a pediatric oncology nutrition intervention algorithm for LMIC. Further feasibility testing and a longitudinal study are required.
Full text:
Available
Index:
IMSEAR (South-East Asia)
Type of study:
Observational study
/
Prognostic study
Language:
English
Journal:
Indian J Cancer
Year:
2015
Type:
Article
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