scholarly journals Competencies for effective public health nutrition practice: a developing consensus

2004 ◽  
Vol 7 (5) ◽  
pp. 683-691 ◽  
Author(s):  
Roger Hughes
Keyword(s):  
Public Health ◽  
Delphi Study ◽  
The European Union ◽  
Public Health Nutrition ◽  
Communication Management ◽  
Modified Delphi ◽  
International Panel ◽  
The Usa ◽  
Effective Public Health ◽  
Nutrition Practice

AbstractObjectives:To assess the level of consensus amongst an international panel of public health nutrition leaders regarding the essential competencies required for effective public health nutrition practice.Design:A modified Delphi study involving three rounds of questionnaires.Subjects:A panel of 20 public health nutrition experts from seven countries in the European Union, the USA and Australia.Results:Expert panellists completed three rounds of the study relating to competencies. A literature review conducted as a prelude to the expert panel survey identified common competency units from the fields of public health, health promotion, nutrition and dietetics, and health education. These were categorised into seven competency areas including analytical, socio-cultural and political, public health service, communication, management and leadership, nutrition science and professional competency categories. There was strong initial agreement (≥90% of panellists at Round 1) that developing internationally recognised competencies for public health nutrition specialists was a priority. Twenty-six of an initial listing of 52 competency units were rated as essential competencies by ≥80% of the panellists after Round 1. Iteration rounds resulted in the addition of five extra competency units suggested by panellists after Round 1 and an increase by 13 in the number of competencies rated as essential to consensus levels. From a total of 57 competency units rated after the final survey round, 41 competency units were rated as essential competencies by ≥80% of the panellists (consensus), with 21 of these unanimously rated as essential competencies.Conclusions:There is strong international agreement amongst public health nutrition leaders in Europe, the USA and Australia about a range of competencies required for effective public health nutrition practice. Essential competency units identified can be used to develop and review competency standards for public health nutrition.

scholarly journals Core functions for the public health nutrition workforce in Europe: a consensus study

2012 ◽  
Vol 15 (11) ◽  
pp. 1999-2004 ◽  
Author(s):  
Svandis Jonsdottir ◽  
Inga Thorsdottir ◽  
Susanna Kugelberg ◽  
Agneta Yngve ◽  
Nicholas P Kennedy ◽  
...  
Keyword(s):  
Public Health ◽  
Delphi Study ◽  
Public Health Workforce ◽  
International Studies ◽  
Public Health Nutrition ◽  
High Agreement ◽  
The Public ◽  
Modified Delphi ◽  
Effective Public Health ◽  
Further Development

AbstractObjectiveTo assess and develop a consensus among a European panel of public health nutrition workforce stakeholders (academics and employers) regarding core functions required for effective public health nutrition practice.DesignA modified Delphi study involving data from two rounds of questionnaires administered among a panel of public health nutrition workforce stakeholders.SettingEurope.SubjectsA panel of fifty-three public health nutrition development stakeholders, including thirty-three academics and twenty employers, sampled from eighteen European countries.ResultsPanellists rated 50 % (19/38) of the initially listed functions as core (i.e. without which public health capacity is limited), using a majority cut-off (>50 %). Out of the nineteen core functions seven were categorised under the headingIntervention management, emphasising high agreement on the importance of managing interventions in public health nutrition work. Only one of the identified core public health nutrition functions was rated differently between academics and employers, suggesting consistent identification of core functions between stakeholder groups.ConclusionsThis consensus on core functions of the public health nutrition workforce in Europe can be used to promote a consistent understanding of the role and value of public health nutritionists as a discrete disciplinary sub-specialty of the public health workforce. The convergence of opinions of academics and employers, as well as comparison with previous international studies, indicates that there is a set of core public health nutrition functions transferable between countries that can be used as a benchmark to guide further development of the public health nutrition workforce in Europe.

scholarly journals Practitioner consensus on the determinants of capacity building practice in high-income countries

2014 ◽  
Vol 18 (10) ◽  
pp. 1898-1905 ◽  
Author(s):  
Elizabeth Swanepoel ◽  
Ann Fox ◽  
Roger Hughes
Keyword(s):  
Public Health ◽  
Conceptual Framework ◽  
Capacity Building ◽  
Workforce Development ◽  
Content Validity ◽  
Delphi Study ◽  
High Income ◽  
Public Health Nutrition ◽  
The Usa ◽  
Nutrition Practice

AbstractObjectiveTo assess and develop consensus among experienced public health nutrition practitioners from high-income countries regarding conceptualisation of capacity building in practice, and to test the content validity of a previously published conceptual framework for capacity building in public health nutrition practice.DesignA Delphi study involving three iterations of email-delivered questionnaires testing a range of capacity determinants derived from the literature. Consensus was set at >50 % of panellists ranking items as ‘very important’ on a five-point Likert scale across three survey rounds.SettingPublic health nutrition practice in Australia, the UK, Canada and the USA.SubjectsPublic health nutrition practitioners and academics.ResultA total of thirty expert panellists (68 % of an initial panel of forty-four participants) completed all three rounds of Delphi questionnaires. Consensus identified determinants of capacity building in practice including partnerships, resourcing, community development, leadership, workforce development, intelligence and quality of project management.ConclusionsThe findings from the study suggest there is broad agreement among public health nutritionists from high-income countries about how they conceptualise capacity building in public health nutrition practice. This agreement suggests considerable content validity for a capacity building conceptual framework proposed by Baillieet al. (Public Health Nutr12, 1031–1038). More research is needed to apply the conceptual framework to the implementation and evaluation of strategies that enhance the practice of capacity building approaches by public health nutrition professionals.

scholarly journals A capacity-building conceptual framework for public health nutrition practice

2009 ◽  
Vol 12 (8) ◽  
pp. 1031-1038 ◽  
Author(s):  
Elizabeth Baillie ◽  
Christel Bjarnholt ◽  
Marlies Gruber ◽  
Roger Hughes
Keyword(s):  
Public Health ◽  
Conceptual Framework ◽  
Capacity Building ◽  
Workforce Development ◽  
Development Project ◽  
Nutrition Intervention ◽  
Public Health Nutrition ◽  
Systematic Assessment ◽  
Effective Public Health ◽  
Nutrition Practice

AbstractObjectivesTo describe a conceptual framework to assist in the application of capacity-building principles to public health nutrition practice.DesignA review of the literature and consideration of the determinants of effective public health nutrition practice has been used to inform the development of a conceptual framework for capacity building in the context of public health nutrition practice.ResultThe limited literature supports a greater integration and application of capacity-building strategies and principles in public health nutrition practice, and that this application should be overt and strategic. A framework is proposed that identifies a number of determinants of capacity for effective public health nutrition action. The framework represents the key foundations for building capacity including leadership, resourcing and intelligence. Five key strategic domains supported by these foundation elements, including partnerships, organisational development, project management quality, workforce development and community development, are proposed. This framework can be used to assist the systematic assessment, development and evaluation of capacity-building activity within public health nutrition practice.ConclusionsCapacity building is a strategy within public health nutrition practice that needs to be central to public health nutrition intervention management. The present paper defines, contextualises and outlines a framework for integrating and making explicit the importance of capacity building within public health nutrition practice at many levels.

scholarly journals Consensus on the competencies required for public health nutrition workforce development in Europe – the JobNut project

2010 ◽  
Vol 14 (8) ◽  
pp. 1439-1449 ◽  
Author(s):  
Svandis Jonsdottir ◽  
Roger Hughes ◽  
Inga Thorsdottir ◽  
Agneta Yngve
Keyword(s):  
Public Health ◽  
Workforce Development ◽  
Curriculum Design ◽  
Delphi Study ◽  
Public Health Nutrition ◽  
Public Health Services ◽  
Modified Delphi ◽  
Nutrition Practices ◽  
Almost All ◽  
Competency Domains

AbstractObjectiveTo assess and develop consensus among a European panel of public health nutrition stakeholders regarding the competencies required for effective public health nutrition practice and the level of proficiency required in different practice contexts.DesignA modified Delphi study involving three rounds of questionnaires.SettingEuropean Union.SubjectsPublic health nutrition workforce development stakeholders, including academics, practitioners and employers, from twenty European countries.ResultsA total of fifty-two expert panellists (84 % of an initial panel of sixty-two Delphi participants) completed all three rounds of the Delphi study. The panellists rated the importance of fifty-seven competency units possibly required of a public health nutritionist to effectively practice (Essential competencies). Twenty-nine of the fifty-seven competency units (51 %) met the consensus criteria (≥66·7 % agreement) at the second round of the Delphi survey, with the highest agreement for competencies clustered within theNutrition science,Professional,AnalyticalandPublic health servicescompetency domains. Ratings of the level of competencies required for different levels in the workforce indicated that for a public health nutrition specialist, advanced-level competency was required across almost all the twenty-nine competencies rated as essential. There were limited differences in rating responses between academics and employer panellists throughout the Delphi study.ConclusionsCompetencies identified as essential can be used to review current public health nutrition practices and provide the basis for curriculum design and re-development, continuing education and workforce quality assurance systems in Europe. These are all important tools for systematic and strategic workforce development.

scholarly journals Definitions for public health nutrition: a developing consensus

2003 ◽  
Vol 6 (6) ◽  
pp. 615-620 ◽  
Author(s):  
Roger Hughes
Keyword(s):  
Public Health ◽  
Population Based ◽  
Specific Reference ◽  
The European Union ◽  
Public Health Nutrition ◽  
Cross Sectional Survey ◽  
Consensus Definition ◽  
Cross Sectional ◽  
The Usa ◽  
Definition Of

AbstractObjectives:To assess the level of agreement amongst a panel of public health nutrition leaders regarding the key descriptors used to define the field of public health nutrition.Design:Cross-sectional survey requiring quantitative and qualitative responses representing the first round of a consensus development Delphi technique.Setting:International.Subjects:Expert panel of 24 public health nutrition leaders from nine countries in the European Union, the USA and Australia.Results:All but one of the panel agreed it was important to have a consensus definition for public health nutrition to describe the field consistently. Opinion about the length and complexity of this definition tended to vary depending on the intended use of the definition. The large majority (18/24) supported the inclusion of specific reference to physical activity in a definition of public health nutrition, although there was not consensus (>83% agreement as criterion) on this point. Consensus descriptors regarded as important in a definition of public health nutrition included: population-based, focus on health promotion, food and nutrition systems focus, wellness maintenance, primary prevention, applies public health principles, education, environmental and political descriptors. Treatment as a descriptor was rated as unimportant by a majority (14/24) of panellists, delineating public health nutrition from clinical practice.Conclusions:There is strong international agreement amongst public health nutrition leaders in Europe, the USA and Australia about a range of descriptors that can be used to define public health nutrition. The limitations of using word-for-word definitions between and within countries may be overcome by explicit use of the consensus descriptors identified in this process.

scholarly journals Identifying and prioritising systematic review topics with public health stakeholders: A protocol for a modified Delphi study in Switzerland to inform future research agendas

BMJ Open ◽  
2017 ◽  
Vol 7 (8) ◽  
pp. e015500 ◽  
Author(s):  
Dyon Hoekstra ◽  
Margot Mütsch ◽  
Christina Kien ◽  
Ansgar Gerhardus ◽  
Stefan K Lhachimi
Keyword(s):  
Public Health ◽  
Systematic Review ◽  
Priority Setting ◽  
Delphi Study ◽  
Future Research ◽  
Review Author ◽  
Modified Delphi ◽  
Delphi Round ◽  
A Priority ◽  
The University

IntroductionThe Cochrane Collaboration aims to produce relevant and top priority evidence that responds to existing evidence gaps. Hence, research priority setting (RPS) is important to identify which potential research gaps are deemed most important. Moreover, RPS supports future health research to conform both health and health evidence needs. However, studies that are prioritising systematic review topics in public health are surprisingly rare. Therefore, to inform the research agenda of Cochrane Public Health Europe (CPHE), we introduce the protocol of a priority setting study on systematic review topics in several European countries, which is conceptualised as pilot.Methods and analysisWe will conduct a two-round modified Delphi study in Switzerland, incorporating an anonymous web-based questionnaire, to assess which topics should be prioritised for systematic reviews in public health. In the first Delphi round public health stakeholders will suggest relevant assessment criteria and potential priority topics. In the second Delphi round the participants indicate their (dis)agreement to the aggregated results of the first round and rate the potential review topics with the predetermined criteria on a four-point Likert scale. As we invite a wide variety of stakeholders we will compare the results between the different stakeholder groups.Ethics and disseminationWe have received ethical approval from the ethical board of the University of Bremen, Germany (principal investigation is conducted at the University of Bremen) and a certificate of non-objection from the Canton of Zurich, Switzerland (fieldwork will be conducted in Switzerland). The results of this study will be further disseminated through peer reviewed publication and will support systematic review author groups (i.a. CPHE) to improve the relevance of the groups´ future review work. Finally, the proposed priority setting study can be used as a framework by other systematic review groups when conducting a priority setting study in a different context.

scholarly journals A modified Delphi study to determine the level of consensus across the European Union on the structures, processes and desired outcomes of the management of polypharmacy in older people

PLoS ONE ◽  
2017 ◽  
Vol 12 (11) ◽  
pp. e0188348 ◽  
Author(s):  
Derek Stewart ◽  
Kathrine Gibson-Smith ◽  
Katie MacLure ◽  
Alpana Mair ◽  
Albert Alonso ◽  
...  
Keyword(s):  
European Union ◽  
Older People ◽  
Delphi Study ◽  
The European Union ◽  
Modified Delphi

scholarly journals Investigating the Implementation of SMS and Mobile Messaging in Population Screening (the SIPS Study): Protocol for a Delphi Study (Preprint)

2021 ◽  
Author(s):  
Amish Acharya ◽  
Gaby Judah ◽  
Hutan Ashrafian ◽  
Viknesh Sounderajah ◽  
Nick Johnstone-Waddell ◽  
...  
Keyword(s):  
Public Health ◽  
Health Care ◽  
Delphi Study ◽  
Evidence Synthesis ◽  
Population Screening ◽  
Free Text ◽  
Screening Programs ◽  
Modified Delphi ◽  
Delphi Approach ◽  
Screening Services

BACKGROUND The use of mobile messaging, including SMS, and web-based messaging in health care has grown significantly. Using messaging to facilitate patient communication has been advocated in several circumstances, including population screening. These programs, however, pose unique challenges to mobile communication, as messaging is often sent from a central hub to a diverse population with differing needs. Despite this, there is a paucity of robust frameworks to guide implementation. OBJECTIVE The aim of this protocol is to describe the methods that will be used to develop a guide for the principles of use of mobile messaging for population screening programs in England. METHODS This modified Delphi study will be conducted in two parts: evidence synthesis and consensus generation. The former will include a review of literature published from January 1, 2000, to October 1, 2021. This will elicit key themes to inform an online scoping questionnaire posed to a group of experts from academia, clinical medicine, industry, and public health. Thematic analysis of free-text responses by two independent authors will elicit items to be used during consensus generation. Patient and Public Involvement and Engagement groups will be convened to ensure that a comprehensive item list is generated that represents the public’s perspective. Each item will then be anonymously voted on by experts as to its importance and feasibility of implementation in screening during three rounds of a Delphi process. Consensus will be defined a priori at 70%, with items considered important and feasible being eligible for inclusion in the final recommendation. A list of desirable items (ie, important but not currently feasible) will be developed to guide future work. RESULTS The Institutional Review Board at Imperial College London has granted ethical approval for this study (reference 20IC6088). Results are expected to involve a list of recommendations to screening services, with findings being made available to screening services through Public Health England. This study will, thus, provide a formal guideline for the use of mobile messaging in screening services and will provide future directions in this field. CONCLUSIONS The use of mobile messaging has grown significantly across health care services, especially given the COVID-19 pandemic, but its implementation in screening programs remains challenging. This modified Delphi approach with leading experts will provide invaluable insights into facilitating the incorporation of messaging into these programs and will create awareness of future developments in this area. INTERNATIONAL REGISTERED REPORT PRR1-10.2196/32660

scholarly journals Investigating the Implementation of SMS and Mobile Messaging in Population Screening (the SIPS Study): Protocol for a Delphi Study

10.2196/32660 ◽  
2021 ◽  
Vol 10 (12) ◽  
pp. e32660
Author(s):  
Amish Acharya ◽  
Gaby Judah ◽  
Hutan Ashrafian ◽  
Viknesh Sounderajah ◽  
Nick Johnstone-Waddell ◽  
...  
Keyword(s):  
Public Health ◽  
Health Care ◽  
Delphi Study ◽  
Evidence Synthesis ◽  
Population Screening ◽  
Free Text ◽  
Screening Programs ◽  
Modified Delphi ◽  
Delphi Approach ◽  
Screening Services

Background The use of mobile messaging, including SMS, and web-based messaging in health care has grown significantly. Using messaging to facilitate patient communication has been advocated in several circumstances, including population screening. These programs, however, pose unique challenges to mobile communication, as messaging is often sent from a central hub to a diverse population with differing needs. Despite this, there is a paucity of robust frameworks to guide implementation. Objective The aim of this protocol is to describe the methods that will be used to develop a guide for the principles of use of mobile messaging for population screening programs in England. Methods This modified Delphi study will be conducted in two parts: evidence synthesis and consensus generation. The former will include a review of literature published from January 1, 2000, to October 1, 2021. This will elicit key themes to inform an online scoping questionnaire posed to a group of experts from academia, clinical medicine, industry, and public health. Thematic analysis of free-text responses by two independent authors will elicit items to be used during consensus generation. Patient and Public Involvement and Engagement groups will be convened to ensure that a comprehensive item list is generated that represents the public’s perspective. Each item will then be anonymously voted on by experts as to its importance and feasibility of implementation in screening during three rounds of a Delphi process. Consensus will be defined a priori at 70%, with items considered important and feasible being eligible for inclusion in the final recommendation. A list of desirable items (ie, important but not currently feasible) will be developed to guide future work. Results The Institutional Review Board at Imperial College London has granted ethical approval for this study (reference 20IC6088). Results are expected to involve a list of recommendations to screening services, with findings being made available to screening services through Public Health England. This study will, thus, provide a formal guideline for the use of mobile messaging in screening services and will provide future directions in this field. Conclusions The use of mobile messaging has grown significantly across health care services, especially given the COVID-19 pandemic, but its implementation in screening programs remains challenging. This modified Delphi approach with leading experts will provide invaluable insights into facilitating the incorporation of messaging into these programs and will create awareness of future developments in this area. International Registered Report Identifier (IRRID) PRR1-10.2196/32660

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