{
  "abstract": "Objectives There are currently no validated screeners that evaluate diet and lifestyle of people living with and beyond cancer (PLWBC). The purpose of this study was to reach a consensus among an international expert panel on the essential items to include in this type of instrument.Design A scientific committee developed the initial list of items, which were presented to an expert panel in a two-round-modified electronic Delphi. Panellists were asked to rate the adequacy, relevance and feasibility of self-reporting each item. Qualitative assessments were encouraged.Setting Four countries (Spain, UK, USA and Portugal).Participants Experts working in a cancer-related health profession or cancer-related research were recruited.Main outcome measures Items were initially categorised into seven domains (body composition, physical activity, diet, alcohol, smoking, sleep and psychosocial distress). A content validity index per item (CVI-i) and a scale-level CVI (S-CVI) were calculated (acceptable≥0.78). All items with a CVI-i≥0.78 were submitted to a final consensus meeting.Results A total of 108 items were proposed to the panel. In Round 1, 77 items were accepted, 10 items were excluded and 6 new items were proposed. During Round 2, 4 items were accepted and 19 were excluded. Diet and alcohol were merged into one domain. The final consensus meeting decided on 61 items categorised into six domains (S-CVI:0.94): body composition, physical activity, diet and alcohol, smoking, sleep and psychosocial distress.Conclusions We identified the main items to be considered when developing a screener to evaluate diet and lifestyle in PLWBC in a clinical setting, and the results obtained will guide the content of the screener in the following validation study.",
  "authors": [
    {
      "affiliations": [
        "Health Research Institute of the Balearic Islands, Palma, Spain",
        "Consorcio CIBER, M.P. Fisiopatología de la Obesidad y Nutrición (CIBEROBN), Instituto de Salud Carlos III (ISCIII), Madrid, Spain"
      ],
      "name": "Alice Chaplin"
    },
    {
      "affiliations": [
        "Health Research Institute of the Balearic Islands, Palma, Spain"
      ],
      "name": "Lara Prohens"
    },
    {
      "affiliations": [
        "Health Research Institute of the Balearic Islands, Palma, Spain"
      ],
      "name": "Janna Wordsworth"
    },
    {
      "affiliations": [
        "University Hospital Son Espases, Palma, Spain"
      ],
      "name": "Antònia Obrador-Hevia"
    },
    {
      "affiliations": [
        "University Hospital Son Espases, Palma, Spain"
      ],
      "name": "Monica Guillot"
    },
    {
      "affiliations": [
        "Health Research Institute of the Balearic Islands, Palma, Spain",
        "CIBER Biomedical Research Center in Epidemiology and Public Health (CIBERESP), Instituto de Salud Carlos III (ISCIII), Madrid, Spain"
      ],
      "name": "Ignacio Ricci-Cabello"
    },
    {
      "affiliations": [
        "Health Research Institute of the Balearic Islands, Palma, Spain",
        "Consorcio CIBER, M.P. Fisiopatología de la Obesidad y Nutrición (CIBEROBN), Instituto de Salud Carlos III (ISCIII), Madrid, Spain"
      ],
      "name": "Dora Romaguera"
    },
    {
      "affiliations": [
        "Health Research Institute of the Balearic Islands, Palma, Spain",
        "University of the Balearic Islands, Palma, Spain"
      ],
      "name": "Albert Sesé"
    }
  ],
  "title": "Identifying the key components of a diet and lifestyle screener for people living with and beyond cancer: an e-Delphi study",
  "uid": "8859948f-71e3-5f61-b18d-fe275094b7a9"
}