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Raatz M, Ward EC, Moss P, Reilly C, Frederiksen N, Dickinson C, Clarke S, Beak K, Marshall J. Examining the Outcomes of Project ECHO ® as an Interprofessional Community of Practice for Pediatric Feeding Clinicians. Dysphagia 2024; 39:208-222. [PMID: 37454335 PMCID: PMC10957606 DOI: 10.1007/s00455-023-10603-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/21/2023] [Accepted: 07/03/2023] [Indexed: 07/18/2023]
Abstract
Project ECHO® is a virtual, interprofessional, cased-based peer-learning model. To date, no studies have explored ECHO as a model for pediatric feeding education. This study examined the outcomes of establishing a pediatric feeding ECHO network. Using a prospective, mixed-methods design, two cohorts of allied health professionals were recruited. Each cohort participated in eight, 90-min videoconference sessions incorporating a didactic presentation and clinical case presentation. The case was presented by a participant, with questions and recommendations provided by the ECHO network. Participants completed: (1) a learning needs analysis before the ECHO series, (2) a self-reported confidence questionnaire pre, post, and 3-month post, (3) a satisfaction questionnaire after each session, and (4) an overall satisfaction questionnaire post-ECHO series. Time spent by hospital allied health clinicians providing impromptu phone/email feeding support to external clinicians was recorded for 8 weeks prior to and 8 weeks during the ECHO series. Forty-seven participants were included in the study, attending an average of 5.8 sessions. Significant improvements in self-reported confidence were observed across the three time points (p < 0.01) with less experienced participants demonstrating greater improvements. Participants reported high satisfaction with ECHO, with 93% (40/43) wanting continued access to ECHO in future. The multidisciplinary format, interactivity, structure, and case-based nature of ECHO were considered beneficial. A 75% reduction in requests for support from clinicians in the same catchment area was noted during the ECHO series. Results demonstrated that Project ECHO is a viable model for pediatric feeding education for clinicians working in the field. Further research is needed to investigate the long-term effects and impacts on clinical care.
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Affiliation(s)
- Madeline Raatz
- Queensland Children's Hospital, Children's Health Queensland, PO Box 3474, South Brisbane, QLD, 4101, Australia
- School of Health & Rehabilitation Sciences, The University of Queensland, Brisbane, QLD, Australia
| | - Elizabeth C Ward
- School of Health & Rehabilitation Sciences, The University of Queensland, Brisbane, QLD, Australia
- Centre for Functioning and Health Research (CFAHR), Metro South Hospital and Health Service, Brisbane, QLD, Australia
| | - Perrin Moss
- Queensland Children's Hospital, Children's Health Queensland, PO Box 3474, South Brisbane, QLD, 4101, Australia
- School of Health & Rehabilitation Sciences, The University of Queensland, Brisbane, QLD, Australia
| | - Claire Reilly
- Queensland Children's Hospital, Children's Health Queensland, PO Box 3474, South Brisbane, QLD, 4101, Australia
- School of Health & Rehabilitation Sciences, The University of Queensland, Brisbane, QLD, Australia
| | - Nadine Frederiksen
- Queensland Children's Hospital, Children's Health Queensland, PO Box 3474, South Brisbane, QLD, 4101, Australia
| | - Corrine Dickinson
- Queensland Children's Hospital, Children's Health Queensland, PO Box 3474, South Brisbane, QLD, 4101, Australia
| | - Sally Clarke
- Queensland Children's Hospital, Children's Health Queensland, PO Box 3474, South Brisbane, QLD, 4101, Australia
| | - Kelly Beak
- Queensland Children's Hospital, Children's Health Queensland, PO Box 3474, South Brisbane, QLD, 4101, Australia
| | - Jeanne Marshall
- Queensland Children's Hospital, Children's Health Queensland, PO Box 3474, South Brisbane, QLD, 4101, Australia.
- School of Health & Rehabilitation Sciences, The University of Queensland, Brisbane, QLD, Australia.
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Lardier DT, Dickson EL, Hackett JM, Verdezoto CS. A scoping review of existing research between 1990 and 2023: Measuring virtual communities of practice across disciplines. JOURNAL OF COMMUNITY PSYCHOLOGY 2024; 52:198-225. [PMID: 37792285 DOI: 10.1002/jcop.23092] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/29/2023] [Revised: 09/16/2023] [Accepted: 09/20/2023] [Indexed: 10/05/2023]
Abstract
Virtual communities of practice (VCoPs) can decrease social, structural, and professional isolation, provide opportunities for knowledge-sharing abilities, and may improve participants' self-reported sense of connectedness to one another and their profession. However, more research is needed to examine measurement of VCoPs effectiveness on participants. In this scoping review our research question was: What is the state of the science for VCoPs and how are these communities measured in current research specific to education and health/health education? Guided by Arksey and O'Malley's five stages for conducting a rigorous scoping review, we identified gaps in the evidence regarding the overall state of the science on measurement of VCoPs inclusive of quantitative and mixed-methods literature describing validated VCoP measurement in both English or Spanish from January 1990 to July 2023, and within the health, education, or health education disciplines. Initial searches yielded 2350 articles. Authors independently screened papers and extracted data. The results of this scoping review (N = 13 articles) highlight the measurement of VCoPs specific to education, healthcare, health education research. We found that measures had been tested in VCoPs within health, education, health education, and professional education information technologies disciplines, with the Community of Inquiry framework being the most common theoretical foundation. The findings provide an understanding of measurement tools and impacts and outcomes of VCoP participation and we make recommendations for future VCoP measurement tool development.
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Affiliation(s)
- David T Lardier
- Department of Psychiatry and Behavioral Science, University of New Mexico Health Sciences Center, The Division of Community Behavioral Health, The University of New Mexico, Albuquerque, New Mexico, USA
| | - Elizabeth L Dickson
- University of New Mexico Health Sciences Center, College of Population Health, The University of New Mexico, Albuquerque, New Mexico, USA
| | - Janna M Hackett
- University of New Mexico Health Sciences Center, College of Nursing, The University of New Mexico, Albuquerque, New Mexico, USA
| | - Carolina S Verdezoto
- Department of Psychiatry and Behavioral Science, University of New Mexico Health Sciences Center, The Division of Community Behavioral Health, The University of New Mexico, Albuquerque, New Mexico, USA
- Department of Individual, Family and Community Education, College of Education and Human Services, The University of New Mexico, Albuquerque, New Mexico, USA
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Casanova MP, Reeves AJ, Moore JD, Ryu S, Palmer K, Smith LH, Seegmiller JG, Baker RT. Evaluating a Project Extension for Community Health Outcomes Pediatric Behavioral Health Series in a Rural and Frontier State: An Exploratory Investigation. TELEMEDICINE REPORTS 2023; 4:10-20. [PMID: 36942263 PMCID: PMC10024574 DOI: 10.1089/tmr.2022.0033] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 11/18/2022] [Indexed: 06/18/2023]
Abstract
BACKGROUND Idaho, a predominately rural state, has a high prevalence of mental illness with minimal access to care. Barriers in diagnosis and treatment of pediatric behavioral health disorders could be mitigated with an accessible and effective specialty training program. METHODS A 10-session Project Extension for Community Health Outcomes (ECHO) series was designed to expand provider knowledge about pediatric behavioral health conditions and improve perceived clinical practice skills. Pre- and postseries evaluation surveys and individual session evaluations were used to assess the program. RESULTS A total of 148 individuals attended at least 1 of the 10 sessions. Participants reported high satisfaction with individual sessions and indicated that attendance positively impacted their knowledge and competency. Participants also reported that the knowledge and skills gained from the series would benefit more than half of their patients or clients. CONCLUSION The short ECHO series appears to be a viable and valuable option to provide Idaho providers with effective specialty training that is well attended and well received.
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Affiliation(s)
- Madeline P. Casanova
- University of Idaho WWAMI Medical Education, Idaho Office of Rural and Underserved Medical Research, Moscow, Idaho, USA
| | - Ashley J. Reeves
- University of Idaho WWAMI Medical Education, Idaho Office of Rural and Underserved Medical Research, Moscow, Idaho, USA
| | - Jonathan D. Moore
- University of Idaho WWAMI Medical Education, Idaho Office of Rural and Underserved Medical Research, Moscow, Idaho, USA
| | - Seungho Ryu
- University of Idaho WWAMI Medical Education, Idaho Office of Rural and Underserved Medical Research, Moscow, Idaho, USA
| | - Kathleen Palmer
- University of Idaho WWAMI Medical Education, Idaho Office of Rural and Underserved Medical Research, Moscow, Idaho, USA
| | - Lachelle H. Smith
- University of Idaho WWAMI Medical Education, Idaho Office of Rural and Underserved Medical Research, Moscow, Idaho, USA
| | | | - Russell T. Baker
- University of Idaho WWAMI Medical Education, Idaho Office of Rural and Underserved Medical Research, Moscow, Idaho, USA
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Moss P, Hartley N, Newcomb D, Russell T. Measuring the Success of a Project ECHO Implementation: Results from an International e-Delphi Study. GLOBAL IMPLEMENTATION RESEARCH AND APPLICATIONS 2022; 2:179-194. [PMID: 35971528 PMCID: PMC9365209 DOI: 10.1007/s43477-022-00050-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 03/20/2022] [Accepted: 07/19/2022] [Indexed: 02/02/2023]
Abstract
There is an increasing global need for organisations to utilise high-quality telementoring models to support workforce development and mentorship. Project ECHO is a validated telementoring model that has been adopted by over 700 organisations globally across multiple sectors. To date there is no consolidated list of success indicators by which organisational teams can assess or benchmark their implementation of Project ECHO across sectors. An e-Delphi methodology was adopted to facilitate a comprehensive means of identifying indicators that could be used to assess the implementations of Project ECHO globally. This paper presents a consolidated framework of indicators that support teams to assess their implementation of Project ECHO. These indicators have been derived by an international panel of experts across the healthcare, education, and university sectors. The final framework identified 54 distinct indicators across four domains: (1) spoke participant engagement, (2) ECHO Hub/teleECHO Network design and operation, (3) ECHO Hub team engagement and (4) Local Impact. This paper highlights that Project ECHO implementation indicators can vary between being dynamic, static, and iterative, depending on the phase of implementation. These findings are significant because they are generalisable to any organisation/sector implementing Project ECHO or similar telementoring models. Supplementary Information The online version contains supplementary material available at 10.1007/s43477-022-00050-7.
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Affiliation(s)
- Perrin Moss
- Integrated Care, Children’s Health Queensland Hospital and Health Service, Brisbane, Australia
- School of Health and Rehabilitation Sciences, The University of Queensland, Brisbane, Australia
| | - Nicole Hartley
- School of Business, The University of Queensland, Brisbane, Australia
| | - Dana Newcomb
- Integrated Care, Children’s Health Queensland Hospital and Health Service, Brisbane, Australia
- Primary Care Clinical Unit, Faculty of Medicine, The University of Queensland, Brisbane, Australia
| | - Trevor Russell
- School of Health and Rehabilitation Sciences, The University of Queensland, Brisbane, Australia
- RECOVER Injury Research Centre, The University of Queensland, Brisbane, Australia
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Draper B, Yee WL, Pedrana A, Kyi KP, Qureshi H, Htay H, Naing W, Thompson AJ, Hellard M, Howell J. Reducing liver disease-related deaths in the Asia-Pacific: the important role of decentralised and non-specialist led hepatitis C treatment for cirrhotic patients. THE LANCET REGIONAL HEALTH. WESTERN PACIFIC 2022; 20:100359. [PMID: 35024676 PMCID: PMC8733182 DOI: 10.1016/j.lanwpc.2021.100359] [Citation(s) in RCA: 7] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Indexed: 02/07/2023]
Affiliation(s)
- Bridget Draper
- Disease Elimination Program, Burnet Institute Melbourne, Australia.,School of Public Health and Preventive Medicine, Monash University Melbourne, Australia
| | | | - Alisa Pedrana
- Disease Elimination Program, Burnet Institute Melbourne, Australia.,School of Public Health and Preventive Medicine, Monash University Melbourne, Australia.,Health Services Research and Implementation, Monash Partners, Melbourne, Australia
| | | | - Huma Qureshi
- Gastroenterologist, Doctors Plaza, Clifton, Karachi, Pakistan
| | - Hla Htay
- Burnet Institute Yangon, Myanmar
| | - Win Naing
- Myanmar Liver Foundation.,Yangon Specialty Hospital, Myanmar
| | - Alexander J Thompson
- St Vincent's Hospital Melbourne, Australia.,Department of Medicine, University of Melbourne, Australia
| | - Margaret Hellard
- Disease Elimination Program, Burnet Institute Melbourne, Australia.,School of Public Health and Preventive Medicine, Monash University Melbourne, Australia.,Hepatitis Services, Department of Infectious Diseases Alfred Hospital Melbourne Australia.,Doherty Institute, Melbourne, Australia.,School of Population and Global Health, University of Melbourne, Australia
| | - Jessica Howell
- Disease Elimination Program, Burnet Institute Melbourne, Australia.,School of Public Health and Preventive Medicine, Monash University Melbourne, Australia.,St Vincent's Hospital Melbourne, Australia.,Department of Medicine, University of Melbourne, Australia
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Nhung LH, Kien VD, Lan NP, Cuong PV, Thanh PQ, Dien TM. Feasibility, acceptability, and sustainability of Project ECHO to expand capacity for pediatricians in Vietnam. BMC Health Serv Res 2021; 21:1317. [PMID: 34886871 PMCID: PMC8655084 DOI: 10.1186/s12913-021-07311-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/15/2021] [Accepted: 11/18/2021] [Indexed: 11/16/2022] Open
Abstract
Background The Project Extension for Community Healthcare Outcomes (ECHO) model is considered a platform for academic medical centers to expand their healthcare workforce capacity to medically underserved populations. It has been known as an effective solution of continuing medical education (CME) for healthcare workers that used a hub-and-spoke model to leverage knowledge from specialists to primary healthcare providers in different regions. In this study, we aim to explore the views of healthcare providers and hospital leaders regarding the feasibility, acceptability, and sustainability of Project ECHO for pediatricians. Methods This qualitative study was conducted at the Vietnam National Children’s Hospital and its satellite hospitals from July to December 2020. We conducted 39 in-depth interviews with hospital managers and healthcare providers who participated in online Project ECHO courses. A thematic analysis approach was performed to extract the qualitative data from in-depth interviews. Results Project ECHO shows high feasibility when healthcare providers find motivated to improve their professional knowledge. Besides, they realized the advantages of saving time and money with online training. Although the courses had been covered fully by the Ministry of Health’s fund, the participants said they could pay fees or be supported by the hospital’s fund. In particular, the expectation of attaining the CME-credited certificates after completing the course also contributes to the sustainability of the program. Project ECHO’s online courses should be improved if the session was better monitored with suitable time arrangements. Conclusions Project ECHO model is highly feasible, acceptable, and sustainable as it brings great benefits to the healthcare providers, and is appropriate with the policy theme of continuing medical education of the Ministry of Health. We recommend that further studies should be conducted to assess the impact of the ECHO program, especially for patient and community outcomes.
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Affiliation(s)
- Le Hong Nhung
- Vietnam National Children's Hospital, No. 18/879 La Thanh Street, Hanoi, Vietnam.
| | - Vu Duy Kien
- OnCare Medical Technology Company Limited, No. 77/508 Lang Street, Hanoi, Vietnam
| | - Nguyen Phuong Lan
- Vietnam National Children's Hospital, No. 18/879 La Thanh Street, Hanoi, Vietnam
| | - Pham Viet Cuong
- Hanoi University of Public Health, No. 1A Duc Thang Road, North Tu Liem, Hanoi, Vietnam
| | - Pham Quoc Thanh
- Hanoi University of Public Health, No. 1A Duc Thang Road, North Tu Liem, Hanoi, Vietnam
| | - Tran Minh Dien
- Vietnam National Children's Hospital, No. 18/879 La Thanh Street, Hanoi, Vietnam
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