Project ECHO Chronic Pain: A Qualitative Analysis of Recommendations by Expert Faculty and the Process of Knowledge Translation

Thies, Kathleen M.; Anderson, Daren; Beals-Reid, Colin

doi:10.1097/ceh.0000000000000264

Cited by 13 publications

(8 citation statements)

References 42 publications

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“…Project ECHO is a tele-education system used to provide health care practitioners an opportunity to engage in otherwise unavailable specialty training. The ECHO model was first developed to expand access to rural health care providers for hepatitis C issues (Arora et al, 2010); however, the model has been used to address other specialty conditions such as chronic pain (Furlan et al, 2019; Thies, Anderson, & Beals-Reid, 2019), substance use disorders (Mazurek, Brown, Curran, & Sohl, 2017; Mazurek, Curran, Burnette, & Sohl, 2019;). Project ECHO uses interactive video technology to connect community providers with specialists in real time, during regularly scheduled collaborative sessions to enhance the effectiveness of continuing medical education (CME) activities (Katzman et al, 2014).…”

mentioning

confidence: 99%

Expanding access to health care: Evaluating project Extension for Community Health Care Outcomes (ECHO) Idaho’s tele-education behavioral health program.

Baker¹,

Casanova²,

Whitlock³

et al. 2020

Journal of Rural Mental Health

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Mental health issues are prevalent among adolescents and adults in the United States. Many communities, however, face severe shortages of trained mental health providers, which results in primary care providers (PCPs) delivering mental health services. Unfortunately, PCPs are often ill-equipped to provide this specialized care to individuals. Therefore, there is a need to develop and evaluate programs to deliver advanced mental health care training to PCPs, particularly those in geographically isolated areas. A tele-education program, Extension for Community Health care Outcomes (ECHO) Idaho, developed a behavioral health program for PCPs in Idaho-ECHO Idaho Behavioral Health (ECHO Idaho BH). PCPs were recruited from across Idaho to participate in 22 ECHO Idaho BH sessions led by a panel of mental health experts. An evaluation survey was developed to assess overall participant satisfaction, as well as program content, organization, and associated activities. A total of 212 ECHO Idaho BH session evaluation surveys were completed. Overall, participants were highly satisfied with the program and indicated that participation in the program improved their clinical practice. The ECHO Idaho BH series reduced barriers to participation for attendees, enhanced attendee knowledge, and attendees indicated attendance would improve their patient care. Thus, ECHO Idaho BH may be an effective method for increasing the quality of mental health care services available for Idaho residents.

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confidence: 99%

Expanding access to health care: Evaluating project Extension for Community Health Care Outcomes (ECHO) Idaho’s tele-education behavioral health program.

Baker¹,

Casanova²,

Whitlock³

et al. 2020

Journal of Rural Mental Health

View full text Add to dashboard Cite

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“…Several studies showed the effectiveness of using the ECHO model in the management of various diseases with improved clinical outcomes [ 14 , 41 – 44 ]. However, there have been few studies about Project ECHO that applied for pediatrics [ 15 ].…”

Section: Discussionmentioning

confidence: 99%

Feasibility, acceptability, and sustainability of Project ECHO to expand capacity for pediatricians in Vietnam

Nhung

Kien²,

Lan

et al. 2021

BMC Health Serv Res

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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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“…Although providers exposed to this set of interventions may have resisted some of the best practices, the collective effort of the KT interventions raised awareness of the issue, increased knowledge of best practices across the state, and fostered new programming within specific counties. A number of follow-up activities, including a Project ECHO (Project Extension for Community Health Outcomes) 30 focused on perinatal substance use, occurred after the original KT interventions concluded. Future studies may need to develop alternative evaluation methods to capture the full effect of these types of interventions.…”

Section: Discussionmentioning

confidence: 99%

“…This includes relationships between generators of research evidence and practitioners or policymakers but also relationships within communities of practice. Project ECHO has been suggested as a promising approach for knowledge exchange 30 that may be particularly salient for stigmatized issues and marginalized patients. More research is needed on both the process and effectiveness of knowledge exchange activities, such as Project ECHO, that allow for providers to grapple with discipline-specific biases and beliefs.…”

Section: Discussionmentioning

confidence: 99%

The Role of Bias in Knowledge Translation: Lessons Learned from a Dissemination of Best Practices in Maternal Opioid Use

Nichols

Gringle

2020

J Contin Educ Health Prof

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Introduction: Increases in opioid use during pregnancy fueled concerns among reproductive health advocates, policy makers, and providers in North Carolina, United States. A stakeholder group designed a set of knowledge translation (KT) interventions to increase the use of evidencebased practices across relevant health care and social service arenas. Efforts to decrease stigma was included as a best practice. Understanding the process and the contexts in which KT intervention activities occur can help increase their effectiveness. Toward that end, this study examined how stigma was addressed and how audiences responded to evidence-based messages. Methods: Data were collected over a seven-year period and included observations of KT activities (conferences, workshops, and community meetings), focus groups and interviews conducted with providers, and a review of publicly available documents, including KT intervention materials. Clarke's situational mapping was initially applied, and stigma emerged as a critical contextual element. Data were then analyzed to identify how stigma was addressed and how evidence-based messages were received. Results: Despite direct stigma-reduction messages, biases against maternal drug use and ambivalence toward evidence-based recommendations of harm reduction principles were found in audience responses. Findings also revealed tensions around the interpretation of knowledge and the appropriate implementation of best practices between "experts" and among practitioners. Discussion: Stigma and professional biases may serve as significant barriers to KT activities. Results suggest that even under the best of circumstances, evidence-based practices for highly stigmatized and controversial issues are difficult to disseminate and may require unique approaches.

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Project ECHO Chronic Pain: A Qualitative Analysis of Recommendations by Expert Faculty and the Process of Knowledge Translation

Cited by 13 publications

References 42 publications

Expanding access to health care: Evaluating project Extension for Community Health Care Outcomes (ECHO) Idaho’s tele-education behavioral health program.

Expanding access to health care: Evaluating project Extension for Community Health Care Outcomes (ECHO) Idaho’s tele-education behavioral health program.

Feasibility, acceptability, and sustainability of Project ECHO to expand capacity for pediatricians in Vietnam

The Role of Bias in Knowledge Translation: Lessons Learned from a Dissemination of Best Practices in Maternal Opioid Use

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