TY - JOUR
KW - Clinical Competence
KW - Education, Continuing/methods
KW - Education, Distance/methods
KW - Health Personnel/education
KW - Humans
KW - Mental Health Services/organization & administration
KW - Ontario
KW - Primary Health Care/organization & administration
KW - Program Evaluation
KW - Self Efficacy
KW - Capacity Building
KW - Continuing Education
KW - Mental Health
KW - Tele-education model
AU - S. Sockalingam
AU - A. Arena
AU - E. Serhal
AU - L. Mohri
AU - J. Alloo
AU - A. Crawford
A1 - 
AB - OBJECTIVE: Project Extension for Community Healthcare Outcomes (Project ECHO(c)) addresses urban-rural disparities in access to specialist care by building primary care provider (PCP) capacity through tele-education. Evidence supporting the use of this model for mental health care is limited. Therefore, this study evaluated a mental health and addictions-focused ECHO program. Primary outcome measures were PCP knowledge and perceived self-efficacy. Secondary objectives included: satisfaction, engagement, and sense of professional isolation. PCP knowledge and self-efficacy were hypothesized to improve with participation. METHODS: Using Moore's evaluation framework, we evaluated the ECHO program on participant engagement, satisfaction, learning, and competence. A pre-post design and weekly questionnaires measured primary and secondary outcomes, respectively. RESULTS: Knowledge test performance and self-efficacy ratings improved post-ECHO (knowledge change was significant, p < 0.001, d = 1.13; self-efficacy approached significance; p = 0.056, d = 0.57). Attrition rate was low (7.7%) and satisfaction ratings were high across all domains, with spokes reporting reduced feelings of isolation. DISCUSSION: This is the first study to report objective mental health outcomes related to Project ECHO. The results indicate high-participant retention is achievable, and provide preliminary evidence for increased knowledge and self-efficacy. These findings suggest this intervention may improve mental health management in primary care.
AD - University of Toronto, Toronto, Ontario, Canada. sanjeev.sockalingam@uhn.ca.; University Health Network, Toronto, Ontario, Canada. sanjeev.sockalingam@uhn.ca.; Centre for Mental Health and Addictions (CAMH), Toronto, Ontario, Canada.; University of Toronto, Toronto, Ontario, Canada.; Centre for Mental Health and Addictions (CAMH), Toronto, Ontario, Canada.; Centre for Mental Health and Addictions (CAMH), Toronto, Ontario, Canada.; Centre for Mental Health and Addictions (CAMH), Toronto, Ontario, Canada.; University Health Network, Toronto, Ontario, Canada.; Centre for Mental Health and Addictions (CAMH), Toronto, Ontario, Canada.
BT - Academic psychiatry : the journal of the American Association of Directors of Psychiatric Residency Training and the Association for Academic Psychiatry
C5 - Healthcare Disparities; HIT & Telehealth
CP - 4
CY - United States
DO - 10.1007/s40596-017-0735-z
IS - 4
JF - Academic psychiatry : the journal of the American Association of Directors of Psychiatric Residency Training and the Association for Academic Psychiatry
M1 - Journal Article
N2 - OBJECTIVE: Project Extension for Community Healthcare Outcomes (Project ECHO(c)) addresses urban-rural disparities in access to specialist care by building primary care provider (PCP) capacity through tele-education. Evidence supporting the use of this model for mental health care is limited. Therefore, this study evaluated a mental health and addictions-focused ECHO program. Primary outcome measures were PCP knowledge and perceived self-efficacy. Secondary objectives included: satisfaction, engagement, and sense of professional isolation. PCP knowledge and self-efficacy were hypothesized to improve with participation. METHODS: Using Moore's evaluation framework, we evaluated the ECHO program on participant engagement, satisfaction, learning, and competence. A pre-post design and weekly questionnaires measured primary and secondary outcomes, respectively. RESULTS: Knowledge test performance and self-efficacy ratings improved post-ECHO (knowledge change was significant, p < 0.001, d = 1.13; self-efficacy approached significance; p = 0.056, d = 0.57). Attrition rate was low (7.7%) and satisfaction ratings were high across all domains, with spokes reporting reduced feelings of isolation. DISCUSSION: This is the first study to report objective mental health outcomes related to Project ECHO. The results indicate high-participant retention is achievable, and provide preliminary evidence for increased knowledge and self-efficacy. These findings suggest this intervention may improve mental health management in primary care.
PP - United States
PY - 2018
SN - 1545-7230; 1042-9670
SP - 451
EP - 457
EP - 
T1 - Building Provincial Mental Health Capacity in Primary Care: An Evaluation of a Project ECHO Mental Health Program
T2 - Academic psychiatry : the journal of the American Association of Directors of Psychiatric Residency Training and the Association for Academic Psychiatry
TI - Building Provincial Mental Health Capacity in Primary Care: An Evaluation of a Project ECHO Mental Health Program
U1 - Healthcare Disparities; HIT & Telehealth
U2 - 28593537
U3 - 10.1007/s40596-017-0735-z
VL - 42
VO - 1545-7230; 1042-9670
Y1 - 2018
Y2 - Aug
ER -