Evaluation of an innovative tele-education intervention in chronic pain management for primary care clinicians practicing in underserved areas

Autor: Jennifer Stinson, Samah Hassan, Ruth Dubin, Andrew Smith, Ralph Fabico, Andrea D Furlan, Jennifer Voth, John F. Flannery, Jane Zhao, Paul Taenzer, Susan B. Jaglal
Rok vydání: 2018
Předmět:
Zdroj: Journal of Telemedicine and Telecare. 25:484-492
ISSN: 1758-1109
1357-633X
Popis: Introduction Inadequate knowledge and training of healthcare providers are obstacles to effective chronic pain management. ECHO (extension for community healthcare outcomes) uses case-based learning and videoconferencing to connect specialists with providers in underserved areas. ECHO aims to increase capacity in managing complex cases in areas with poor access to specialists. Methods A pre-post study was conducted to evaluate the impact of ECHO on healthcare providers’ self-efficacy, knowledge and satisfaction. Type of profession, presenting a case, and number of sessions attended were examined as potential factors that may influence the outcomes Results From June 2014 to March 2017, 296 primary care healthcare providers attended ECHO, 264 were eligible for the study, 170 (64%) completed the pre-ECHO questionnaire and 119 completed post-ECHO questionnaires. Participants were physicians (34%), nurse practitioners (21%), pharmacists (13%) and allied health professionals (32%). Participants attended a mean of 15 ± 9.19 sessions. There was a significant increase in self-efficacy ( p Discussion This study shows that ECHO improved providers’ self-efficacy and knowledge. We evaluated outcomes from a multidisciplinary group of providers practicing in Ontario. This diversity supports the generalisability of our findings. Therefore, we suggest that this project may be used as a template for creating other educational programs on other medical topics.
Databáze: OpenAIRE