Accepted Type
Oral
Code
OG3-1-4
Acceptance Declaration
Accept
Additional Information
I declare I have no actual or potential conflict of interest in relation to this program.
Was this work accepted for CCME 2020?
no
Category
General Call (Workshop, Oral Presentation, Poster Presentation)
Type
Oral
Sub Type
Education Research
Will the presenter be a:
Other
Presenter Other
Faculty
Affiliation
Considered for Poster
yes
Title
Paediatric Project ECHO® for Complex Care: A Virtual Education Model to Support Community Management of Children with Medical Complexity
Length of Presentation
Background/Purpose
The Project ECHO® model (didactic and case-based learning), originally designed for adult settings, was adapted to offer evidence-based mentorship to community healthcare providers (HCPs) caring for children with medical complexity (CMC). Paediatric Project ECHO® for Complex Care is the first ECHO® program dedicated to CMC. This study assessed the performance-related outcomes of this ECHO® program.
Methods
Interprofessional HCPs who attended >1 monthly virtual ECHO® session, between January 2018 and December 2019, were eligible for this study. This prospective mixed-methods study assessed acceptability, knowledge, self-efficacy, and practice-level impacts. Using REDCap, surveys were administered at baseline and 6-months. Surveys used 7-point Likert scales (quantitative data) and open-text fields (qualitative data), and descriptive and inferential data analyses were conducted. The study received ethics approval from the Hospital for Sick Children.
Results
Participants represented over 10 health professions and reported moderate-to-high program acceptability, with acceptability scores ranging from 5.0 ±1.1 to 6.4 ±0.6 at 6-months (n = 27). Self-reported knowledge and self-efficacy increased across all probed topics and skills (p-values ranged from <0.001 to 0.006). Most participants perceived a 'positive' or 'very positive' impact on clinical practice, including an enhanced ability to provide quality care to CMC (n = 20, 74%).
Conclusion
Paediatric Project ECHO® for Complex Care has demonstrated acceptability and satisfaction among interprofessional community HCPs who care for CMC. HCPs report improved knowledge, self-efficacy and positive practice impacts following program participation. We suggest that ECHO® is a worthwhile educational model to support community-based care of CMC.
Keyword 1
Tele-education
Keyword 2
Children with medical complexity
Level of Training
CPD (faculty development, CME)
Abstract Themes
Continuing Medical Education
Additional Theme (First choice)
Inter-professional Education
Additional Theme (Second Choice)
Additional Theme (Third Choice)
Authors
Presenter
Chitra Lalloo
Term 1
Yes
Term 2
Yes
Term 3
Yes
Term 4
Yes
Term 5
Yes
