Direct and Indirect Effects of a Project ECHO Longitudinal Clinical Tele-Mentoring Program on Viral Suppression for Persons With HIV: A Population-Based Analysis

Wood, Brian R.; Bauer, Karin; Lechtenberg, Richard; Buskin, Susan E.; Bush, Lea; Capizzi, Jeff; Crutsinger-Perry, Beth; Erly, Steven; Menza, Timothy W.; Reuer, Jennifer; Golden, Matthew R.

doi:10.1097/qai.0000000000003007

Cited by 5 publications

(7 citation statements)

References 48 publications

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“…The function of knowledge brokers in the context of ECHO CoP has not been studied in-depth. One study from an HIV clinical care ECHO included staff who did not participate in ECHO but were colleagues with a provider who did [ 61 ]. A statistically significant improvement in viral load suppression was demonstrated in patients treated by a provider co-located with an ECHO participant, compared to the control group of providers not participating and not co-located with an ECHO participant [ 61 ].…”

Section: Discussionmentioning

confidence: 99%

“…One study from an HIV clinical care ECHO included staff who did not participate in ECHO but were colleagues with a provider who did [ 61 ]. A statistically significant improvement in viral load suppression was demonstrated in patients treated by a provider co-located with an ECHO participant, compared to the control group of providers not participating and not co-located with an ECHO participant [ 61 ]. The present study builds on these findings, recognising the value of participants who become brokers and are well-placed to facilitate diffusion of knowledge and resources within their local environment.…”

Section: Discussionmentioning

confidence: 99%

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Healthcare social network research and the ECHO model™: Exploring a community of practice to support cultural brokers and transfer cultural knowledge

Nixon,

Broccatelli,

Moss

et al. 2024

BMC Health Serv Res

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Background Project ECHO® networks at Children’s Health Queensland Hospital and Health Service (CHQHHS) are communities of practice designed to mitigate services and systems fragmentation by building collaborative partnerships addressing priority child and youth health needs. Aboriginal and Torres Strait Islander people experience the negative impacts of fragmentation in addition to historical challenges of absent or culturally inappropriate health services. Access to culturally safe and responsive services can be improved by engaging Aboriginal and Torres Strait Islander Health Workers and similar roles in an online community of practice, supporting the integration of cultural and clinical knowledge and self-determination of Aboriginal and Torres Strait Islander consumers in decisions affecting their health. Analysing professional support networks and knowledge sharing patterns helps identify enablers and barriers to partnerships. Using social network research, the multilevel network inclusive of ECHO network members and their colleagues was studied to identify interdisciplinary and cross-sector advice exchange patterns, explore the position of cultural brokers and identify common relational tendencies. Methods Social network theories and methods informed the collection of network data and analysis of advice-seeking relationships among ECHO network members and their nominees. Registered members from two ECHO networks were invited to complete the Qualtrics survey. Networks analysed comprised 398 professionals from mainstream health, Aboriginal and Torres Strait Islander Community Controlled Health Organisation, education, disability and child safety service settings. Results Brokers were well represented, both those who hold knowledge brokerage positions as well as cultural brokers who incorporate clinical and cultural knowledge enabling holistic care for Aboriginal and Torres Strait Islander patients (38 individuals, 17% of network). Professionals who occupy brokerage positions outside the ECHO network tend to be more connected with co-members within the network. Conclusions This study is the first application of contemporary social network theories and methods to investigate an ECHO network. The findings highlight the connectivity afforded by brokers, enabling the coordination and collaboration necessary for effective care integration. Inclusion of cultural brokers in an ECHO network provides sustained peer group support while also cultivating relationships that facilitate the integration of cultural and clinical knowledge.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Healthcare social network research and the ECHO model™: Exploring a community of practice to support cultural brokers and transfer cultural knowledge

Nixon,

Broccatelli,

Moss

et al. 2024

BMC Health Serv Res

View full text Add to dashboard Cite

show abstract

“…Telehealth interventions are increasingly being utilized to provide training, mentoring, and expert consultation on HIV and other diseases in both high-income and LMIC settings. The Extension for Community Healthcare Outcomes (Project ECHO), pioneered by the University of New Mexico, catalyzed the scale-up of telehealth training for professional development and improving patient outcomes in the USA [ 16 – 18 ]. The model uses telehealth technology to connect community-based physicians with specialists from academic medical centers for training and patient co-management [ 16 ].…”

Section: Provider-to-provider Telehealth For Health Worker Training A...mentioning

confidence: 99%

“…The model uses telehealth technology to connect community-based physicians with specialists from academic medical centers for training and patient co-management [ 16 ]. ECHO-like models have been developed for training health professionals on a variety of chronic diseases including HIV [ 5 •, 18 – 20 ].…”

Section: Provider-to-provider Telehealth For Health Worker Training A...mentioning

confidence: 99%

“…Most participants reported appreciating the accessibility of the telementoring platforms and expressed their desire to continue participating in future sessions. However, with a few exceptions in high-income countries [ 18 , 26 ], limited data exists on the impact of telementoring programs on patient outcomes [ 27 ].…”

Section: Provider-to-provider Telehealth For Health Worker Training A...mentioning

confidence: 99%

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