Evaluation of an innovative tele-education intervention in chronic pain management for primary care clinicians practicing in underserved areas.
J Telemed Telecare
; 25(8): 484-492, 2019 Sep.
Article
en En
| MEDLINE
| ID: mdl-29991316
ABSTRACT
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 < 0.0001) and knowledge (p < 0.0001). Self-efficacy improvement was significantly higher among physicians, physician assistants and nurse practitioners than the non-prescribers group (p = 0.03). On average, 96% of participants were satisfied with ECHO. Satisfaction was higher among those who presented cases and attended more sessions.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.Palabras clave
Texto completo:
1
Ejes tematicos:
Capacitacao_em_gestao_de_ciencia
Banco de datos:
MEDLINE
Asunto principal:
Educación Médica Continua
/
Médicos de Atención Primaria
/
Manejo del Dolor
/
Área sin Atención Médica
Tipo de estudio:
Diagnostic_studies
Límite:
Female
/
Humans
País como asunto:
America do norte
Idioma:
En
Año:
2019
Tipo del documento:
Article