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Describing implementation outcomes for a virtual community of practice: The ECHO Ontario Mental Health experience

BACKGROUND: Project ECHO is a virtual education model aimed at building capacity among healthcare providers to support optimal management for a range of health conditions. The expansion of the ECHO model, further amplified by the pandemic, has demonstrated an increased need to evaluate implementatio...

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Autores principales: Serhal, Eva, Pereira, Cheryl, Armata, Rosaria, Hardy, Jenny, Sockalingam, Sanjeev, Crawford, Allison
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8822668/
https://www.ncbi.nlm.nih.gov/pubmed/35135565
http://dx.doi.org/10.1186/s12961-022-00818-1
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author Serhal, Eva
Pereira, Cheryl
Armata, Rosaria
Hardy, Jenny
Sockalingam, Sanjeev
Crawford, Allison
author_facet Serhal, Eva
Pereira, Cheryl
Armata, Rosaria
Hardy, Jenny
Sockalingam, Sanjeev
Crawford, Allison
author_sort Serhal, Eva
collection PubMed
description BACKGROUND: Project ECHO is a virtual education model aimed at building capacity among healthcare providers to support optimal management for a range of health conditions. The expansion of the ECHO model, further amplified by the pandemic, has demonstrated an increased need to evaluate implementation success to ensure that interventions are implemented as planned. This study describes how Proctor et al.’s implementation outcomes (acceptability, adoption, appropriateness, costs, feasibility, fidelity, penetration, and sustainability) were adapted and used to assess the implementation of ECHO Ontario Mental Health (ECHO-ONMH), a mental health-focused capacity-building programme. METHODS: Using Proctor et al.’s implementation outcomes, the authors developed an implementation outcomes framework for ECHO-ONMH more generally. Using this, outcome measures and success thresholds were identified for each outcome for the ECHO-ONMH context, and then applied to evaluate the implementation of ECHO-ONMH using data from the first 4 years of the programme. RESULTS: An ECHO-ONMH implementation outcomes framework was developed using Proctor’s implementation outcomes. ECHO-ONMH adapted implementation outcomes suggest that ECHO-ONMH was implemented successfully in all domains except for penetration, which only had participation from 13/14 regions. Acceptability, appropriateness and adoption success thresholds were surpassed for all 4 years, showing strong signs of sustainability. The programme was deemed feasible all 4 years and was found to be more cost-effective. ECHO-ONMH also showed high rates of fidelity to the ECHO model, and high rates of penetration. CONCLUSIONS: This is the first study to use Proctor et al.’s implementation outcomes to describe implementation success for a virtual capacity-building model. The proposed ECHO implementation outcomes framework provides a base for similar interventions to evaluate implementation success, which is an important precursor to understanding learning, service or health outcomes related to the model. Additionally, these findings can act as a benchmark for other international ECHOs and educational programmes.
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spelling pubmed-88226682022-02-08 Describing implementation outcomes for a virtual community of practice: The ECHO Ontario Mental Health experience Serhal, Eva Pereira, Cheryl Armata, Rosaria Hardy, Jenny Sockalingam, Sanjeev Crawford, Allison Health Res Policy Syst Research BACKGROUND: Project ECHO is a virtual education model aimed at building capacity among healthcare providers to support optimal management for a range of health conditions. The expansion of the ECHO model, further amplified by the pandemic, has demonstrated an increased need to evaluate implementation success to ensure that interventions are implemented as planned. This study describes how Proctor et al.’s implementation outcomes (acceptability, adoption, appropriateness, costs, feasibility, fidelity, penetration, and sustainability) were adapted and used to assess the implementation of ECHO Ontario Mental Health (ECHO-ONMH), a mental health-focused capacity-building programme. METHODS: Using Proctor et al.’s implementation outcomes, the authors developed an implementation outcomes framework for ECHO-ONMH more generally. Using this, outcome measures and success thresholds were identified for each outcome for the ECHO-ONMH context, and then applied to evaluate the implementation of ECHO-ONMH using data from the first 4 years of the programme. RESULTS: An ECHO-ONMH implementation outcomes framework was developed using Proctor’s implementation outcomes. ECHO-ONMH adapted implementation outcomes suggest that ECHO-ONMH was implemented successfully in all domains except for penetration, which only had participation from 13/14 regions. Acceptability, appropriateness and adoption success thresholds were surpassed for all 4 years, showing strong signs of sustainability. The programme was deemed feasible all 4 years and was found to be more cost-effective. ECHO-ONMH also showed high rates of fidelity to the ECHO model, and high rates of penetration. CONCLUSIONS: This is the first study to use Proctor et al.’s implementation outcomes to describe implementation success for a virtual capacity-building model. The proposed ECHO implementation outcomes framework provides a base for similar interventions to evaluate implementation success, which is an important precursor to understanding learning, service or health outcomes related to the model. Additionally, these findings can act as a benchmark for other international ECHOs and educational programmes. BioMed Central 2022-02-08 /pmc/articles/PMC8822668/ /pubmed/35135565 http://dx.doi.org/10.1186/s12961-022-00818-1 Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research
Serhal, Eva
Pereira, Cheryl
Armata, Rosaria
Hardy, Jenny
Sockalingam, Sanjeev
Crawford, Allison
Describing implementation outcomes for a virtual community of practice: The ECHO Ontario Mental Health experience
title Describing implementation outcomes for a virtual community of practice: The ECHO Ontario Mental Health experience
title_full Describing implementation outcomes for a virtual community of practice: The ECHO Ontario Mental Health experience
title_fullStr Describing implementation outcomes for a virtual community of practice: The ECHO Ontario Mental Health experience
title_full_unstemmed Describing implementation outcomes for a virtual community of practice: The ECHO Ontario Mental Health experience
title_short Describing implementation outcomes for a virtual community of practice: The ECHO Ontario Mental Health experience
title_sort describing implementation outcomes for a virtual community of practice: the echo ontario mental health experience
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8822668/
https://www.ncbi.nlm.nih.gov/pubmed/35135565
http://dx.doi.org/10.1186/s12961-022-00818-1
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