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Extension for Community Healthcare Outcomes Based Telementoring of Physicians for Dementia–Effectiveness in India
OBJECTIVE: The study aimed to evaluate the effectiveness of a program based on the telementoring model [Extension for Community Healthcare Outcomes (ECHO)] for primary care physicians in diagnosing and treating patients with dementia. METHOD: The ECHO model was adapted through 12 live sessions of 2...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Frontiers Media S.A.
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9168648/ https://www.ncbi.nlm.nih.gov/pubmed/35677870 http://dx.doi.org/10.3389/fpsyt.2022.869685 |
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author | Nair, Shruti Sinha, Preeti Chand, Prabhat Sahu, Prashant Gorthi, Naga VSS Varghese, Mathew Sivakumar, P. T. |
author_facet | Nair, Shruti Sinha, Preeti Chand, Prabhat Sahu, Prashant Gorthi, Naga VSS Varghese, Mathew Sivakumar, P. T. |
author_sort | Nair, Shruti |
collection | PubMed |
description | OBJECTIVE: The study aimed to evaluate the effectiveness of a program based on the telementoring model [Extension for Community Healthcare Outcomes (ECHO)] for primary care physicians in diagnosing and treating patients with dementia. METHOD: The ECHO model was adapted through 12 live sessions of 2 h every 2 weeks consisting of a didactic presentation by the expert, peer-led new case discussions, and follow-up discussions. In addition, there were 10 h of self-paced e-learning and interim assignments. The impact was examined by noting participation, session ratings, monthly clinical reports, and comparing knowledge and competency scores before and after the course. RESULTS: Among the 63 participants, 39.7% attended at least 80% of the sessions; completing the program successfully. The ratings for all sessions ranged from “good” to “excellent.” The paired sample t-test revealed a statistically significant improvement (p < 0.001) in self-rated skills and confidence in diagnosing and treating dementia with an effect size of 1.25 and 1.37, respectively. No change in the knowledge score was observed throughout the course. A considerable increase in dementia-related clinical practice was observed during four monthly summary of clinical cases. Due to the limited data of monthly reports during the COVID pandemic, no statistical analysis was attempted. CONCLUSION: The ECHO model appears to have a positive immediate impact on the clinical ability of primary care physicians to diagnose and treat dementia. Its direct impact on patient health and at the community level should be aimed at in future studies. |
format | Online Article Text |
id | pubmed-9168648 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Frontiers Media S.A. |
record_format | MEDLINE/PubMed |
spelling | pubmed-91686482022-06-07 Extension for Community Healthcare Outcomes Based Telementoring of Physicians for Dementia–Effectiveness in India Nair, Shruti Sinha, Preeti Chand, Prabhat Sahu, Prashant Gorthi, Naga VSS Varghese, Mathew Sivakumar, P. T. Front Psychiatry Psychiatry OBJECTIVE: The study aimed to evaluate the effectiveness of a program based on the telementoring model [Extension for Community Healthcare Outcomes (ECHO)] for primary care physicians in diagnosing and treating patients with dementia. METHOD: The ECHO model was adapted through 12 live sessions of 2 h every 2 weeks consisting of a didactic presentation by the expert, peer-led new case discussions, and follow-up discussions. In addition, there were 10 h of self-paced e-learning and interim assignments. The impact was examined by noting participation, session ratings, monthly clinical reports, and comparing knowledge and competency scores before and after the course. RESULTS: Among the 63 participants, 39.7% attended at least 80% of the sessions; completing the program successfully. The ratings for all sessions ranged from “good” to “excellent.” The paired sample t-test revealed a statistically significant improvement (p < 0.001) in self-rated skills and confidence in diagnosing and treating dementia with an effect size of 1.25 and 1.37, respectively. No change in the knowledge score was observed throughout the course. A considerable increase in dementia-related clinical practice was observed during four monthly summary of clinical cases. Due to the limited data of monthly reports during the COVID pandemic, no statistical analysis was attempted. CONCLUSION: The ECHO model appears to have a positive immediate impact on the clinical ability of primary care physicians to diagnose and treat dementia. Its direct impact on patient health and at the community level should be aimed at in future studies. Frontiers Media S.A. 2022-05-23 /pmc/articles/PMC9168648/ /pubmed/35677870 http://dx.doi.org/10.3389/fpsyt.2022.869685 Text en Copyright © 2022 Nair, Sinha, Chand, Sahu, Gorthi, Varghese and Sivakumar. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms. |
spellingShingle | Psychiatry Nair, Shruti Sinha, Preeti Chand, Prabhat Sahu, Prashant Gorthi, Naga VSS Varghese, Mathew Sivakumar, P. T. Extension for Community Healthcare Outcomes Based Telementoring of Physicians for Dementia–Effectiveness in India |
title | Extension for Community Healthcare Outcomes Based Telementoring of Physicians for Dementia–Effectiveness in India |
title_full | Extension for Community Healthcare Outcomes Based Telementoring of Physicians for Dementia–Effectiveness in India |
title_fullStr | Extension for Community Healthcare Outcomes Based Telementoring of Physicians for Dementia–Effectiveness in India |
title_full_unstemmed | Extension for Community Healthcare Outcomes Based Telementoring of Physicians for Dementia–Effectiveness in India |
title_short | Extension for Community Healthcare Outcomes Based Telementoring of Physicians for Dementia–Effectiveness in India |
title_sort | extension for community healthcare outcomes based telementoring of physicians for dementia–effectiveness in india |
topic | Psychiatry |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9168648/ https://www.ncbi.nlm.nih.gov/pubmed/35677870 http://dx.doi.org/10.3389/fpsyt.2022.869685 |
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