The Value of ECHO Autism to Primary Care Providers: Building Community and Capacity.

IF 1.8 3区 医学 Q3 BEHAVIORAL SCIENCES
Jennifer D Smith, Lisa M Vaughn, Erica Page, Terry Mitchell, Julia S Anixt
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引用次数: 0

Abstract

Objectives: The Extension for Community Healthcare Outcomes (ECHO) model has been shown to increase primary care providers' (PCPs) knowledge and self-efficacy in caring for patients with autism spectrum disorder (ASD). Benefits of ECHO Autism participation may not be fully captured in studies measuring only quantitative outcomes. Qualitative methodology was used to explore the perceptions, meaning, and impact of ECHO Autism from the perspective of participating PCPs.

Methods: We used group level assessment, a large-group participatory, qualitative research method modified to a virtual format to explore the perceptions, meaning, and impact of the ECHO Autism program from the perspective of 6 participating PCPs, 1 family member, and 5 hub team members. Individual, semi-structured interviews were conducted with 4 ECHO Autism participants to further explore the identified themes.

Results: Participants identified 6 primary themes corroborated by interview participants: (1) direct benefits to PCPs, (2) appreciation of the "all teach, all learn" approach, (3) sense of community, (4) value of the multidisciplinary conceptualization of care for children with ASD, (5) demystification of care for children with ASD, and (6) benefits to the PCPs' patients and their families. Feedback about ways to enhance the ECHO Autism program was categorized into 5 areas for improvement.

Conclusion: ECHO Autism builds a community for providers who may otherwise feel isolated and hesitant to manage complex needs of children with ASD. ECHO Autism is an innovative approach to build capacity for PCPs to provide high-quality evidence-based care to these children within their own communities.

回声自闭症对初级保健提供者的价值:建立社区和能力。
目的:社区医疗保健结果扩展(ECHO)模型已被证明可以提高初级保健提供者(pcp)在照顾自闭症谱系障碍(ASD)患者方面的知识和自我效能感。在仅测量定量结果的研究中,可能无法完全捕捉到参与自闭症回声治疗的益处。本研究采用定性方法,从参与的pcp的角度探讨对ECHO自闭症的认知、意义和影响。方法:我们采用小组水平评估,一种修改为虚拟格式的大群体参与性定性研究方法,从6名参与的pcp、1名家庭成员和5名中心团队成员的角度探讨ECHO自闭症项目的感知、意义和影响。对4名ECHO自闭症参与者进行了个人半结构化访谈,以进一步探讨确定的主题。结果:参与者确定了6个主要主题:(1)对pcp的直接益处,(2)对“所有教,所有学”方法的赞赏,(3)社区意识,(4)ASD儿童护理多学科概念化的价值,(5)ASD儿童护理的神秘化,(6)对pcp患者及其家庭的益处。关于如何加强ECHO自闭症项目的反馈被分为5个需要改进的领域。结论:ECHO自闭症为那些可能感到孤立和犹豫的提供者建立了一个社区,以管理ASD儿童的复杂需求。自闭症回声响应是一种创新的方法,旨在培养pcp在其社区内为这些儿童提供高质量循证护理的能力。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
3.10
自引率
8.30%
发文量
155
审稿时长
6-12 weeks
期刊介绍: Journal of Developmental & Behavioral Pediatrics (JDBP) is a leading resource for clinicians, teachers, and researchers involved in pediatric healthcare and child development. This important journal covers some of the most challenging issues affecting child development and behavior.
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