利用 "ECHO 项目 "实施一整套物质使用学习社区,在全州范围内产生影响。

Adrienne C Lindsey, Carma Deem-Bolton, Erin P Finley, J. S. Potter, Holly J. Lanham, Sanjuana Fleming
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引用次数: 0

摘要

背景在大流行病期间,过量用药和饮酒的情况有所增加。然而,降低死亡率的方法(如治疗阿片类药物使用障碍的药物、减少伤害的方法)的采用率仍然不足。需要对提供者进行培训和指导,以确保他们有足够的能力采用循证方法治疗药物使用障碍(SUDs)。ECHO 项目(社区医疗保健成果扩展项目)模式涉及使用网络技术,通过专家小组提供说教式和基于案例的学习,在学习者群体中培养这种能力。ECHO 项目被用来在全州范围内实施以成瘾问题为重点的 ECHO 项目辅导中心,包括处方、减低伤害、康复支持服务、与急救人员的合作以及系统层面的挑战。对学员进行了以下管理:(1) 在线注册表,询问基本人口统计信息;(2) 每次课程结束后的课后调查,了解满意度和实施的可能性;(3) 年度调查,衡量知识和自我效能的变化。从合作伙伴关系管理数据库 iECHO 中存储并提取了出席情况和其他学员数据。结果968 名学员参加了培训课程,平均每节课 48 名学员。培训覆盖的地域包括得克萨斯州的 47 个城市。培训后的调查结果显示,学员的满意度很高,在 5 点李克特量表上的平均评分为 4.68。年度调查显示,在所有项目中,医疗服务提供者的知识水平和自信心都有所提高。这些初步证据支持将 ECHO 模式作为一种潜在的工具,用于扩大综合 SUD 辅导中心的规模,以满足广大地区的劳动力发展需求。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Leveraging Project ECHO to Implement a Suite of Substance Use Learning Communities for Statewide Impact.
BACKGROUND Overdoses and alcohol consumption rose during the pandemic. However, uptake of practices which reduce mortality (eg, medications for opioid use disorder, harm reduction practices) remains insufficient. Provider training and telementoring is needed to ensure sufficient capacity for treating substance use disorders (SUDs) with evidence-based practices. The Project ECHO (Extension for Community Healthcare Outcomes) model involves the use of web technologies to deliver didactic and case-based learning through a panel of experts to build such competency in a community of learners. Project ECHO was leveraged to implement a statewide telementoring center of addictions-focused ECHO programs, including programming in prescribing, harm reduction, recovery support services, collaborations with first responders, and systems-level challenges. METHODS Participants represented health and behavioral health disciplines practicing across the state of Texas in metropolitan and rural areas. Learners were administered: (1) an online registration form that inquired about basic demographics, (2) a post-session survey at the conclusion of each session capturing satisfaction and likelihood to implement, and (3) annual surveys measuring changes in knowledge and self-efficacy. Attendance and other learner data were stored and extracted from the partner relationship management database: iECHO. RESULTS Training programs were attended by 968 learners, with an average of 48 learners per session. Geographic reach included 47 Texas cities. Post-training survey results indicated high rates of learner satisfaction, with an average rating of 4.68 on a 5-point Likert-like scale. Annual surveys indicated improvements in provider knowledge and self-confidence across all programs. CONCLUSIONS Early results indicate robust uptake, wide geographic reach, high learner satisfaction, and provider knowledge and confidence gains. This preliminary evidence supports the use of the ECHO model as a potential tool for scaling comprehensive SUD telementoring centers to meet workforce development needs over large geographic areas.
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