ECHO Care of the Elderly: Innovative Learning to Build Capacity in Long-term Care

被引：2

作者：

Lingum, Navena R. ^{[1
]}

Sokoloff, Lisa Guttman ^{[1
]}

Chau, James ^{[2
]}

Feldman, Sid ^{[3
,4
]}

Gingrich, Shaen ^{[2
]}

Grief, Cindy J. ^{[5
]}

Meyer, Raquel M. ^{[6
]}

Moser, Andrea L. ^{[3
,4
]}

Shaikh, Salma ^{[1
]}

Santiago, Anna Theresa ^{[7
]}

Sham, Rosalind ^{[7
]}

Sodums, Devin J. ^{[7
]}

Conn, David K. ^{[1
,5
]}

机构：

[1] Baycrest, Ctr Educ & Knowledge Exchange Aging, 3560 Bathurst St, Toronto, ON M6A 2E1, Canada

[2] North East Specialized Geriatr Serv, Program Hlth Sci North, Sudbury, ON, Canada

[3] Baycrest, Jewish Home Aged, Apotex Ctr, Toronto, ON, Canada

[4] Baycrest, Dept Family & Community Med, Toronto, ON, Canada

[5] Baycrest, Dept Psychiat, 3560 Bathurst St, Toronto, ON M6A 2E1, Canada

[6] Baycrest, Ontario Ctr Learning Res & Innovat Long Term Care, Toronto, ON, Canada

[7] Baycrest, Kunin Lunenfeld Ctr Appl Res & Evaluat, Toronto, ON, Canada

来源：

CANADIAN GERIATRICS JOURNAL | 2021年 / 24卷 / 01期

关键词：

long-term care; education; capacity building; geriatrics; PROJECT ECHO; MENTAL-HEALTH; MODEL; OUTCOMES; IMPACT; AGE;

D O I：

10.5770/cgj.24.458

中图分类号：

R592 [老年病学]; C [社会科学总论];

学科分类号：

03 ; 0303 ; 100203 ;

摘要：

Background Older adults are entering long-term care (LTC) homes with more complex care needs than in previous decades, resulting in demands on point-of-care staff to provide additional and specialty services. This study evaluated whether Project ECHO (R) (Extension for Community Healthcare Outcomes) Care of the Elderly Long-Term Care (COE-LTC)-a case-based online education program-is an effective capacitybuilding program among interprofessional health-care teams caring for LTC residents. Methods A mixed-method, pre-and-post study comprised of satisfaction, knowledge, and self- efficacy surveys and exploration of experience via semi-structured interviews. Participants were interprofessional health-care providers from LTC homes across Ontario. Results From January-March 2019, 69 providers, nurses/nurse practitioners (42.0%), administrators (26.1%), physicians (24.6%), and allied health professionals (7.3%) participated in 10 weekly, 60-minute online sessions. Overall, weekly session and post-ECHO satisfaction were high across all domains. Both knowledge scores and self-efficacy ratings increased post-ECHO, 3.9% (p=.02) and 9.7 points (p<.001), respectively. Interview findings highlighted participants' appreciation of access to specialists, recognition of educational needs specific to LTC, and reduction of professional isolation. Conclusion We demonstrated that ECHO COE-LTC can be a successful capacity-building educational model for interprofessional health-care providers in LTC, and may alleviate pressures on the health system in delivering care for residents.

引用

页码：36 / 43

页数：8

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