Ashley Pariser Davenport, Kevin Johns, Dena Champion, Andrea Roberts, Susan Fugett, Erin Holley, Candice Schreiber, Carolyn J Presley, Jalyn Todd, Andrew Honeychuck, Katherine Hunt, Yurong Lu, Bhuvaneswari Ramaswamy, Seuli Bose Brill
{"title":"利用项目ECHO模型向社区卫生保健专业人员提供癌症生存教育的试点研究分析","authors":"Ashley Pariser Davenport, Kevin Johns, Dena Champion, Andrea Roberts, Susan Fugett, Erin Holley, Candice Schreiber, Carolyn J Presley, Jalyn Todd, Andrew Honeychuck, Katherine Hunt, Yurong Lu, Bhuvaneswari Ramaswamy, Seuli Bose Brill","doi":"10.1080/28338073.2024.2433916","DOIUrl":null,"url":null,"abstract":"<p><p>As the number and needs of cancer survivors grow, innovative ways to enhance survivorship expertise are needed. This pilot study evaluated a 12-week cancer survivorship curriculum delivered to two cohorts of providers at affiliated sites within the Mercy Health System, utilising the Project ECHO® model, on provider self-efficacy (SE), knowledge (KN), and professional improvement (PI). Providers received six 1-hour sessions, informed by provider needs assessment, over 12 weeks. Participants completed pre- and post-session surveys evaluating SE, KN, and PI domains. The average score for survey items overall and within each domain was compared in pre- and post-session survey results. Twenty-six participants completed the baseline survey and 22 completed the post-session survey. For cohort 1, the overall score (0.94, 95% CI [0.45,1.42] <i>p</i> = 0.0023), SE (1.1, [95% CI [0.5,1.7] <i>p</i> = 0.003), and KN domain (1.03, 95% CI [0.45,1.62] <i>p</i> = 0.0036) scores significantly increased. For cohort 2, the overall score (0.617, 95% CI [0.042,1.193] <i>p</i> = 0.0378), SE (0.728, 95% CI [0.048,1.407] <i>p</i> = 0.0379), and KN domains (0.665, 95% CI [0.041,1.289] <i>p</i> = 0.0387) increased significantly. The PI score did not change for either cohort (PI -0.09, 95% CI [-0.67, 0.49] <i>p</i> = 0.726 and 0.000, 95% CI [-0.790,0.790] <i>p</i> > 0.999). This Cancer Survivorship ECHO pilot resulted in a statistically significant increase in provider self-efficacy and knowledge. All 22 participants rated the Cancer Survivorship ECHO pilot experience as having a positive (greater than neutral) result on their training. The Cancer Survivorship ECHO model may serve as a scalable strategy for building cancer survivorship care capacity in community-based oncology practices by equipping multidisciplinary teams to meet the needs of cancer survivors within their communities. 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For cohort 2, the overall score (0.617, 95% CI [0.042,1.193] <i>p</i> = 0.0378), SE (0.728, 95% CI [0.048,1.407] <i>p</i> = 0.0379), and KN domains (0.665, 95% CI [0.041,1.289] <i>p</i> = 0.0387) increased significantly. The PI score did not change for either cohort (PI -0.09, 95% CI [-0.67, 0.49] <i>p</i> = 0.726 and 0.000, 95% CI [-0.790,0.790] <i>p</i> > 0.999). This Cancer Survivorship ECHO pilot resulted in a statistically significant increase in provider self-efficacy and knowledge. All 22 participants rated the Cancer Survivorship ECHO pilot experience as having a positive (greater than neutral) result on their training. The Cancer Survivorship ECHO model may serve as a scalable strategy for building cancer survivorship care capacity in community-based oncology practices by equipping multidisciplinary teams to meet the needs of cancer survivors within their communities. 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引用次数: 0
摘要
随着癌症幸存者的数量和需求的增长,需要创新的方法来提高幸存者的专业知识。本试点研究利用Project ECHO®模型,对Mercy Health System附属机构的两组提供者提供的为期12周的癌症生存课程进行评估,评估内容包括提供者自我效能感(SE)、知识(KN)和专业进步(PI)。供应商在12周内接受了6次1小时的会议,会议由供应商需求评估通知。参与者完成了评估SE、KN和PI域的会前和会后调查。在会议前和会议后的调查结果中比较了调查项目的总体和每个领域的平均得分。26名参与者完成了基线调查,22名完成了会后调查。队列1的总分(0.94,95% CI [0.45,1.42] p = 0.0023)、SE (1.1, [95% CI [0.5,1.7] p = 0.003)和KN域(1.03,95% CI [0.45,1.62] p = 0.0036)评分均显著升高。队列2总分(0.617,95% CI [0.042,1.193] p = 0.0378)、SE (0.728, 95% CI [0.048,1.407] p = 0.0379)、KN域(0.665,95% CI [0.041,1.289] p = 0.0387)均显著升高。两个队列的PI评分均未发生变化(PI -0.09, 95% CI [-0.67, 0.49] p = 0.726和0.000,95% CI [-0.790,0.790] p > 0.999)。这项癌症幸存者回声试验在统计上显著提高了提供者的自我效能感和知识。所有22名参与者都将癌症幸存者ECHO飞行员体验评为对他们的训练有积极(大于中性)的结果。癌症幸存者ECHO模型可以作为一种可扩展的策略,通过装备多学科团队来满足社区内癌症幸存者的需求,在社区肿瘤实践中建立癌症幸存者护理能力。需要进一步的研究来评估这种模式在新环境中的实施,并评估其对患者预后和专业改进的影响。
Analysis of a Pilot Study Delivering Cancer Survivorship Education to Community Healthcare Professionals Utilizing the Project ECHO Model.
As the number and needs of cancer survivors grow, innovative ways to enhance survivorship expertise are needed. This pilot study evaluated a 12-week cancer survivorship curriculum delivered to two cohorts of providers at affiliated sites within the Mercy Health System, utilising the Project ECHO® model, on provider self-efficacy (SE), knowledge (KN), and professional improvement (PI). Providers received six 1-hour sessions, informed by provider needs assessment, over 12 weeks. Participants completed pre- and post-session surveys evaluating SE, KN, and PI domains. The average score for survey items overall and within each domain was compared in pre- and post-session survey results. Twenty-six participants completed the baseline survey and 22 completed the post-session survey. For cohort 1, the overall score (0.94, 95% CI [0.45,1.42] p = 0.0023), SE (1.1, [95% CI [0.5,1.7] p = 0.003), and KN domain (1.03, 95% CI [0.45,1.62] p = 0.0036) scores significantly increased. For cohort 2, the overall score (0.617, 95% CI [0.042,1.193] p = 0.0378), SE (0.728, 95% CI [0.048,1.407] p = 0.0379), and KN domains (0.665, 95% CI [0.041,1.289] p = 0.0387) increased significantly. The PI score did not change for either cohort (PI -0.09, 95% CI [-0.67, 0.49] p = 0.726 and 0.000, 95% CI [-0.790,0.790] p > 0.999). This Cancer Survivorship ECHO pilot resulted in a statistically significant increase in provider self-efficacy and knowledge. All 22 participants rated the Cancer Survivorship ECHO pilot experience as having a positive (greater than neutral) result on their training. The Cancer Survivorship ECHO model may serve as a scalable strategy for building cancer survivorship care capacity in community-based oncology practices by equipping multidisciplinary teams to meet the needs of cancer survivors within their communities. Further research is needed to assess the implementation of this model in novel settings and evaluate its impact on patient outcomes and professional improvement.