ArticlePain medicine (Malden, Mass.)2018
Project ECHO Telementoring Intervention for Managing Chronic Pain in Primary Care: Insights from a Qualitative Study.
Article in Pain medicine (Malden, Mass.), 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 49 papers, 1 of them a synthesis that pooled it.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
49 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Behavioural modification interventions for medically unexplained symptoms in primary care: systematic reviews and economic evaluation.Health technology assessment (Winchester, England) · 2020Pooled it
- Telementoring for improving primary care provider knowledge and competence in managing chronic pain: A randomised controlled trial.Journal of telemedicine and telecareTrial
- The First Telementoring Programme in Latvia: A Qualitative Study of the "ECHO School of Psychiatry" for General Practitioners.Healthcare (Basel, Switzerland) · 2026Article
- Ten Years of ECHO Chronic Pain and Opioid Stewardship in Ontario: Impact and Future Directions.Healthcare (Basel, Switzerland) · 2025Article
- A Sociological Framework for Improving Palliative Pain Care in Low-Resource Nations.Current pain and headache reports · 2025Review
- Implementation of the Extension for Community Healthcare Outcomes Model for Hypertension Education of Frontline Health Care Workers in the Federal Capital Territory, Nigeria: Explanatory Sequential Mixed Methods Evaluation.Journal of medical Internet research · 2025Article
- Project Extension for Community Healthcare Outcomes Intervention Evaluations: A Scoping Review of Research Methods.The Journal of continuing education in the health professions · 2025Article
- Effects of the ECHO tele-mentoring program on Long COVID management in health facilities in India: A mixed-methods evaluation.PloS one · 2025Article
- Strengthening Primary Care Workforce Capacity in Dementia Diagnosis and Care: A Qualitative Study of Project Alzheimer's Disease-ECHO.Medical care research and review : MCRR · 2024Article
- Article
- Healthcare social network research and the ECHO model™: Exploring a community of practice to support cultural brokers and transfer cultural knowledge.BMC health services research · 2024Article
- Building a communication and support network among quality improvement teams in nursing homes: a longitudinal study of the SCOPE trial.Implementation science communications · 2024Article
- Two-Eyed Seeing in action: Project extension for community health outcomes - Indigenous chronic pain & substance use.Canadian journal of pain = Revue canadienne de la douleur · 2024Article
- Exploring Factors Associated with Prescribers' Comfort Levels in Analgesic Prescribing in Quebec.Journal of pain research · 2024Article
- "Keep trying": a qualitative investigation into what patients with chronic pain gain from Project ECHO.SAGE open medicine · 2024Article
- Antidepressant Prescription Behavior Among Primary Care Clinician Providers After an Interprofessional Primary Care Psychiatric Training Program.Administration and policy in mental health · 2023Article
- Physician perspectives on chronic pain management: barriers and the use of eHealth in the COVID-19 era.BMC health services research · 2023Article
- Training the healthcare workforce: the global experience with telementorship for hepatitis B and hepatitis C.BMC health services research · 2023Article
- Impact Over 3 Years of a Family Medicine-led Addiction Medicine Curriculum for Medical Students.Family medicine · 2023Article
- Leveraging tele-mentoring and remote learning to strengthen the emergency care capacity of health workers in Uganda.African journal of emergency medicine : Revue africaine de la medecine d'urgence · 2023Article
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Objective: Family physicians in Canada receive little training in chronic pain management; concomitantly, they face increasing pressure to reduce their prescribing of opioids. Project ECHO Ontario Chronic Pain/Opioid Stewardship (ECHO) is a telementoring intervention for primary care practitioners that enhances their pain management skills. This qualitative study reports participants' experiences and assessment of ECHO. Design: An opportunistic sample of multidisciplinary primary care providers attending one of three residential weekend workshops participated in focus group discussions. Setting: University or hospital facilities in Toronto, Thunder Bay, and Kingston, Ontario, Canada. Subjects: Seventeen physicians and 20 allied health professionals. Methods: Six focus group discussions were conducted at three different sites during 2014 and 2015. Transcripts were analyzed using a qualitative-descriptive approach involving analytic immersion in the data, reflection, and achieving consensus around themes discerned from transcribed discussions. Results: Findings resolved into five main themes: 1) challenges of managing chronic pain in primary care; 2) ECHO participation and improvement in patient-provider interaction and participant knowledge; 3) the diffusion of knowledge gained through ECHO to participants' colleagues and patients; 4) ECHO participation generating a sense of community; and 5) disadvantages associated with participating in ECHO. Conclusions: Managing patients with chronic pain in primary care can be difficult, particularly in remote or underserved practices. Project ECHO offers guidance to primary care practitioners for their most challenging patients, promotes knowledge acquisition and diffusion, and stimulates the development of a "community of practice."
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