ArticlePilot and feasibility studies2020
A mixed methods evaluation of the feasibility, acceptability, and impact of a pilot project ECHO for community health workers (CHWs).
Article in Pilot and feasibility studies, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
17 citing papers in PubMed.
- The First Telementoring Programme in Latvia: A Qualitative Study of the "ECHO School of Psychiatry" for General Practitioners.Healthcare (Basel, Switzerland) · 2026Article
- Adoption of an Electronic Decision Support Tool for Capacity Building of Community Health Workers: Mixed Methods Study.JMIR formative research · 2026Article
- 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
- Community Health Workers as Catalysts for Mental Health Promotion in Transgender and Nonbinary Communities.American journal of public health · 2025Article
- Tailoring HIV Care for Black Populations: A Pilot Feasibility Prospective Cohort Study.JMIR formative research · 2024Article
- "That Was an Eye Opener for Me": Mixed-Methods Outcomes Educating Texas Community Health Workers on HPV Vaccination Using Project ECHOVaccines · 2024Article
- A mixed methods evaluation of the impact of ECHOHuman resources for health · 2024Article
- Participation in Project ECHO to advance rural primary care providers' ability to address patient mental health needs.Medical education online · 2023Article
- Supporting community health workers during the COVID-19 pandemic: A mixed methods pilot study.Public health nursing (Boston, Mass.) · 2023Article
- Article
- Describing implementation outcomes for a virtual community of practice: The ECHO Ontario Mental Health experience.Health research policy and systems · 2022Article
- Integration intrapreneurship: implementing innovation in a public healthcare organization.Journal of innovation and entrepreneurship · 2022Article
- Feasibility, acceptability, and sustainability of Project ECHO to expand capacity for pediatricians in Vietnam.BMC health services research · 2021Article
- Reflections on project ECHO: qualitative findings from five different ECHO programs.Medical education online · 2021Article
- Non-Randomized Pre-Post Testing to Evaluate Knowledge of Community Health Workers on Chronic Diseases After Asynchronous Online Training.Journal of primary care & community healthArticle
- Improving Mental Health Knowledge Among Brazilian Community Health Agents in a Training Program for a Self-Reported Mental Health Assessment.Public health nursing (Boston, Mass.)Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundDespite the positive effects of community health workers (CHWs) on addressing social determinants of health, improving patient health outcomes, and decreasing overall healthcare costs, there is a lack of standardization in training and certifying this workforce, resulting in different approaches to integrating this role into medical home models. The purpose of the current study is to evaluate the application of Project ECHO (Extension for Community Healthcare Outcomes) in enhancing CHWs' capacity to address health and social issues of vulnerable populations.
methodsAn explanatory sequential mixed methods design was applied in which all participants (
resultsThere was a statistically significant difference of + 0.453 in the composite self-efficacy mean score pre- to post-series. For every 1 additional Project ECHO CHW session attended, there was a .05 improvement in participants' self-efficacy to perform CHW-related job duties and address social determinants of health (SDOH). Four major themes emerged from the qualitative focus group data: value in learning from other participants' caseloads, CHW-care team integration, availability of training and resources, and shared decision-making with patients.
conclusionsThis evaluation suggests that ECHO is a viable means of increasing access to training resources for CHWs. Future studies on the ECHO model as a means of educating and broadening implementation of CHWs are warranted. Programs such as Project ECHO can support CHWs by providing continuing education opportunities, as well as standardizing training content across large geographic areas.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.