Evidence map›Paper›PMID 36085406›Full record

ArticleAcademic psychiatry : the journal of the American Association of Directors of Psychiatric Residency Training and the Association for Academic Psychiatry2023

Effectiveness of Project ECHO Programs in Improving Clinician Knowledge and Confidence in Managing Complex Psychiatric Patients: a Waitlist-Controlled Study.

Erica Bessell, Ji Sun Kim, Lyn Chiem, Andrew McDonald, David Thompson, Nicholas Glozier, Andrew Simpson, Lisa Parcsi, Richard Morris, Rebecca Koncz

Abstract read
In one paragraph

Article in Academic psychiatry : the journal of the American Association of Directors of Psychiatric Residency Training and the Association for Academic Psychiatry, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

13 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Review
  7. Article
  8. Article
  9. Article
  10. Project ECHOBMC health services research · 2024
    Article
  11. Article
  12. Psychiatric Clinical Training Across Borders: Developing Virtual Communities of Practice Through International Co-constructive Patient Simulation.Academic psychiatry : the journal of the American Association of Directors of Psychiatric Residency Training and the Association for Academic Psychiatry · 2024
    Article
  13. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Erica BessellThe University of Sydney, Sydney, NSW, Australia.ORCID http://orcid.org/0000-0002-5938-9917
Ji Sun KimSydney Local Health District, Sydney, NSW, Australia.
Lyn ChiemSydney Local Health District, Sydney, NSW, Australia.
Andrew McDonaldSydney Local Health District, Sydney, NSW, Australia.
David ThompsonSydney Local Health District, Sydney, NSW, Australia.
Nicholas GlozierThe University of Sydney, Sydney, NSW, Australia.
Andrew SimpsonSydney Local Health District, Sydney, NSW, Australia.
Lisa ParcsiSydney Local Health District, Sydney, NSW, Australia.
Richard MorrisThe University of Sydney, Sydney, NSW, Australia.
Rebecca KonczThe University of Sydney, Sydney, NSW, Australia. rebecca.koncz@sydney.edu.au.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe authors aimed to determine if Project Extension for Community Healthcare Outcomes (ECHO), a health-education model utilising teleconferencing technology, improves the capacity of clinicians in assessing and managing complex psychiatric patients.

methodsThree pilot Project ECHO programs were evaluated as a prospective waitlist-controlled trial, focusing on Adult Eating Disorders, Adult Intellectual Disability Mental Health, and General Mental Health. Each program comprised 9-10 weekly teleconferencing group sessions. Participants and waitlist-controls completed pre- and post-program surveys. The primary outcomes were self-reported knowledge and confidence in assessing and managing complex patients relevant to each group. Linear mixed models were used to assess the group-by-time interaction, or change over time, as appropriate.

resultsBetween July 2020 and June 2021, three series of the Adult Intellectual Disability Mental Health program, two series of the Adult Eating Disorders program, and two series of the General Mental Health program were delivered. Compared to waitlist-controls (n = 21), there were statistically significant improvements in self-reported knowledge and confidence for all topics amongst participants of the Adult Eating Disorders program (n = 44). In the Adult Intellectual Disability Mental Health program, there were significant improvements in self-reported knowledge and confidence amongst participants (n = 67) for most topics compared to controls (n = 21). There were no waitlist-controls for the General Mental Health program, but within-group analysis (n = 28) showed significant improvements in participants' knowledge and confidence following program completion, compared to baseline.

conclusionProject ECHO is a feasible and effective model to develop workforce capacity in managing complex psychiatric conditions.

Indexed as

Health PersonnelIntellectual DisabilityAdultHumansPilot ProjectsProspective StudiesSurveys and QuestionnairesContinuing professional developmentEating disordersIntellectual disability mental healthProject ECHOTeleconferencing

Identifiers

PMID36085406
PMCPMC9883324

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

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.