Evidence map›Paper›PMID 40598189›Full record

ArticleBMC palliative care2025

Spread, participant experience, and implementation of Pallium Canada's Palliative Care ECHO project: a mixed methods study.

José Pereira, Lynn M Meadows, Ashwak Rhayel, Ashlinder Gill, Dragan Kljujic, Michael Panza, Jonathan Faulkner, Jeffrey Moat Cm

Abstract read
In one paragraph

Article in BMC palliative care, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

8 authors.

José PereiraInstitute for Culture and Society, Faculty of Medicine, University of Navarra, Pamplona, Spain.
Lynn M MeadowsDepartment of Community Health Sciences, University of Calgary, Calgary, AB, Canada.
Ashwak RhayelDivision of Palliative Care, Department of Family Medicine, McMaster University, Hamilton, ON, Canada.
Ashlinder GillDivision of Palliative Care, Department of Family Medicine, McMaster University, Hamilton, ON, Canada. gilla89@mcmaster.ca.ORCID http://orcid.org/0009-0006-3412-1179
Dragan KljujicDepartment of Research, College of Family Physicians of Canada, Mississauga, ON, Canada. kljujic.dragan@gmail.com.
Michael PanzaDivision of Palliative Care, Department of Family Medicine, McMaster University, Hamilton, ON, Canada. panzamj@mcmaster.ca.
Jonathan FaulknerPallium Canada, Ottawa, ON, Canada. jfaulkner@pallium.ca.
Jeffrey Moat CmPallium Canada, Ottawa, ON, Canada. jmoat@pallium.ca.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPallium Canada's Palliative Care Extension for Community (ECHO) Project (PC ECHO) is a five-year national initiative (launched April 2021) to support continuous professional development and to facilitate the integration of palliative care across different care settings. PC ECHO includes a superhub (Pallium Canada) and several partner hubs. The goal of this formative evaluation study is to explore the project's early spread and the experiences of hub partners and participants from April 2021 to September 2023.

methodsA mixed-methods approach was used. Webinar and participant demographic information was collected by Pallium Canada's online learning management system and by partner hubs. Participants' experience feedback was collected through a standardized online evaluation form. Project leads at the superhub and three inaugural partners were interviewed and transcriptions subjected to a thematic analysis.

resultsA total of 301 sessions were delivered during the study period; 155 (51%) by Pallium Canada and 146 (49%) by nine partner hubs. Of these, 125 (42%) were standalone-type sessions and 176 (58%) were community of practice (COP)- or series-type sessions. A total of 7648 individuals - representing over 17 professions - participated across the 301 sessions; the nursing professions were the largest group (36.8%). There was a total of 17,467 participations across the 301 sessions, with participants from across Canada and 31% from rural or small population centres. 5105 evaluations of sessions were received (response rate 29%). Of these, 90% stated they "Agreed" or "Strongly Agreed" that the sessions were good learning experiences, and 93% indicated that they would recommend the session to colleagues. Project strengths and facilitators included accelerating partners' palliative care mandates, increased connections to other partners and resources, flexibility with the ECHO model, and funding received.

conclusionThe intended outcomes of the PC ECHO Project are materializing, including utility for participants and helping partner hubs accelerate their palliative care mandates. There is evidence of significant spread, over a relatively short period of time. Future studies should include further exploration of the respective roles and impact of different session types (standalone versus communities of practice and series) and impact at higher patient and health system levels.

Indexed as

Palliative CareAdultCanadaFemaleHumansMaleMiddle AgedProgram EvaluationQualitative ResearchEducationInterprofessional carePalliative care

Identifiers

PMID40598189
PMCPMC12210591

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Registered trials

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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.