ArticleIndian journal of psychiatry2026
Evaluating the impact of Extension of Community Healthcare Outcome (ECHO) telementoring on enhancing knowledge and perceived skills in alcohol use disorders among the nonmedical District Mental Health Programme healthcare providers in Karnataka.
Article in Indian journal of psychiatry, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Background: Alcohol use disorder (AUD) is a public health problem. In India, about 5.2% of the population aged 10-75 years, that is, approximately 5.7 crore individuals, need help for their alcohol use problems, and around 20 lakhs from Karnataka. As per the studies, among people dependent on alcohol who tried quitting, about 75% did not receive any treatment. One potential approach to reducing this gap is enhancing the knowledge and skills of the existing District Mental Health Programme (DMHP) Health Care Providers (HCPs) on a large scale by integrating a case-based tele-ECHO (Extension of Community Healthcare Outcome) mentoring model. Aim: This study evaluates the effectiveness of the ECHO telementoring in improving knowledge and perceived skills related to AUD among nonmedical HCPs in Karnataka's DMHP. Methods: A digital-driven curriculum of the Foundation of Alcohol Management was designed and implemented with 84 DMHP healthcare providers (44 ECHO group, 40 waitlist) from 26 districts in Karnataka. The ECHO intervention comprised 27 weekly telementoring sessions over 9 months, combining case-based learning with didactic presentations. Knowledge and perceived skills were assessed at baseline and 3, 6, and 9 months using semistructured questionnaires apart from engagement and satisfaction. Results: At baseline, both groups showed comparable knowledge levels (ECHO: 5.84 ± 1.89, waitlist: 6.65 ± 2.67, Conclusion: The ECHO telementoring program effectively improves the knowledge and perceived skills of the DMHP nonmedical HCPs in AUD. The ECHO model can be a valuable tool for exponential enhancement in capacity in addictive disorder, especially in low-resource settings, by leveraging technology.
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