Using the project ECHO™ model to teach mental health topics in rural Guatemala: An implementation science-guided evaluation.
Background: Mental health (MH) disorders are major causes of disability in Guatemala. Unfortunately, limited academic training and funding resources make MH care inaccessible to most people in rural Guatemala. These disparities leave many indigenous populations without care. Project ECHO™ is an educ...
| Publicado en: | International Journal of Social Psychiatry Vol. 69; no. 8; pp. 2031 - 2042 |
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| Autores principales: | , , , , , , , , , , |
| Formato: | Artículo |
| Publicado: |
Sage Publications Inc.
Dec2023
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| Materias: | |
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=173887593&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 173887593 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 00207640 ISP jtl: International Journal of Social Psychiatry issn: 00207640 maglogo: Y pubinfo: dt: Dec2023 vid: 69 iid: 8 pid: 344 pub: Sage Publications Inc. artinfo: ui: 173887593 10.1177/00207640231188038 ppf: 2031 ppct: 11 formats: tig: atl: Using the project ECHO™ model to teach mental health topics in rural Guatemala: An implementation science-guided evaluation. aug: au: de la Garza Iga, Francisco Javier Mejía Alvarez, Marinés Cockroft, Joshua D Rabin, Julia Cordón, Ana Elias Rodas, Dina Maria Grazioso, Maria del Pilar Espinola, Maria O'Dea, Christine Schubert, Charles Stryker, Shanna D affil: Department of Family and Community Medicine, College of Medicine, University of Cincinnati, OH, USA Asociación Proyecto Aiglé Guatemala, Guatemala Department of Psychiatry and Behavioral Neurosciences, College of Medicine, University of Cincinnati, OH, USA Department of Psychology, College of Arts & Sciences, University of Cincinnati, OH, USA Wuqu' Kawoq / Maya Health Alliance, Tecpan, Guatemala Department of Psychology, Universidad del Valle de Guatemala, Guatemala su: United States Guatemala Online education Evaluation of human services programs Rural conditions Mental health Human services programs Self-efficacy Philosophy of education Research methodology Descriptive statistics Research funding Data analysis software sug: subj: Online education Evaluation of human services programs Rural conditions Mental health Human services programs Self-efficacy Philosophy of education United States Guatemala Offices of Mental Health Practitioners (except Physicians) Research methodology Descriptive statistics Research funding Data analysis software keyword: alcohol depression indigenous Latin America medical education nurse primary care stress Virtual women's mental health alcohol depression indigenous Latin America medical education nurse primary care stress Virtual women's mental health ab: Background: Mental health (MH) disorders are major causes of disability in Guatemala. Unfortunately, limited academic training and funding resources make MH care inaccessible to most people in rural Guatemala. These disparities leave many indigenous populations without care. Project ECHO™ is an educational model used globally to deliver virtual training for providers in rural/ underserved communities. The aim of this project was to implement and evaluate a Project ECHO™ program bridging MH training gaps for providers who serve rural communities in Guatemala. Methods: The Project ECHO™ curriculum was implemented through a partnership between educational and nonprofit institutions in Guatemala City and the United States. Participants were primary care physicians and nurses working in rural Guatemala as well as medical/nursing/psychology students. Evaluation of its implementation was guided by a RE-AIM framework. Reach, effectiveness, adoption, fidelity, sustainability, acceptability, feasibility, and appropriateness were evaluated using a mixed-methods approach, using a pre-post survey and semi-structured focus groups. Results: Forty unique participants attended the five sessions. Attitudes about mental health did not change quantitatively but self-efficacy improved in four of five modules. High quality fidelity scores were noted in two of five sessions. Sustainability scores across multiple domains were highly rated. Scores on instruments measuring acceptability, feasibility, and appropriateness were high. Focus groups showed two main themes: the curriculum filled a gap in education and further adaptation of the model might help improve the experience. Conclusion: Implementation of the Project ECHO™ educational model appeared to have good reach/adoption, showed improvements in self-efficacy, illuminated facilitators and barriers to sustainability, and was felt to be acceptable, feasible, and appropriate. Qualitative analysis supported these conclusions. Future directions would include ongoing evaluation and monitoring of further Project ECHO™ curricular experiences through this partnership and adaptation of this project to other learners and settings in Latin America. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
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