Rhode Island medical journal (2013) · 2026
The Impact of an Advance RI-CTR Award on Tuberculosis Infection Management in Rhode Island.
СтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Szkwarko Daria, Kim Steven, Goldman Roberta, Carter E Jane
Аннотация
OBJECTIVES: To evaluate the impact of a Rhode Island (RI) Latent Tuberculosis Infection (TB Infection) Extension of Community Healthcare Outcomes (ECHO) telementoring program on primary care clinicians' self- reported learning and performance.
METHODS: Utilizing an exploratory, sequential, mixed- methods design, we first conducted 24 qualitative interviews with RI primary care clinicians and nurses to identify TB infection management gaps. These findings informed the curriculum for a six-session RI TB Infection ECHO course launched in 2021. Participant learning and performance were evaluated using pre- and post-course-structured questionnaires and follow-up qualitative interviews.
RESULTS: Qualitative analysis revealed that participating clinicians felt comfortable with TB infection screening but lacked confidence in treatment initiation and selection. Following the ECHO course, participants demonstrated significant increases in self-reported confidence across the majority of TB infection practice areas (P<0.05). Notably, 75% of post-survey respondents reported making specific practice changes, such as adopting shorter treatment regimens and improving newer test interpretation.
CONCLUSIONS: The mentored research award was instrumental in the establishment of the first Project ECHO hub at The Warren Alpert Medical School of Brown University. By achieving Level 5 (Performance) on Moore's Educational Framework through documented practice change, the program demonstrated that tele- mentoring can effectively democratize specialized TB infection knowledge. This framework has since scaled to a regional TB infection ECHO program.
METHODS: Utilizing an exploratory, sequential, mixed- methods design, we first conducted 24 qualitative interviews with RI primary care clinicians and nurses to identify TB infection management gaps. These findings informed the curriculum for a six-session RI TB Infection ECHO course launched in 2021. Participant learning and performance were evaluated using pre- and post-course-structured questionnaires and follow-up qualitative interviews.
RESULTS: Qualitative analysis revealed that participating clinicians felt comfortable with TB infection screening but lacked confidence in treatment initiation and selection. Following the ECHO course, participants demonstrated significant increases in self-reported confidence across the majority of TB infection practice areas (P<0.05). Notably, 75% of post-survey respondents reported making specific practice changes, such as adopting shorter treatment regimens and improving newer test interpretation.
CONCLUSIONS: The mentored research award was instrumental in the establishment of the first Project ECHO hub at The Warren Alpert Medical School of Brown University. By achieving Level 5 (Performance) on Moore's Educational Framework through documented practice change, the program demonstrated that tele- mentoring can effectively democratize specialized TB infection knowledge. This framework has since scaled to a regional TB infection ECHO program.