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首页> 外文期刊>Academic psychiatry: the journal of the American Association of Directors of Psychiatric Residency Training and the Association for Academic Psychiatry >Building Provincial Mental Health Capacity in Primary Care: An Evaluation of a Project ECHO Mental Health Program
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Building Provincial Mental Health Capacity in Primary Care: An Evaluation of a Project ECHO Mental Health Program

机译：在初级保健中建立省心理健康能力：对项目回声心理健康计划的评估

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Objective Project Extension for Community Healthcare Outcomes (Project ECHO?) addresses urban-rural disparities in access to specialist care by building primary care provider (PCP) capacity through tele-education. Evidence supporting the use of this model for mental health care is limited. Therefore, this study evaluated a mental health and addictions-focused ECHO program. Primary outcome measures were PCP knowledge and perceived self-efficacy. Secondary objectives included: satisfaction, engagement, and sense of professional isolation. PCP knowledge and self-efficacy were hypothesized to improve with participation. Methods Using Moore’s evaluation framework, we evaluated the ECHO program on participant engagement, satisfaction, learning, and competence. A pre-post design and weekly questionnaires measured primary and secondary outcomes, respectively. Results Knowledge test performance and self-efficacy ratings improved post-ECHO (knowledge change was significant, p ?
机译：客观项目延长社区医疗保健结果（项目回声？）通过远程教育建立初级保健提供者（PCP）产能解决专业护理的城乡差异。支持使用此模型的心理保健的证据有限。因此，本研究评估了精神健康和成瘾的重点计划。主要结果措施是PCP知识和感知自我效能。次要目标包括：满意度，参与和专业孤立感。 PCP知识和自我效能受到假设，以改善参与。方法采用摩尔评估框架，我们评估了参与者参与，满意度，学习和能力的回声计划。预先设计和每周问卷分别测量了主要和二次结果。结果知识测试性能和自我效能评级改善后回声改善（知识变化很大，P？<〜0.001，D？=？1.13;自效接近意义; P？= 0.056，D？= 0.57）。磨损率低（7.7％），所有域的满意度都很高，辐条报告了减少的隔离感。讨论这是第一次报告与项目回声相关的客观心理健康结果的研究。结果表明，可实现高度参与者保留，并为增加知识和自我效能提供初步证据。这些研究结果表明，这种干预可能会在初级保健中改善心理健康管理。

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