Affiliation:
1. University of Rochester School of Nursing Rochester New York USA
2. Division of Developmental and Behavioral Pediatrics, Golisano Children's Hospital University of Rochester Medical Center Rochester New York USA
3. Department of Psychology and Mt. Hope Family Center University of Rochester Rochester New York USA
4. Golisano Children's Hospital University of Rochester Medical Center Rochester New York USA
Abstract
AbstractBackgroundChildren with fetal alcohol spectrum disorder (FASD) often experience delayed, missed, or incorrect diagnosis due to low FASD awareness and diagnostic capacity. Current strategies to expand awareness and diagnostic capacity are insufficient or impractical.MethodsThis project examined the feasibility of Extension for Community Healthcare Outcomes (ECHO) tele‐mentoring to train community clinicians about FASD. Participants attended ten 1‐h weekly ECHO sessions that included presentations, vignettes, and discussions. Measurement utilized Bowen's feasibility domains.ResultsRobust webpage traffic yielded 19 participants (demand). Fidelity scores, hub team field notes, and participant ratings indicated feasibility based on acceptability, implementation, practicality, and adaptation. Clinicians' knowledge and confidence improved and case‐based diagnostic accuracy was high (limited efficacy).ConclusionsECHO FASD is a feasible training method that shows promise in increasing diagnostic capacity across many geographic regions.
Reference46 articles.
1. American Association of Nurse Practitioners. (2023)What's a nurse practitioner (NP)?[Accessed 6th November 2023]. Available from:https://www.aanp.org/about/all‐about‐nps/whats‐a‐nurse‐practitioner
2. Academic Health Center Management of Chronic Diseases through Knowledge Networks: Project ECHO
3. Expanding access to hepatitis C virus treatment-Extension for Community Healthcare Outcomes (ECHO) project: Disruptive innovation in specialty care
4. Profile of the first 1,400 patients receiving diagnostic evaluations for fetal alcohol spectrum disorder at the Washington State Fetal Alcohol Syndrome Diagnostic & Prevention Network;Astley S.J.;The Canadian Journal of Clinical Pharmacology,2010
5. Application of the fetal alcohol syndrome facial photographic screening tool in a foster care population