An Online Pediatric Palliative Care Education and Mentoring (Project ECHO) in Nepal: A Program Implementation Case Study and Assessment of Changes in Healthcare Providers’ Knowledge, Confidence, and Attitudes

Author:

Lynch-Godrei Anisha12,Sapkota Sudhir3,Rowe Jennifer4,Paudel Bishnu Dutta5,Aryal Garima6,Doherty Megan146ORCID

Affiliation:

1. Roger Neilson House, Ottawa, Ontario, Canada

2. Department of Medicine, University of Melbourne, Parkville, VIC, Australia

3. Kanti Children's Hospital, Kathmandu, Nepal

4. University of Ottawa, Ottawa, Ontario, Canada

5. Bhaktapur Cancer Hospital, Bhaktapur, Nepal

6. Children's Hospital of Eastern Ontario, Ottawa, Ontario, Canada

Abstract

OBJECTIVES The goal of this implementation study was to describe the implementation and evaluation of the impact of an online pediatric palliative care training program in Nepal, using the Project ECHO model. METHODS The study used mixed methods, including a program case study describing the online learning program and before-and-after surveys of program participants, assessing learning through changes in knowledge, comfort, and attitudes. An end-of-program survey was used to evaluate participants’ overall experiences with the learning program and use of the learning resources. RESULTS A literature review, stakeholder surveys, and expert input informed the design of the intervention. The course used the Project ECHO model of online education, with modifications based on the leadership team's previous ECHO experiences and local stakeholder input. The intervention occurred over 9 months, with 22 online teaching sessions. Each session consisted of a didactic lecture, case presentation, and interactive discussion with expert clinical teachers. Fifty-five clinicians in Nepal participated, including physicians (47%), nurses (44%), and psychotherapists (5%). Clinicians reported improvements in knowledge, skills, and attitudes after program participation. Program acceptability scores were high, with 93% of participants reporting that the course provided effective learning. CONCLUSIONS Project ECHO can be successfully implemented to deliver continuing professional development in Nepal. Delivering palliative care education online using the Project ECHO model, leads to improved knowledge, skills, and attitudes for clinicians. Project ECHO suggests an innovative solution which can provide training and support to clinicians in settings where educational opportunities in palliative care are limited.

Funder

OMSA/AMS Medical Student Education Research Grant

Publisher

SAGE Publications

Reference28 articles.

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