Literature DB >> 35593943

Three-year progress report of Bone Health TeleECHO Moscow: a strategy to improve the care of patients with osteoporosis and other metabolic skeletal diseases in underserved communities of Russia.

Zhanna Belaya1, Galina Melnichenko2, Olga Golounina3, Timur Tsoriev4, Liudmila Rozhinskaya2, Tatiana Dubovitskaya2, Irina Belovalova2, Eduard Gorochov2, Marina Shestakova2, Ivan Dedov2, E M Lewiecki5.   

Abstract

Bone Health TeleECHO Moscow is the first Russian-speaking Project ECHO (Extension for Community Healthcare Outcomes) program that is modeled after the original Bone Health TeleECHO created in the USA. Bone Health TeleECHO Moscow was effective (effect size of 0.87 p < 0.001) at improving clinicians' skills in the management of osteoporosis based on self-evaluation over 3 years.
INTRODUCTION: Bone Health TeleECHO (Extension for Community Healthcare Outcomes) Moscow is the first Russian-speaking ECHO program, modeled after Bone Health TeleECHO at the University of New Mexico, USA. The bone ECHO programs are designed to expand the capacity to deliver best practice skeletal healthcare worldwide through ongoing technology-enabled case-based collaborative learning. To evaluate the impact of the first 3 years of Bone Health TeleECHO Moscow on physicians' knowledge in the management of bone diseases.
METHODS: Demographic data were obtained, and outcomes were assessed through an electronic blinded self-efficacy questionnaire focusing on competence and skills in 20 domains of osteoporosis care before and after each year of participation in the Bone Health TeleECHO Moscow.
RESULTS: Over 3 years, a total of 296 participants completed the questionnaire. Average attendance for each monthly session increased from 64 in 2019 to 73 in 2020 and to 96 in 2021. Participants were from all regions of Russia and Russian-speaking countries. The mean age of respondents was 43 years with the youngest being 23 and the eldest 74. The most common participants' primary specialties were endocrinology (n = 263), gynecology (n = 20), orthopedics (n = 3), and other (n = 10). All of our participants were physicians, including 73 MD PhDs. This educational intervention was associated with a statistically significant improvement in each of the 20 domains of osteoporosis care, with an effect size of 0.87 (p < 0.001).
CONCLUSION: Bone Health TeleECHO is effective at improving clinicians' skills in the management of osteoporosis based on self-evaluation over 3 years.
© 2022. International Osteoporosis Foundation and National Osteoporosis Foundation.

Entities:  

Keywords:  Education; Osteoporosis; Project ECHO; Telehealth; Telemedicine; Treatment

Mesh:

Year:  2022        PMID: 35593943     DOI: 10.1007/s00198-022-06431-w

Source DB:  PubMed          Journal:  Osteoporos Int        ISSN: 0937-941X            Impact factor:   5.071


  13 in total

1.  Outcomes of treatment for hepatitis C virus infection by primary care providers.

Authors:  Sanjeev Arora; Karla Thornton; Glen Murata; Paulina Deming; Summers Kalishman; Denise Dion; Brooke Parish; Thomas Burke; Wesley Pak; Jeffrey Dunkelberg; Martin Kistin; John Brown; Steven Jenkusky; Miriam Komaromy; Clifford Qualls
Journal:  N Engl J Med       Date:  2011-06-01       Impact factor: 91.245

Review 2.  Project ECHO: Telehealth to Expand Capacity to Deliver Best Practice Medical Care.

Authors:  E Michael Lewiecki; Rachelle Rochelle
Journal:  Rheum Dis Clin North Am       Date:  2019-03-08       Impact factor: 2.670

3.  European guidance for the diagnosis and management of osteoporosis in postmenopausal women.

Authors:  J A Kanis; C Cooper; R Rizzoli; J-Y Reginster
Journal:  Osteoporos Int       Date:  2018-10-15       Impact factor: 4.507

4.  Academic health center management of chronic diseases through knowledge networks: Project ECHO.

Authors:  Sanjeev Arora; Cynthia M A Geppert; Summers Kalishman; Denise Dion; Frank Pullara; Barbara Bjeletich; Gary Simpson; Dale C Alverson; Lori B Moore; Dave Kuhl; Joseph V Scaletti
Journal:  Acad Med       Date:  2007-02       Impact factor: 6.893

5.  Expanding access to hepatitis C virus treatment--Extension for Community Healthcare Outcomes (ECHO) project: disruptive innovation in specialty care.

Authors:  Sanjeev Arora; Summers Kalishman; Karla Thornton; Denise Dion; Glen Murata; Paulina Deming; Brooke Parish; John Brown; Miriam Komaromy; Kathleen Colleran; Arthur Bankhurst; Joanna Katzman; Michelle Harkins; Luis Curet; Ellen Cosgrove; Wesley Pak
Journal:  Hepatology       Date:  2010-09       Impact factor: 17.425

6.  Fragility fractures and the osteoporosis care gap: an international phenomenon.

Authors:  L Giangregorio; A Papaioannou; A Cranney; N Zytaruk; J D Adachi
Journal:  Semin Arthritis Rheum       Date:  2006-04       Impact factor: 5.532

7.  Demonopolizing medical knowledge.

Authors:  Sanjeev Arora; Karla Thornton; Miriam Komaromy; Summers Kalishman; Joanna Katzman; Daniel Duhigg
Journal:  Acad Med       Date:  2014-01       Impact factor: 6.893

Review 8.  Practice patterns in the diagnosis and treatment of osteoporosis after a fragility fracture: a systematic review.

Authors:  V Elliot-Gibson; E R Bogoch; S A Jamal; D E Beaton
Journal:  Osteoporos Int       Date:  2004-07-16       Impact factor: 4.507

9.  Project ECHO: linking university specialists with rural and prison-based clinicians to improve care for people with chronic hepatitis C in New Mexico.

Authors:  Sanjeev Arora; Karla Thornton; Steven M Jenkusky; Brooke Parish; Joseph V Scaletti
Journal:  Public Health Rep       Date:  2007       Impact factor: 2.792

10.  Leveraging Scarce Resources With Bone Health TeleECHO to Improve the Care of Osteoporosis.

Authors:  E Michael Lewiecki; Rachelle Rochelle; Matthew F Bouchonville; David H Chafey; Thomas P Olenginski; Sanjeev Arora
Journal:  J Endocr Soc       Date:  2017-11-06
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