Effectiveness of the Extension for Community Health Outcomes Model as Applied to Primary Care for Autism: A Partial Stepped-Wedge Randomized Clinical Trial.

JAMA Pediatrics
Micah O MazurekECHO Autism Collaborative

Abstract

The Extension for Community Health Outcomes (ECHO) model is a widely adopted technology-based model for training primary care physicians and practitioners (PCPs) to care for patients with complex conditions. Despite its popularity, to our knowledge, direct effects of ECHO on clinical practice have not been tested in a large-scale study. To test the effectiveness of the ECHO model as applied to primary care for autism and whether it resulted in improved clinical practice, knowledge, and self-efficacy regarding autism screening and comorbidity management. Primary care physicians and practitioners were recruited to participate in a 6-month ECHO Autism program delivered by 1 of 10 academic medical center sites. A sequential, staggered rollout of ECHO Autism was delivered to 5 cohorts of participants (15 per site; 2 sites per cohort). Sites were randomized after recruitment to cohort/start time. Cohorts launched every 3 months. The ECHO Autism program used videoconferencing technology to connect community-based PCPs with interdisciplinary expert teams at academic medical centers. There were 148 participants (PCPs [family practice physicians, pediatricians, nurse practitioners, and physician assistants] providing outpatient services ...Continue Reading

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Citations

May 31, 2020·Journal of Child Psychology and Psychiatry, and Allied Disciplines·Lonnie Zwaigenbaum, Zachary Warren
Jun 17, 2020·Developmental Neurorehabilitation·Katherine CeglioEric M Flake
Oct 13, 2020·Journal of Developmental and Behavioral Pediatrics : JDBP·Nancy Cheak-ZamoraKristin Sohl
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Jun 3, 2021·Medical Education Online·Jon AgleyGerardo Maupome
Jan 29, 2021·Journal of Developmental and Behavioral Pediatrics : JDBP·Micah O MazurekKristin Sohl
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Sep 13, 2021·Journal of Developmental and Behavioral Pediatrics : JDBP·Brandon S AylwardSharief Taraman

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