Methods: At baseline and every 12 months, participating providers completed assessments in domains of self-efficacy, community of practice, and knowledge. We compared means within domains using a paired-samples t-test to assess change over time and examined the relationship between each survey item and level of participation (based on number of sessions attended) using analysis of variance. We prospectively tracked the clinical problems for which providers sought ECHO consultation.
Results: 45 providers completed a baseline and at least one repeat assessment. Results demonstrated a statistically significant increase (p<0.05) in participants’ self-reported confidence to: counsel patients to reduce transmission, screen for viral hepatitis, screen for mental health issues, select initial ART, manage ART side effects, assess for drug interactions, and provide other components of HIV care. Significant increases in participants’ perceptions of feeling part of an HIV community of practice and feeling professionally connected to academic faculty also occurred and were significantly associated with level of engagement in the program. The most frequent clinical scenarios for which community providers sought ECHO support include: changing ART, evaluation of acute symptomatology, and mental health issues.
Conclusion: Telehealth innovation has potential to increase providers’ self-efficacy and knowledge, while decreasing professional isolation. Community-based HIV practitioners most frequently seek support on clinical topics for which no strict guidelines exist, such as changing ART or managing mental health disorders. Increased education for providers in these domains will help to build capacity of the HIV workforce.
M. Annese, None
N. Martinez-Paz, None
C. Ramers, None
L. Kimmerly, None
J. Scott, None
D. Spach, None
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