Addressing Cerebrovascular Inequities in Women and Communities of Color Upstream of Preventative Care Using Project Extension for Community Healthcare Outcomes
Background and Objectives: To pilot Project Extension for Community Healthcare Outcomes (ECHO) as a tool to expand access to stroke prevention education to more interprofessional health care professionals (HCPs) and leaders of local organizations. They may then provide primary stroke prevention to t...
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| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
| Published: |
Mary Ann Liebert
2024-04-01
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| Series: | Telemedicine Reports |
| Subjects: | |
| Online Access: | https://www.liebertpub.com/doi/10.1089/tmr.2024.0041 |
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| Summary: | Background and Objectives: To pilot Project Extension for Community Healthcare Outcomes (ECHO) as a tool to expand access to stroke prevention education to more interprofessional health care professionals (HCPs) and leaders of local organizations. They may then provide primary stroke prevention to the vulnerable populations they serve, who may not have access to primary care providers or routine primary stroke prevention knowledge. Methods: Corewell Health neurologists provided an educational program through tele-education using the ECHO platform with five hour-long didactic sessions. Education about primary stroke prevention in women, African Americans, and Latinx communities was provided to community organizations throughout West Michigan and HCPs serving these populations. Participant surveys were used to assess the efficacy of the sessions. Survey results were prospectively obtained then analyzed before and after the program. Results: A total of 32/80 (40.0%) participants completed the pre- and post-program surveys. The pre-program survey (PREPS) had 10 knowledge-based multiple-choice questions and one Likert-scale experience-based question. The post-program survey (POSTPS) had the same pre-program questions with the addition of four Likert-scale experience-based questions. Statistical significance was approached with there being 6.0 ± 1.2 correct answers on the PREPS and 6.5 ± 1.0 correct answers on the POSTPS, p = 0.05 (confidence interval −1.00–0.00). 6 (18.8%) participants before the program versus 13 (40.6%) after the program strongly agreed that they are very confident in counseling someone on risk-factor modification for preventing a first-ever stroke. Twenty-eight (87.5%) participants agreed or strongly agreed that they would be interested in participating in the program again. Conclusions: We effectively piloted a primary stroke prevention education program about groups who are particularly at-risk for having a stroke. The ECHO platform has the high potential to be used in preventative pedagogy to address cerebrovascular inequities. |
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| ISSN: | 2692-4366 |