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Growing older with intellectual and developmental disabilities: Implementing and evaluating a project ECHO for
Phillip G Clark1, Edward F Ansello2, Faith Helm1
1Rhode Island Geriatric Education Center, University of Rhode Island, Kingston, USA.
Gerontology & Geriatrics Education
|February 2, 2023
Summary
Project ECHO (Extension for Community Healthcare Outcomes) effectively bridges care gaps for aging adults with intellectual and developmental disabilities (IDD). It enhances provider knowledge and networking, improving care for this growing population.
Area of Science:
- Gerontology and Disability Services
- Healthcare Professional Education
- Interprofessional Collaboration
Background:
- Growing population of older adults with intellectual and developmental disabilities (IDD) requires integrated care across IDD and aging services.
- Existing service systems often operate in silos, creating gaps in care for individuals with IDD and their families.
- Need for effective professional education models to address the complex needs of this demographic.
Purpose of the Study:
- To evaluate the effectiveness of Project ECHO (Extension for Community Healthcare Outcomes) in bridging care gaps between IDD and aging services.
- To assess knowledge acquisition and application among healthcare providers participating in ECHO sessions.
- To explore the impact of ECHO on interprofessional collaboration and care delivery for older adults with IDD.
Main Methods:
- Development and delivery of a 10-session Project ECHO program over 12 months, focusing on IDD and Alzheimer's Disease/Alzheimer's Disease-Related Dementias (AD/ADRD).
- Inclusion of 145 providers from over 20 agencies.
- Mixed-methods evaluation using post-program surveys with quantitative assessments (knowledge pre/posttest, feature ratings) and qualitative open-ended feedback.
Main Results:
- Significant knowledge acquisition across all ECHO sessions, with case presentations and discussions identified as highly effective components.
- Primary applications of learned information included improving client care, staff training, and educating families/caregivers.
- Participants formed two distinct groups: those focused on knowledge acquisition and those prioritizing networking.
Conclusions:
- Project ECHO successfully bridges gaps and spans boundaries between IDD and aging care systems at multiple levels.
- The program enhances interprofessional collaboration by addressing both knowledge and networking needs of providers.
- ECHO is a viable model for improving care delivery for the expanding population of older adults with IDD.
Keywords:
Alzheimer’s Disease and Alzheimer’s Disease Related Dementias (AD/ADRD)intellectual disabilitynetworkingprofessional educationprogram evaluationproject ECHOMore Related Videos
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