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Related Experiment Video

Updated: May 28, 2025

Capturing Representative Hand Use at Home Using Egocentric Video in Individuals with Upper Limb Impairment
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Exploring Care Home Workers' Perceptions of Implementing ECHO: A Qualitative Study.

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Extension for Community Healthcare Outcomes (ECHO) effectively supports care home workers by providing specialist education, enhancing resident care. Addressing digital skill gaps and optimizing session structure are key for successful implementation.

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Area of Science:

  • Gerontology
  • Healthcare Management
  • Digital Health

Background:

  • Care home workers (CHWs) need specialist support for optimal care of older adults.
  • Extension for Community Healthcare Outcomes (ECHO) connects CHWs to specialists via videoconferencing for case-based learning.
  • Limited evidence exists on implementing ECHO effectively with CHWs.

Purpose of the Study:

  • To explore CHW experiences with ECHO in Scotland.
  • To identify barriers and enablers for ECHO implementation in care homes.

Main Methods:

  • Qualitative online focus groups conducted with 13 CHWs and 6 facilitators/presenters.
  • Thematic analysis of focus group transcripts.

Main Results:

  • CHWs reported positive impacts of ECHO, including improved resident care and increased job satisfaction.
  • Barriers included limited digital skills, workforce challenges, and suboptimal session timing/duration.
  • Enablers comprised administrative/technical support, flexible scheduling, and ECHO's structured approach.

Conclusions:

  • ECHO facilitates specialist access for CHWs, fostering learning and potentially improving older adult care.
  • Enhanced understanding of end-of-life care and managing challenging behaviors were noted benefits.
  • Adaptations for the care home context and technical support for CHWs are recommended for successful ECHO integration.