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Impact of Sleep Telementorship in Primary Care: Sleep VA-ECHO (Veterans Affairs-Extension for Community Healthcare Outcomes)

Author

Listed:
  • Brian N. Palen

    (Pulmonary and Critical Care Section, Veterans Affairs Puget Sound Health Care System, Seattle, WA 98108, USA
    Division of Pulmonary, Critical Care, and Sleep Medicine, University of Washington, Seattle, WA 98195, USA
    Equal contribution.)

  • Elizabeth A. Mattox

    (Pulmonary and Critical Care Section, Veterans Affairs Puget Sound Health Care System, Seattle, WA 98108, USA
    Equal contribution.)

  • Ken He

    (Pulmonary and Critical Care Section, Veterans Affairs Puget Sound Health Care System, Seattle, WA 98108, USA
    Division of Pulmonary, Critical Care, and Sleep Medicine, University of Washington, Seattle, WA 98195, USA)

  • Lauren A. Beste

    (General Medicine Service, Veterans Affairs Puget Sound Health Care System, Seattle, WA 98108, USA
    Health Services Research and Development Center for Innovation, Veterans Affairs Puget Sound Health Care System, Seattle, WA 98108, USA)

  • Joleen Borgerding

    (Health Services Research and Development Center for Innovation, Veterans Affairs Puget Sound Health Care System, Seattle, WA 98108, USA)

  • Sarah Patel

    (Department of Medicine, University of Arizona, Tucson, AZ 85721, USA
    Sonoran Sleep Center, Glendale, AZ 85306, USA)

  • David H. Au

    (Pulmonary and Critical Care Section, Veterans Affairs Puget Sound Health Care System, Seattle, WA 98108, USA
    Division of Pulmonary, Critical Care, and Sleep Medicine, University of Washington, Seattle, WA 98195, USA
    Health Services Research and Development Center for Innovation, Veterans Affairs Puget Sound Health Care System, Seattle, WA 98108, USA)

  • Michael F. Chang

    (Gastroenterology and Hepatology Service, Veterans Affairs Portland Health Care System, Portland, OR 97239, USA
    Gastroenterology and Hepatology Division, Oregon Health & Sciences University, Portland, OR 97239, USA)

  • Elizabeth C. Parsons

    (Pulmonary and Critical Care Section, Veterans Affairs Puget Sound Health Care System, Seattle, WA 98108, USA
    Division of Pulmonary, Critical Care, and Sleep Medicine, University of Washington, Seattle, WA 98195, USA)

Abstract

Sleep VA-ECHO (Veterans Affairs–Extension for Community Healthcare Outcomes) is a national telementorship program intended to improve knowledge about sleep disorders among non-specialty providers. The project goal was to describe the characteristics of Sleep VA-ECHO participants from primary care and their use of program-obtained knowledge in practice. Sleep VA-ECHO consisted of 10 voluntary, 75-min teleconference sessions combining didactics and case discussion. Out of 86 participants, 21 self-identified as primary care team members and completed a program evaluation. Participants self-reported their application of knowledge gained, including changes to practice as a result of program participation. These 21 participants represented 18 sites in 11 states and attended a median of 5.0 sessions. They included physicians (29%), nurse practitioners (24%), and registered nurses (24%). Nearly all participants (95%) reported using acquired knowledge to care for their own patients at least once a month; 67% shared knowledge with colleagues at least once a month. Eighty-five percent reported improved quality of sleep care for their patients, and 76% reported an expanded clinical skillset. The greatest self-reported change in practice occurred in patient education about sleep disorders (95%) and non-pharmacologic management of insomnia (81%).

Suggested Citation

  • Brian N. Palen & Elizabeth A. Mattox & Ken He & Lauren A. Beste & Joleen Borgerding & Sarah Patel & David H. Au & Michael F. Chang & Elizabeth C. Parsons, 2021. "Impact of Sleep Telementorship in Primary Care: Sleep VA-ECHO (Veterans Affairs-Extension for Community Healthcare Outcomes)," IJERPH, MDPI, vol. 18(18), pages 1-9, September.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:18:p:9914-:d:639806
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