Impact of Telehealth Training on Health Care Providers’ Knowledge in HIV/AIDS Care: A Mixed Methods Evaluation.

  • Hesborn Wao University of South Florida
  • Marilyn Aluoch University of South Florida
  • Sean McIntosh University of South Florida
  • Rahul Mhaskar University of South Florida
  • Joanne Orrick University of South Florida
  • Benjamin Djulbegovic University of South Florida
  • Jeffrey Beal University of South Florida
Keywords: Continuing education, eHealth, HIV/AIDS, telehealth, thematic analysis, meta-analysis, mixed methods, multilevel modelling

Abstract

Healthcare providers (HCPs) serving HIV-infected patients in rural and underserved areas have limited access to continuing education. A telehealth training programme, Project Extension for Community Healthcare OUtcomes (ECHO), was implemented to enhance knowledge and skills of these HCPs in HIV care. A mixed methods approach including quantitative (multilevel modelling and meta-analysis) and qualitative (thematic analysis) components was used to evaluate the impact of ECHO on HCPs' knowledge. Over three years, 98 training sessions were conducted and 654 HCPs attended. ECHO was associated with an increase in knowledge. Change in HCP knowledge differed within the ECHO sessions, not across sessions. Four HCP-level factors (achievement of self-stated objective for attending the session, amount of time for the session, intention to make practice changes,and number of sessions attended) and one session-level factor (language used in the session) were associated with the change in knowledge. While increasing knowledge, skills and learning were frequently and intensely cited as objectives for attending ECHO, provider-based communication emerged as the key to converting the acquired knowledge into practice. Besides communication, most HCPs expressed intention to improve patient clinical management including linking, engaging, and retaining patients in care. Lack of time to focus on HIV/AIDS care, inadequate skills to convey medical information to patients, and patients' lack of insurance to pay for recommended care emerged as barriers to implementincontent learned. Implications for research are discussed.

Author Biographies

Hesborn Wao, University of South Florida
Assistant Professor of Research, Fepartment of Internal Medicine.
Marilyn Aluoch, University of South Florida
PhD Candidate, College of Nursing.
Sean McIntosh, University of South Florida
Florida/Caribbean AIDS Education Training Center, USF Center for HIV Education and Research.
Rahul Mhaskar, University of South Florida
Assistant Professor, Division of Evidence-based medicine, USF Health Program for Comparative Effectiveness Research, Morsani College of Medicine.
Joanne Orrick, University of South Florida
Associate Director, USF Center for HIV Education and Research Florida/Caribbean AIDS Education Training Center, USF Center for HIV Education and Research.
Benjamin Djulbegovic, University of South Florida
Distinguished Professor and Associate Dean for Comparative Effectiveness Research, Division of Evidence-Based Medicine.
Jeffrey Beal, University of South Florida
Professor, Clinical Director, Florida/Caribbean AIDS Education Training Center, USF Center for HIV Eduication and Redearch.

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Published
2016-09-09
How to Cite
Wao, H., Aluoch, M., McIntosh, S., Mhaskar, R., Orrick, J., Djulbegovic, B., & Beal, J. (2016). Impact of Telehealth Training on Health Care Providers’ Knowledge in HIV/AIDS Care: A Mixed Methods Evaluation. Journal of the International Society for Telemedicine and EHealth, 4, e14 (1-17). Retrieved from https://journals.ukzn.ac.za/index.php/JISfTeH/article/view/157
Section
Original Research