Implementation and evaluation of a Project ECHO for national cancer control plan implementation in low- and middle-income countries

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BACKGROUND: The International Cancer Control Partnership (ICCP) ECHO uses a technology-enabled learning model for knowledge exchange on National Cancer Control Plans (NCCP) implementation strategies for low- and middle-income countries. We evaluated the use of this platform to bring together Ministry of Health-led, transdisciplinary teams in monthly, one-hour sessions with experts and peer presentations between 2020 and 2023. METHODS: A pre-post mixed-methods design was used. Baseline and endpoint surveys (41/90, 46 %) measured changes in self-reported knowledge and confidence related to 12 strategies for NCCP implementation based on a four-point Likert scale. Comparisons were done using a paired T-test. Seven post-focus group discussions (FGDs) (6/12 countries, 50 %) captured the perceived utility of ECHO for implementing NCCP priorities. FGDs were audio-recorded, transcribed, double-coded, and underwent thematic analysis. RESULTS: Respondents reported high satisfaction with the curriculum, presentations, and format of the program; however, internet connectivity was a challenge, and duration was identified as an area for improvement. Average self-reported knowledge of and confidence using all 12 strategies increased significantly between pre- and post-surveys (p < 0.0001). Along with expert presentation, the peer-to-peer learning through case-based discussion enhanced their learning experience and ensured that the content was relevant. Some participants recommended incorporating additional one-on-one technical assistance during the program. CONCLUSION: Study findings suggest this interactive, bidirectional knowledge exchange approach can be effective for improving knowledge and capacity for non-clinical, system-focused areas such as cancer control planning and policy implementation. Further study is warranted to understand how cancer planners utilize their learnings.

Ce résumé expose les affirmations des auteurs. BNTIC ne l’interprète pas comme une validation indépendante des résultats.