Project Extension for Community Healthcare Outcomes (ECHO) Nevada applied the ECHO virtual hub-and-spoke telementoring model over nine 6-week cohorts (between November 2019 and November 2021) supporting community health workers (CHWs) who advise clients with diabetes or pre-diabetes. This study describes the program implementation, including evaluation data collection efforts. Didactic topics included ‘Intro to Healthy Eating and Easy Wins’ to ‘Grocery Shopping, Cooking Tips, Reading Labels, Meal Plans’ and ‘Reducing Bias and Being a Good Role Model’. Spoke participants signed up to review cases. Seventy-three of the enrolled participants (n = 100) attended three or more of the six sessions. Spoke participants completed 42 case presentations. The average self-efficacy increased from 2.7 [standard deviation (SD): 1.1] before completing the program to 4.1 (SD: 0.8) after completing the program. Average knowledge scores increased from 71 (SD: 16) before completing the program to 83 (SD: 14) after completing the program. Five group interviews drew actionable feedback that was incorporated into the program. Key elements of the ECHO model were successfully incorporated to support educational goals of a cohort of CHWs in nutritional coaching. Our program evaluation data tracking system shows non-significant but encouraging results regarding self-efficacy improvement and knowledge retention.

中文翻译：

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面向社区卫生工作者的基于队列的营养 ECHO

社区医疗保健结果项目扩展 (ECHO) 内华达州在九个为期 6 周的队列中（2019 年 11 月至 2021 年 11 月期间）应用了 ECHO 虚拟中心辐射式远程辅导模型，支​​持社区卫生工作者 (CHW)，他们为患有糖尿病或糖尿病前期的客户提供建议糖尿病。本研究描述了计划实施，包括评估数据收集工作。教学主题包括“健康饮食简介和轻松取胜”到“杂货店购物、烹饪技巧、阅读标签、膳食计划”和“减少偏见并成为良好榜样”。发言参与者签署审查案例。登记的参与者中有 73 人 (n = 100) 参加了六个会议中的三个或更多。发言参与者完成了 42 个案例展示。平均自我效能从 2.7 [标准差 (SD): 1. 1] 在完成程序后到 4.1 (SD: 0.8) 之前。平均知识分数从完成课程前的 71 (SD: 16) 增加到完成课程后的 83 (SD: 14)。五组访谈获得了可操作的反馈，这些反馈已纳入该计划。ECHO 模型的关键要素已成功纳入，以支持一群社区卫生工作者在营养指导方面的教育目标。我们的项目评估数据跟踪系统在自我效能提升和知识保留方面显示出不显着但令人鼓舞的结果。ECHO 模型的关键要素已成功纳入，以支持一群社区卫生工作者在营养指导方面的教育目标。我们的项目评估数据跟踪系统在自我效能提升和知识保留方面显示出不显着但令人鼓舞的结果。ECHO 模型的关键要素已成功纳入，以支持一群社区卫生工作者在营养指导方面的教育目标。我们的项目评估数据跟踪系统在自我效能提升和知识保留方面显示出不显着但令人鼓舞的结果。