Programa de telementoria ECHO: uma comunidade de prática para capacitação de profissionais que assistem pessoas com diabetes mellitus no Brasil

Abstract

Introduction: Diabetes Mellitus is a disease with pandemic characteristics that leads to a low supply of specialists, becoming a growing concern for professionals and managers who work in public health. Faced with this situation, alternatives for professional training are adopted around the world, such as the ECHO Project, an educational model that leads to the development of communities of practice, whose objective is to optimize resolution at the primary level. Objective: Build an ECHO® telementoring program to train professionals who assist people with diabetes mellitus in Brazil. Method: In the first stage of the research, a scoping review was carried out, according to the recommendations of the Joanna Briggs Institute and the PRISMA-ScR Checklist. The searches were carried out in the Cochrane Library, Embase, Virtual Health Library, PubMed/MEDLINE, Scopus and Web of Science databases, using strategies composed of the descriptors “Diabetes mellitus”, “Diabete Melito”, “Diabetes”, “Diabetes Melito", “model ECHO", "Project ECHO" and "Extension for Community Healthcare Outcomes”. The selection of studies included two reviewers working independently using the Rayyan-Intelligent Systematic Review management software. In the second stage of the research, The construction of the program took into account the 11 steps recommended by the ECHO® Model for the development of a new program, namely: getting to know the ECHO Project; becoming an ECHO partner; training for launch; defining and training human resources to the program; carry out tests of the ZOOM and iECHO platforms; define the program and profile of participants; develop the content curriculum; develop the visual identity and support materials; define and invite experts; invite participants; and invite case presenters. Results: Regarding the scope review, of the 151 works identified, ten were selected. All were published in English, between 2012 and 2022. The evidence showed that with the introduction of the ECHO® Model there were improvements in professionals' knowledge and self-confidence, in addition to a reduction in glycated hemoglobin, a reduction in hospitalizations and hospitalization costs. of people with diabetes. In turn, regarding the development of the ECHO UFS Diabetes Mellitus Program, it was necessary to create various support materials, the aim of which was to assist in the pre-launch phase, taking into account the steps recommended by the model, as well as in the implementation and follow-up of the program. Publicity materials, organizational, case presentation and evaluation sheets were developed, as well as materials for training to qualify new members. Final considerations: This scoping review demonstrated that the ECHO® Model has a positive impact on monitoring people with DM, especially in more vulnerable communities, where the presence of actions based on scientific evidence is essential for screening, early diagnosis and monitoring the problem. In turn, the development of the ECHO UFS Diabetes Mellitus Program proved to be efficient, as it advanced all the steps recommended for the pre-launch phase of an ECHO program.