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The effectiveness of the ECHO ® model™ for patient navigation capacity building in Malaysia.

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Title: The effectiveness of the ECHO ® model™ for patient navigation capacity building in Malaysia.
Authors: Chakraverty, Kishwani Hiram1 (AUTHOR) kishwani.hiram@cancerresearch.my, Adam, Aisha1 (AUTHOR), Jaganathan, Maheswari1 (AUTHOR), Awg Isa, Junaidi bin2 (AUTHOR), Muniandy, Kavitha1 (AUTHOR), Zainal, Hani1 (AUTHOR), Ghazali, Aini Fatimah1 (AUTHOR), Muniandi, Mallika1 (AUTHOR), Roimin, France Olovia1 (AUTHOR), Yanam, Yannest Christy1 (AUTHOR), Joseph Ngadan, Stency Merinda1 (AUTHOR), Boten, Linda1 (AUTHOR), Kanapathy, Jananezwary1 (AUTHOR)
Source: Journal of Telemedicine & Telecare. Aug2026, Vol. 32 Issue 7, p612-619. 8p.
Subjects: Capacity building, Mentoring, Nursing education, Cancer treatment, Medical care, Breast cancer, Patient advocacy
Geographic Terms: Malaysia
Abstract: Background: The patient navigation programme (PNP) is an effective health intervention to address barriers in accessing timely and equitable cancer care. However, its expansion in Malaysia for breast cancer care faces challenges due to limited capacity building among nurses and navigators, particularly nurses who are actively involved in the operation of the PNP centres. The Extension for Community Healthcare Outcomes (ECHO®) model, a tele-mentoring approach, offers a scalable and sustainable solution for capacity building among the nurses and navigators. This study aims to evaluate the feasibility and impact of using the ECHO model to train nurses and navigators on patient navigation competencies focused on improving breast cancer care delivery. Methods: The study involved nurses in breast cancer care from Ministry of Health (MOH) state referral hospitals in Malaysia and newly recruited nurses and social workers by Cancer Research Malaysia to subsequently be placed as nurse and community navigator for the upcoming new centres. Participants received an ECHO-based training programme comprising bi-weekly virtual sessions of a six-domain curriculum covering 12 topics on patient navigation competencies. Pre- and post-session assessments were conducted to measure satisfaction, knowledge and confidence in conducting patient navigation. Results: Most participants were within the age range of 31–35 (n = 38; 40.4% [95% CI, 30.5%–50.3%]) with majority being female (n = 87; 92.6% [95% CI, 87.2%–97.9%]) and MOH nurses (n = 71; 75.5% [95% CI, 66.8%–84.2%]). An average of 28 participants attended each session. Participants expressed high level satisfaction while showing improvements in knowledge and confidence with an average increase in mean score of (1.45 [95% CI, 0.84–2.13]; p <.05) and (0.61 [95% CI, 0.51–0.65]; p <.05) respectively following the intervention. Conclusion: The study demonstrates the feasibility and effectiveness of the ECHO model for patient navigation capacity building among nurses and navigators. Findings support broader implementation of the ECHO model to strengthen breast cancer care delivery. [ABSTRACT FROM AUTHOR]
Copyright of Journal of Telemedicine & Telecare is the property of Sage Publications Inc. and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Engineering Source
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DbLabel: Engineering Source
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PubType: Academic Journal
PubTypeId: academicJournal
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  Data: The effectiveness of the ECHO &#174; model™ for patient navigation capacity building in Malaysia.
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  Data: &lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Chakraverty%2C+Kishwani+Hiram%22&quot;&gt;Chakraverty, Kishwani Hiram&lt;/searchLink&gt;&lt;relatesTo&gt;1&lt;/relatesTo&gt; (AUTHOR)&lt;i&gt; kishwani.hiram@cancerresearch.my&lt;/i&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Adam%2C+Aisha%22&quot;&gt;Adam, Aisha&lt;/searchLink&gt;&lt;relatesTo&gt;1&lt;/relatesTo&gt; (AUTHOR)&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Jaganathan%2C+Maheswari%22&quot;&gt;Jaganathan, Maheswari&lt;/searchLink&gt;&lt;relatesTo&gt;1&lt;/relatesTo&gt; (AUTHOR)&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Awg+Isa%2C+Junaidi+bin%22&quot;&gt;Awg Isa, Junaidi bin&lt;/searchLink&gt;&lt;relatesTo&gt;2&lt;/relatesTo&gt; (AUTHOR)&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Muniandy%2C+Kavitha%22&quot;&gt;Muniandy, Kavitha&lt;/searchLink&gt;&lt;relatesTo&gt;1&lt;/relatesTo&gt; (AUTHOR)&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Zainal%2C+Hani%22&quot;&gt;Zainal, Hani&lt;/searchLink&gt;&lt;relatesTo&gt;1&lt;/relatesTo&gt; (AUTHOR)&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Ghazali%2C+Aini+Fatimah%22&quot;&gt;Ghazali, Aini Fatimah&lt;/searchLink&gt;&lt;relatesTo&gt;1&lt;/relatesTo&gt; (AUTHOR)&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Muniandi%2C+Mallika%22&quot;&gt;Muniandi, Mallika&lt;/searchLink&gt;&lt;relatesTo&gt;1&lt;/relatesTo&gt; (AUTHOR)&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Roimin%2C+France+Olovia%22&quot;&gt;Roimin, France Olovia&lt;/searchLink&gt;&lt;relatesTo&gt;1&lt;/relatesTo&gt; (AUTHOR)&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Yanam%2C+Yannest+Christy%22&quot;&gt;Yanam, Yannest Christy&lt;/searchLink&gt;&lt;relatesTo&gt;1&lt;/relatesTo&gt; (AUTHOR)&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Joseph+Ngadan%2C+Stency+Merinda%22&quot;&gt;Joseph Ngadan, Stency Merinda&lt;/searchLink&gt;&lt;relatesTo&gt;1&lt;/relatesTo&gt; (AUTHOR)&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Boten%2C+Linda%22&quot;&gt;Boten, Linda&lt;/searchLink&gt;&lt;relatesTo&gt;1&lt;/relatesTo&gt; (AUTHOR)&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Kanapathy%2C+Jananezwary%22&quot;&gt;Kanapathy, Jananezwary&lt;/searchLink&gt;&lt;relatesTo&gt;1&lt;/relatesTo&gt; (AUTHOR)
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  Data: &lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Capacity+building%22&quot;&gt;Capacity building&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Mentoring%22&quot;&gt;Mentoring&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Nursing+education%22&quot;&gt;Nursing education&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Cancer+treatment%22&quot;&gt;Cancer treatment&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Medical+care%22&quot;&gt;Medical care&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Breast+cancer%22&quot;&gt;Breast cancer&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Patient+advocacy%22&quot;&gt;Patient advocacy&lt;/searchLink&gt;
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  Label: Geographic Terms
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  Data: &lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Malaysia%22&quot;&gt;Malaysia&lt;/searchLink&gt;
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Background: The patient navigation programme (PNP) is an effective health intervention to address barriers in accessing timely and equitable cancer care. However, its expansion in Malaysia for breast cancer care faces challenges due to limited capacity building among nurses and navigators, particularly nurses who are actively involved in the operation of the PNP centres. The Extension for Community Healthcare Outcomes (ECHO&#174;) model, a tele-mentoring approach, offers a scalable and sustainable solution for capacity building among the nurses and navigators. This study aims to evaluate the feasibility and impact of using the ECHO model to train nurses and navigators on patient navigation competencies focused on improving breast cancer care delivery. Methods: The study involved nurses in breast cancer care from Ministry of Health (MOH) state referral hospitals in Malaysia and newly recruited nurses and social workers by Cancer Research Malaysia to subsequently be placed as nurse and community navigator for the upcoming new centres. Participants received an ECHO-based training programme comprising bi-weekly virtual sessions of a six-domain curriculum covering 12 topics on patient navigation competencies. Pre- and post-session assessments were conducted to measure satisfaction, knowledge and confidence in conducting patient navigation. Results: Most participants were within the age range of 31–35 (n = 38; 40.4% [95% CI, 30.5%–50.3%]) with majority being female (n = 87; 92.6% [95% CI, 87.2%–97.9%]) and MOH nurses (n = 71; 75.5% [95% CI, 66.8%–84.2%]). An average of 28 participants attended each session. Participants expressed high level satisfaction while showing improvements in knowledge and confidence with an average increase in mean score of (1.45 [95% CI, 0.84–2.13]; p &lt;.05) and (0.61 [95% CI, 0.51–0.65]; p &lt;.05) respectively following the intervention. Conclusion: The study demonstrates the feasibility and effectiveness of the ECHO model for patient navigation capacity building among nurses and navigators. Findings support broader implementation of the ECHO model to strengthen breast cancer care delivery. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
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  Data: &lt;i&gt;Copyright of Journal of Telemedicine &amp; Telecare is the property of Sage Publications Inc. and its content may not be copied or emailed to multiple sites without the copyright holder&#39;s express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.&lt;/i&gt; (Copyright applies to all Abstracts.)
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=egs&AN=195711607
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        Value: 10.1177/1357633X251400034
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        Text: English
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        PageCount: 8
        StartPage: 612
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      – SubjectFull: Capacity building
        Type: general
      – SubjectFull: Mentoring
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      – SubjectFull: Nursing education
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      – SubjectFull: Cancer treatment
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      – SubjectFull: Medical care
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      – SubjectFull: Breast cancer
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      – SubjectFull: Patient advocacy
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      – SubjectFull: Malaysia
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              Text: Aug2026
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