Adequately prepared educators are critical to the success of children in rural settings, but many educators receive little training on how to support students with disabilities. Professional development for educators is challenging in rural areas due to the lack of opportunities and travel requirements. Project ECHO™ was originally developed to overcome similar challenges facing physicians. The ECHO Model overcomes these challenges by creating a hub and spoke network that connects local providers with experts. These networks meet regularly over teleconferencing technology to conduct a short professional development workshop, followed by a case-study from one of the local sites. We adapted the ECHO Model for use in education and since 2014 implemented four networks: autism, assistive technology, secondary transitions, and behavioral supports. Educators found ECHO highly acceptable and reported improved skills and knowledge. ECHO for Education is effective and has the potential to improve capacity of education systems in rural settings.
American Psychological Association. (2017). Ethical principles of psychologists and code of conduct.
2.
AroraS.KalishmanS.ThorntonK.KomaromyM.KatzmanJ.StrumingerB.RayburnW. F. (2016). Project ECHO (project extension for community healthcare outcomes): A national and global model for continuing professional development. Journal of Continuing Education in the Health Professions, 36, S48–S49. https://doi.org/10.1097/ceh.0000000000000097
3.
AroraS.KalishmanS. G.ThorntonK. A.KomaromyM. S.KatzmanJ. G.StrumingerB. B.RayburnW. F. (2017). Project ECHO: A telementoring network model for continuing professional development. Journal of Continuing Education in the Health Professions, 37(4), 239–244.
4.
AroraS.ThorntonK.JenkuskyS. M.ParishB.ScalettiJ. V. (2007). Project ECHO: Linking university specialists with rural and prison-based clinicians to improve care for people with chronic Hepatitis C in new mexico. Public Health Reports, 122(2_suppl), 74–77. https://doi.org/10.1177/00333549071220S214
5.
AroraS.ThorntonK.MurataG.DemingP.KalishmanS.DionD.ParishB.BurkeT.PakW.DunkelbergJ.KistinM.BrownJ.JenkuskyS.KomaromyM.QuallsC. (2011). Outcomes of treatment for hepatitis C virus infection by primary care providers. New England Journal of Medicine, 364(23), 2199–2207. https://doi.org/10.1056/NEJMoa1009370
6.
BarberM.MourshedM. (2007). How the world’s best-performing schools systems come out on top. McKinsey & Company.
7.
BhanjiF.GottesmanR.de GraveW.SteinertY.WinerL. R. (2012). The retrospective pre–post: A practical method to evaluate learning from an educational program. Journal of Academic Emergency Medicine, 19(2), 189–194.
8.
ColbertJ.BrownR.ChoiS.ThomasS. (2008). An investigation of the impacts of teacher-driven professional development on pedagogy and student learning. Teacher Education Quarterly, 35(2), 135–154.
9.
CookB. G.BuysseV.KlingnerJ.LandrumT. J.McWilliamR.TankersleyM.TestD. W. (2015). CEC’s standards for classifying the evidence base of practices in special education. Journal of Remedial Special Education, 36(4), 220–234.
10.
CoulterS. E. (2012). Using the retrospective pretest to get usable, indirect evidence of student learning. Assessment & Evaluation in Higher Education, 37(3), 321–334. https://doi.org/10.1080/02602938.2010.534761
DavisG. A. (2002, October16–19). Using a retrospective pre-post questionnaire to determine program impact [Paper presentation]. Annual meeting of the Mid-Western Educational Research Association, Columbus, OH, Unites States.
13.
DesimoneL. (2009). Improving impact studies of teachers’ professional development: Toward better conceptualizations and measures. Educational Researcher, 38(3), 181–199.
14.
DesimoneL.PorterA. C.GaretM. S.YoonK. S.BirmanB. (2002). Effects of professional development on teachers’ instruction: Results from a three-year longitudinal study. American Educational Research Association, 24(2), 81–112.
FishmanB. J.MarxR. W.BestS.TalR. T. (2003). Linking teacher and student learning to improve professional development in systemic reform. Teaching and Teacher Education, 19(6), 643–658. https://doi.org/10.1016/S0742-051x(03)00059-3
20.
GaretM. S.PorterA. C.DesimoneL.BirmanB. F.YoonK. S. (2001). What makes professional development effective? Results from a national sample of teachers. American Educational Research Journal, 38(4), 915–945.
21.
GuskeyT. R. (2002). Professional development and teacher change. Teachers and Teaching, 8(3), 381–391.
22.
HardestyC.WarrenW.ArceF.BowserG. (2017, June/July). Invited submission. Fostering communities and professional learning in assistive technology: The opportunity for case specific discussions toincrease provider knowledge and application of at practices. Closing the Gap Solutions.
23.
JensenB.SonnemannJ.Roberts-HullK.HunterA. (2016). Beyond PD: Teacher professional learning in high-performing systems. Teacher quality systems in top performing countries. https://eric.ed.gov/?id=ED577259
24.
JohnsonP.PorterK. J.McPhersonI. (2012). Autism knowledge among pre-service teachers specialized in children birth through age five: Implication for health education. American Journal of Health Education, 43, 279–287.
25.
KlassenR. M.ChiuM. M. (2010). Effects on teachers’ self-efficacy and job satisfaction: Teacher gender, years of experience, and job stress. Journal of Educational Psychology, 102(3), 741–756.
KurthJ. A.KeeganL. (2014). Development and use of curricular adaptations for students receiving special education services. The Journal of Special Education, 48(3), 191–203.
28.
LindsayS.ProulxM.ThomsonN.ScottH. (2013). Educators’ challenges of including children with autism spectrum disorder in mainstream classrooms. International Journal of Disability, Development and Education, 60(4), 347–362.
29.
LomosC.HofmanR. H.BoskerR. J. (2011). Professional communities and student achievement–a meta-analysis. School Effectiveness and School Improvement, 22(2), 121–148.
30.
MarshallJ. P.HigginbothamB. J.HarrisV. W.LeeT. R. (2007). Assessing program outcomes: Rationale and benefits of posttest-then-retrospective-pretest designs. Journal of Youth Development, 2(1), 118–123.
31.
MastersJ.De KramerR. M.O’DwyerL. M.DashS.RussellM. (2010). The effects of online professional development on fourth grade english language arts teachers’ knowledge and instructional practices. Journal of Educational Computing Research, 43(3), 355–375.
32.
McConnellT. J.ParkerJ. M.EberhardtJ.KoehlerM. J.LundebergM. A. (2013). Virtual professional learning communities: Teachers’ perceptions of virtual versus face-to-face professional development. Journal of Science Education Technology, 22(3), 267–277.
33.
McFarlandJ.HussarB.de BreyC.SnyderT.WangX.Wilkinson-FlickerS.GebrekristosS.ZhangJ.RathbunA.BarmerA.Bullock MannF.HinzS. (2017). The condition of education 2017 (NCES 2017-144). National Center for Education Statistics. https://nces.ed.gov/pubsearch/pubsinfo.asp?pubid=2017144
34.
McLeodP. J.SteinertY.SnellL. (2008). Use of retrospective pre/post assessments in faculty development. Medical Education, 42(5), 543–543.
35.
MooreD.TananisC. A. (2009). Measuring change in a short-term educational program using a retrospective pretest design. American Journal of Evaluation, 30(2), 189–202.
PrattC. C.McGuiganW. M.KatzevA. R. (2000). Measuring program outcomes: Using retrospective pretest methodology. American Journal of Evaluation, 21(3), 341–349.
38.
Root-ElledgeS.HardestyC. (2015, October/November). Wyoming’s novel approach to building capacity in assistive technology: University of Wyoming ECHO in assistive technology. Closing the Gap Solutions.
39.
Root-ElledgeS.HardestyC.HideckerM. J. C.BowserG.FergusonE.WagnerS.MoodyE. J. (2018). The ECHO model for enhancing assistive technology implementation in schools. Assistive Technology Outcomes and Benefits, 12, 37–55.
40.
Root-ElledgeS.HardestyC.WagnerS. (2016, December/January). Demonstrating the possibilities: University of Wyoming echo in assistive technology is building capacity and demonstrating positive outcomes in Wyoming and beyond. Closing the Gap Solutions.
41.
Spatig-AmerikanerA. (2012, August). Unequal education: Federal loophole enables lower spending on students of color. Center for American Progress.
VaughnS.SwansonE. A. (2015). Special education research advances knowledge in education. Exceptional Children, 82(1), 11–24.
45.
YarbroJ. L.McKnightK.GraybealJ.GraybealL. (2007). The heart of great teaching: A global survey of educator effectiveness. https://eric.ed.gov/?id=ED576186
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