A Rheumatoid Arthritis Training Program for Primary Care Providers on the Navajo Nation
Main finding · Knowledge scoresResult — go to the resultDifference +25% 95% CI 7%–43%Authors' conclusion
The RA ECHO curriculum improved PCPs' knowledge, confidence, and self-reported clinical behaviors in RA care in the Navajo Nation.
Study context
- Population
- Primary care providers on the Navajo Nationcompleted the program
- Participants
- 46 participants
- Comparison
- Postcourse vs precourse scores after a 12-week rheumatoid arthritis (RA) Extension for Community Healthcare Outcomes (ECHO) telementorship curriculum
- Outcome
- Medical knowledge (multiple-choice test) and self-reported confidence (five-point Likert scale) in RA diagnosis and treatment
Methodological detailsthree cohorts, precourse, postcourse and one-year follow-up surveys, paired t-tests
- Three cohorts
- Precourse, postcourse and one-year follow-up surveys
- Paired t-tests
Main finding
Knowledge scores · postcourse
Difference
+25%
95% CI 7%–43%
P = 0.009
By group
As reported in the abstract
Further findings
Knowledge score (multiple-choice test) · one year
- Knowledge score remained 69% after one year
Self-reported clinical behaviors · one year
- Favorable changes reported, incl. more detailed joint examinations and ordering preimmunosuppression laboratory tests and vaccines
Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.
Original publication
A Rheumatoid Arthritis Training Program for Primary Care Providers on the Navajo Nation. Arthritis Care Res (Hoboken). Published 24 April 2026. doi:10.
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