Session #5: Evaluation: Project ECHO® Approaches to Dementia Care

Evaluation results will not be linked to your name or email. If you fill out the CME/CEU request, those responses will be kept separate from your evaluation.

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* 1. What is your role?

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* 2. What is your work setting?

Primary Care setting

Community setting

Care facility / Residential facility

Senior Day Programs facility

Other (please specify)

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* 3. Was this session free from commercial bias?

Yes

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* 4. Did the session meet the stated objectives?

Yes

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* 5. Please rank your satisfaction with this ECHO session:

	Very Satisfied	Somewhat Satisfied	Somewhat Dissatisfied	Very Dissatisfied
Session 5	Session 5 Very Satisfied	Session 5 Somewhat Satisfied	Session 5 Somewhat Dissatisfied	Session 5 Very Dissatisfied	Session 5

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* 6. How valuable was each feature of this ECHO session:

	Very Valuable	Somewhat Valuable	Not Very Valuable	Not Valuable
Subject matter expert presentation (Annie Murphy)	Subject matter expert presentation (Annie Murphy) Very Valuable	Subject matter expert presentation (Annie Murphy) Somewhat Valuable	Subject matter expert presentation (Annie Murphy) Not Very Valuable	Subject matter expert presentation (Annie Murphy) Not Valuable
Case presentation	Case presentation Very Valuable	Case presentation Somewhat Valuable	Case presentation Not Very Valuable	Case presentation Not Valuable
Case response and recommendations from all participants	Case response and recommendations from all participants Very Valuable	Case response and recommendations from all participants Somewhat Valuable	Case response and recommendations from all participants Not Very Valuable	Case response and recommendations from all participants Not Valuable

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* 7. Please rate your knowledge BEFORE Session 5: Support for Dementia Caregivers (what Matters most, Medications, Mobility, Mentation)

	Before this ECHO Session No knowledge	Before this ECHO Session Minimal knowledge	Before this ECHO Session Moderate knowledge	Before this ECHO Session High knowledge
Identify the challenges around caregiver support / caregiver burden	Identify the challenges around caregiver support / caregiver burden Before this ECHO Session No knowledge	Identify the challenges around caregiver support / caregiver burden Before this ECHO Session Minimal knowledge	Identify the challenges around caregiver support / caregiver burden Before this ECHO Session Moderate knowledge	Identify the challenges around caregiver support / caregiver burden Before this ECHO Session High knowledge
Understand available resources and referral opportunities to support dementia caregivers	Understand available resources and referral opportunities to support dementia caregivers Before this ECHO Session No knowledge	Understand available resources and referral opportunities to support dementia caregivers Before this ECHO Session Minimal knowledge	Understand available resources and referral opportunities to support dementia caregivers Before this ECHO Session Moderate knowledge	Understand available resources and referral opportunities to support dementia caregivers Before this ECHO Session High knowledge

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* 8. Please rate your knowledge AFTER Session 5: Support for Dementia Caregivers (what Matters most, Medications, Mobility, Mentation)

	After this ECHO Session No knowledge	After this ECHO Session Minimal knowledge	After this ECHO Session Moderate knowledge	After this ECHO Session High knowledge
Identify the challenges around caregiver support / caregiver burden	Identify the challenges around caregiver support / caregiver burden After this ECHO Session No knowledge	Identify the challenges around caregiver support / caregiver burden After this ECHO Session Minimal knowledge	Identify the challenges around caregiver support / caregiver burden After this ECHO Session Moderate knowledge	Identify the challenges around caregiver support / caregiver burden After this ECHO Session High knowledge
Understand available resources and referral opportunities to support dementia caregivers	Understand available resources and referral opportunities to support dementia caregivers After this ECHO Session No knowledge	Understand available resources and referral opportunities to support dementia caregivers After this ECHO Session Minimal knowledge	Understand available resources and referral opportunities to support dementia caregivers After this ECHO Session Moderate knowledge	Understand available resources and referral opportunities to support dementia caregivers After this ECHO Session High knowledge

Session #5: Evaluation: Project ECHO® Approaches to Dementia Care

Question Title

* 1. What is your role?

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* 2. What is your work setting?

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* 3. Was this session free from commercial bias?

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* 4. Did the session meet the stated objectives?

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* 5. Please rank your satisfaction with this ECHO session:

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* 6. How valuable was each feature of this ECHO session:

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* 7. Please rate your knowledge BEFORE Session 5: Support for Dementia Caregivers (what Matters most, Medications, Mobility, Mentation)

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* 8. Please rate your knowledge AFTER Session 5: Support for Dementia Caregivers (what Matters most, Medications, Mobility, Mentation)

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* 9. What information stood out to you from this session?

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* 10. What did you like most about the session?

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* 11. What did you like least about the session?

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* 12. Describe any aspects of your practice that you feel you can change based on today’s session:

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* 13. What are some barriers to making these changes?

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* 14. Would you like CME/CEU credits for this session?