Extension of Community Health Outcomes (ECHO) FASD: Tele‐mentoring program to increase healthcare capacity for fetal alcohol spectrum disorder (FASD) diagnosis

Abstract Background Children with fetal alcohol spectrum disorder (FASD) often experience delayed, missed, or misdiagnosis due to low FASD awareness and diagnostic capacity. Current strategies to expand awareness and diagnostic capacity are insufficient or impractical. Methods This project examined the feasibility of Extension for Community Health Outcomes (ECHO) tele‐mentoring to train community clinicians about FASD. Participants attended ten one‐hour weekly ECHO sessions applying presentations, vignettes, and discussions. Measurement utilized Bowen's feasibility domains. Results Robust webpage traffic yielded nineteen participants ( demand) . Fidelity scores, hub team field notes, and participant ratings indicated feasibility in acceptability, implementation , practicality , and adaptation . Clinicians’ knowledge and confidence improved, and case‐based diagnostic accuracy was high ( limited efficacy ). Conclusions ECHO FASD is a feasible training method that shows promise to increase diagnostic capacity across many geographic regions.