Evidence-Based Interventions to Improve Opioid Prescribing in Primary Care: a Qualitative Assessment of Implementation in Two Studies.

ABSTRACT:

Background

The TOPCARE and TEACH randomized controlled trials demonstrated the efficacy of a multi-faceted intervention to promote guideline-adherent long-term opioid therapy (LTOT) in primary care settings. Intervention components included a full-time Nurse Care Manager (NCM), an electronic registry, and academic detailing sessions.

Objective

This study sought to identify barriers, facilitators, and other issues germane to the wider implementation of this intervention.

Design

We conducted a nested, qualitative study at 4 primary care clinics (TOPCARE) and 2 HIV primary care clinics (TEACH), where the trials had been conducted.

Approach

We purposively sampled primary care physicians and advanced practice providers (hereafter: PCPs) who had received the interven

SUBMITTER: Carroll JJ 

PROVIDER: S-EPMC10271994 | biostudies-literature | 2023 Jun

REPOSITORIES: biostudies-literature