Strategies to Deimplement Opioid Prescribing in Primary Care: A Cluster Randomized Clinical Trial.

ABSTRACT:

Importance

Centers for Disease Control and Prevention guidelines advocate reduced opioid prescribing for chronic pain, yet research on their implementation remains limited.

Objective

To compare 4 deimplementation strategies to promote guideline-concordant opioid prescribing.

Design, setting, and participants

This cluster randomized clinical trial was performed at 32 primary care clinics from 2 US health care systems from February 2020 to March 2022, using a hybrid type 3 sequential multiple-assignment design focused on patient outcomes. Clinics were recruited through volunteer sampling, including 268 clinicians and 8978 patients. Data were analyzed from September 2020 to March 2022.

Intervention

Deimplementation strategies were targeted at the system, clinic, a

SUBMITTER: Quanbeck A 

PROVIDER: S-EPMC11581553 | biostudies-literature | 2024 Oct

REPOSITORIES: biostudies-literature