biostudies-literatureFord JHNIDA NIH HHSNational Institute on Drug Abuse64https://www.ebi.ac.uk/biostudies/studies/S-EPMC9524103biostudies-literatureUnknown17(1)<h4>Background</h4>In response to the US opioid epidemic, significant national campaigns have been launched to expand access to `opioid use disorder (MOUD). While adoption has increased in general medical care settings, specialty addiction programs have lagged in both reach and adoption. Elevating the quality of implementation strategy, research requires more precise methods in tailoring strategies rather than a one-size-fits-all-approach, documenting participant engagement and fidelity to the delivery of the strategy, and conducting an economic analysis to inform decision making and policy. Research has yet to incorporate all three of these recommendations to address the challenges of implementing and sustaining MOUD in specialty addiction programs.<h4>Methods</h4>This project seeks to reImplementation science : ISStepped implementation-to-target: a study protocol of an adaptive trial to expand access to addiction medications.PMC9524103R01 DA052975R01DA052975-01A1Fontaine HFord JHMichael EMcGovern MPGassman MCheng HGarneau HCKeith RfalseStepped implementation-to-target: a study protocol of an adaptive trial to expand access to addiction medications.<h4>Background</h4>In response to the US opioid epidemic, significant national campaigns have been launched to expand access to `opioid use disorder (MOUD). While adoption has increased in general medical care settings, specialty addiction programs have lagged in both reach and adoption. Elevating the quality of implementation strategy, research requires more precise methods in tailoring strategies rather than a one-size-fits-all-approach, documenting participant engagement and fidelity to the delivery of the strategy, and conducting an economic analysis to inform decision making and policy. Research has yet to incorporate all three of these recommendations to address the challenges of implementing and sustaining MOUD in specialty addiction programs.<h4>Methods</h4>This project seeks to re2022-01-01T00:00:00Z2022 Sep2026-06-01T02:24:10.695Z2025-04-19T11:31:42.254ZS-EPMC95241033617596310.1186/s13012-022-01239-y