Table 4 Participant assessments
3 months pre-PrIMO launch | Launch | 3 months post-launch | 6 months post-launch | 9 months post-launch | 12 months post-launch | ||
|---|---|---|---|---|---|---|---|
Site staff participants | |||||||
The applied mental health research dissemination and implementation (AMHR) measure | Participant perceptions of model adoption, acceptability, appropriateness, feasibility, reach/access, organizational climate, leadership in implementing, and general leadership skills of the clinic | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ |
Modified clinical sustainability assessment tool (CSAT) | Participant perceptions of the model’s clinical sustainability | ✓ | ✓ | ✓ | ✓ | ✓ | |
The medical conditions regard scale (MCRS) | Biases, emotions, and expectations of chronic medical conditions, including Type2 diabetes, depressive disorder, HIV/AIDS, alcohol use disorder, stimulant use disorder, and opioid use disorder | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ |
Beliefs on MOUD | Prescriber perceptions of and barriers to utilizing MOUD (specifically buprenorphine, methadone, and naltrexone) | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ |
Implementation citizenship behavior scale (ICBS) | Identifies critical behaviors employees exhibit exceeding their expected role to support evidence-based practice implementation | ✓b | ✓b | ✓b | ✓b | ✓b | |
Change rulers | Readiness and preparedness to implement PrIMO | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ |
Qualitative interviewsa | Experiences providing care for patients with OUD, including use and knowledge (or lack) of the PrIMO model | ✓ | ✓ | ✓ | ✓ | ||
Patient participants | |||||||
Baseline (2 weeks post-exposure) | 3 months post-baseline | 6 months post-baseline | |||||
Consumer AMHR | Participant perceived acceptability of model adoption, acceptability, appropriateness, feasibility, and reach/access | ✓ | ✓ | ✓ | |||
Substance use stigma mechanism scale (SU-SMS) | Self-reported feelings of internalized stigma | ✓ | ✓ | ✓ | |||
Qualitative interviewsa | Experiences receiving care for OUD, including knowledge of the PrIMO model and experiences within the clinic | ✓ | ✓ | ✓ | |||