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Table 4 USP protocol evaluation processes and outcomes for pregnant white and American Indian individuals in rural areas

From: Development of an unannounced standardized patient protocol to evaluate opioid use disorder treatment in pregnancy for American Indian and rural communities

Step in protocol development

Process(es)

Outcome

Metric selection

Literature review

18 metrics aligned with prior literature, evidence-based guidelines, and stakeholder input developed to test 6 hypotheses relevant to treatment of OUD in pregnancy

Expert consultation

Stakeholder engagement

Profile development

Adaptation from prior studies

2 regionally, culturally representative profiles created

Expert consultation

Stakeholder engagement

Pilot calls

USP training

Callers familiarized with protocol dialogue and refinements made to training guide to reflect sampling context

Metric capture/Refinement of post-visit data entry forms

Reliable metric capture obtained

Fidelity checks

Qualitative fidelity observed across USPs

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Addiction Science & Clinical Practice

ISSN: 1940-0640