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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