The Substance Use Treatment and Recovery Team (START) study: protocol for a multi-site randomized controlled trial evaluating an intervention to improve initiation of medication and linkage to post-discharge care for hospitalized patients with opioid use disorder

Table 5 Fidelity and competency measures

Domain	Measure
Collaborative care processes [119]
CM visit	Proportion of patients who saw CM at least one time
AMS visit	Proportion of patients who saw AMS at least one time
CM/AMS consultation	Proportion of patients who were discussed at least one time by CM and AMS
Follow-up	Proportion of patients who got at least 1 follow-up within 4 weeks after discharge
Evidence-based care: BNI [67]
	Proportion of patients who got pros and cons
	Proportion of patients who got the readiness ruler
	Proportion of patients who got an OUD-focused action plan
Evidence-based care: RED [68, 69]
	Proportion of patients for whom CM reviewed action plan prior to discharge
	Proportion of patients who reported that CM reviewed action plan in a way that they understood
	Proportion of patients for whom a follow-up appt was made prior to discharge
Competency using MI
Baseline	CM and AMS reached “good” MI competency at baseline Motivational Interviewing Treatment Integrity scale (MITI) [120] (recorded interviews)
Midpoint	CM and AMS reached “good” MI competency at midpoint (recorded interviews)

ISSN: 1940-0640