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helped providers and clinics make changes? (3) What were the barriers to improvement, and how were they addressed? (4) When the intervention did not work well, what was different? Table 1 RE-AIM measures Domain Measure Reach Number and percentage of patients excluded Reach Number and percentage of patients served by eligible clinics Reach Characteristics of participating patients versus general patient population Reach Structured interview with Family Medicine director to qualitatively assess recruitment process Effectiveness Number and percentage of patients completing urine drug screens Effectiveness Overall rate of opioid prescribing by clinic and provider Effectiveness Number and percentage of patients screened for mental health/substance use problems Effectiveness Overall rate of opioid/benzodiazepine co-prescribing Effectiveness Number and percentage of patients signing pain agreements Effectiveness Number and percentage of opioid prescriptions above 120 mg daily morphine equivalent Effectiveness Number and percentage of providers who drop out of study at 3 months Effectiveness Structured interview with clinic lead to assess satisfaction, effectiveness, and subgroup differences Adoption (Setting) Number and percentage of clinics excluded Adoption (Setting) Number and percentage of clinics that participate Adoption (Setting) Characteristics of participating clinics versus non-participants Adoption (Staff) Number and percentage of staff excluded Adoption (Staff) Number and percentage of staff who participate Adoption (Staff) Characteristics of participating staff versus non-participants Implementation Hours of consulting delivered/received per provider Implementation Adaptations made to consulting protocol during intervention period Implementation Cost of consulting intervention Implementation Structured interview with clinic lead to assess consistency of consulting intervention Maintenance (Indiv.) Number and percentage of patients completing urine drug screens (6-month follow-up) Maintenance (Indiv.) Overall rate of opioid prescribing by clinic and provider (6-month follow-up) Maintenance (Indiv.) Number and percentage of patients screened for mental health/substance use problems (6-month follow-up) Maintenance (Indiv.) Overall rate of opioid/benzodiazepine co-prescribing (6-month follow-up) Maintenance (Indiv.) Number and percentage of patients signing pain agreements (6-month follow-up) Maintenance (Indiv.) Number and percentage of opioid prescriptions above 120 mg daily morphine equivalent (6-month follow-up) Maintenance (Indiv.) Number and percentage of providers who drop out of study (6-month follow-up) Maintenance (Indiv.) Focus group with clinicians who made substantial changes Source : Re-aim.org; Measuring the Use of the RE-AIM Model Dimension Items Checklist.
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