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This project addresses the urgent need to promote the adoption of evidence-based practices (EBPs) in healthcare by pilot-testing an innovative implementation strategy named NIATx-VOP (the Network for Improvement of Addiction Treatment approach to reducing Variation in Opioid Prescribing).

The Need

Over the past decades, opioids have been used increasingly to treat chronic non-cancer pain. This change in practice has been accompanied by alarming increases in prescription opioid misuse, addiction, and diversion. This work prepares for a subsequent randomized trial that will test the new model (NIATx-VOP) against other methods used to promote EBP adoption in primary care.


Our implementation strategy consists of three innovations: (1) a process for translating clinical guidelines into a checklist-based implementation guide for clinicians, (2) a physician peer coaching model, and (3) implementation support using tools from systems engineering.

This project will team the experts who developed the guideline for opioid prescribing with experts in implementation science and primary care to translate the guideline into an actionable, checklist-based implementation guide. If NIATx-VOP is effective in this pilot test, we will propose a randomized trial to test it against other approaches to EBP implementation. The long-term goal is to improve the adoption of EBPs in primary care by producing a generalizable model of change.

Funding Period:
July 1, 2014 - June 30, 2017
Principal Investigators:
Andy Quanbeck, Ph.D.
Andrew Quanbeck