Evidence map›Paper›PMID 40789630›Full record

ArticleJournal of the American Board of Family Medicine : JABFM2025

Understanding the Barriers and Facilitators of Implementing a Controlled Substance Safety Committee in a Primary Care Practice.

Mechelle Sanders, Anna Russell, Kaela Mali, Jenny Ganay Vasquez, Sean Chambers, Holly Ann Russell

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In one paragraph

Article in Journal of the American Board of Family Medicine : JABFM, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. The 4Cs of Primary Care, Leveraging Artificial Intelligence, and Improving Clinical Practice.Journal of the American Board of Family Medicine : JABFM · 2025
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Mechelle SandersFrom the University of Rochester, Department of Family Medicine Family Medicine Research Programs 1381 South Avenue, Rochester, NY 14620, USA (MS, HAR); and University of Rochester Medical Center, 601 Elmwood Ave, Rochester, NY 14642, USA (AR, KM, JGV, SC). Mechelle_sanders@urmc.rochester.edu.
Anna RussellFrom the University of Rochester, Department of Family Medicine Family Medicine Research Programs 1381 South Avenue, Rochester, NY 14620, USA (MS, HAR); and University of Rochester Medical Center, 601 Elmwood Ave, Rochester, NY 14642, USA (AR, KM, JGV, SC).
Kaela MaliFrom the University of Rochester, Department of Family Medicine Family Medicine Research Programs 1381 South Avenue, Rochester, NY 14620, USA (MS, HAR); and University of Rochester Medical Center, 601 Elmwood Ave, Rochester, NY 14642, USA (AR, KM, JGV, SC).
Jenny Ganay VasquezFrom the University of Rochester, Department of Family Medicine Family Medicine Research Programs 1381 South Avenue, Rochester, NY 14620, USA (MS, HAR); and University of Rochester Medical Center, 601 Elmwood Ave, Rochester, NY 14642, USA (AR, KM, JGV, SC).
Sean ChambersFrom the University of Rochester, Department of Family Medicine Family Medicine Research Programs 1381 South Avenue, Rochester, NY 14620, USA (MS, HAR); and University of Rochester Medical Center, 601 Elmwood Ave, Rochester, NY 14642, USA (AR, KM, JGV, SC).
Holly Ann RussellFrom the University of Rochester, Department of Family Medicine Family Medicine Research Programs 1381 South Avenue, Rochester, NY 14620, USA (MS, HAR); and University of Rochester Medical Center, 601 Elmwood Ave, Rochester, NY 14642, USA (AR, KM, JGV, SC).

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe few studies about primary care based controlled substance safety committees (CSSC) to date have been primarily quantitative, focused on patient outcomes and lacked contextual data around their implementation. The purpose of this study is to qualitatively identify barriers and facilitators to the use of CDCs guidelines around opioid prescribing and the implementation of controlled substance safety committee in a primary care practice.

methodsTen semistructured interviews were conducted with primary care clinicians in an academic medical practice. Potential barriers and facilitators to the uptake and use of the CDC opioid guidelines and the practice's CSSC were coded and analyzed against the Capability, Opportunity, and Motivation framework for Behavior change framework (COM-B).

resultsSix key themes were identified around uptake of the CDC guidelines. In general, the CSSC addressed some of the capability barriers around the guidelines but had limited impact on increasing motivation to follow the guidelines. We found the same recommendation in the guidelines could have differing impact on prescribing behavior.

conclusionsSimply promoting guidelines may be insufficient, especially for those viewing them as rules rather than recommendations. Our findings underscore the fact that guidelines are merely a starting point, not an endpoint of implementation.

Indexed as

Analgesics, OpioidControlled SubstancesGuideline AdherencePractice Patterns, Physicians'Primary Health CareAttitude of Health PersonnelCenters for Disease Control and Prevention, U.S.FemaleHumansInterviews as TopicMalePractice Guidelines as TopicQualitative ResearchUnited StatesAnalgesics, OpioidControlled SubstancesCenters for Disease Control and Prevention (U.S.)Controlled SubstancesDrug ControlFamily MedicineImplementation ScienceMotivationOpioidsPain ManagementPhysician's Practice PatternsSafety

Identifiers

PMID40789630
PMCPMC12616792

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.