Evidence map›Paper›PMID 41430618›Full record

ArticleAddiction science & clinical practice2025

Using a quality improvement framework to evaluate the feasibility of implementing a patient-reported outcome measure for recovery in an office-based treatment setting for opioid use disorder.

Elisabeth Okrant, Sharon Reif, Genie L Bailey, Constance M Horgan, Margaret T Lee, Madeline A Brown, Blaire L Simas, Karen A Alfaro, Grant A Ritter

Registry-linked trialAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Addiction science & clinical practice, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05388045 (Piloting a Patient-Reported Outcome Measure for Opioid Use Disorder Recovery in a Clinical Setting), which is not on this map. Not yet cited in PubMed.

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0cells of the map it votes in
0citing papers in PubMed
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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.

NCT05388045 naunknown statusnot on this map

Piloting a Patient-Reported Outcome Measure for Opioid Use Disorder Recovery in a Clinical Setting

TypeinterventionalSponsorBrandeis UniversityRan2022 to 2023Enrolled100ConditionsSubstance Use Disorders, Opioid Use DisorderArmsPatient Reported Outcome Measure
3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

9 authors.

Elisabeth OkrantInstitute for Behavioral Health, Heller School for Social Policy & Management, Brandeis University, 415 South Street, Waltham, MA, 02453, USA.
Sharon ReifInstitute for Behavioral Health, Heller School for Social Policy & Management, Brandeis University, 415 South Street, Waltham, MA, 02453, USA. reif@brandeis.edu.
Genie L BaileySSTAR, 386 Stanley Street, Fall River, MA, 02720, USA.
Constance M HorganInstitute for Behavioral Health, Heller School for Social Policy & Management, Brandeis University, 415 South Street, Waltham, MA, 02453, USA.
Margaret T LeeInstitute for Behavioral Health, Heller School for Social Policy & Management, Brandeis University, 415 South Street, Waltham, MA, 02453, USA.
Madeline A BrownInstitute for Behavioral Health, Heller School for Social Policy & Management, Brandeis University, 415 South Street, Waltham, MA, 02453, USA.
Blaire L SimasSSTAR, 386 Stanley Street, Fall River, MA, 02720, USA.
Karen A AlfaroInstitute for Behavioral Health, Heller School for Social Policy & Management, Brandeis University, 415 South Street, Waltham, MA, 02453, USA.
Grant A RitterInstitute for Behavioral Health, Heller School for Social Policy & Management, Brandeis University, 415 South Street, Waltham, MA, 02453, USA.

Funding

Piloting a Patient-Reported Outcome Measure for Opioid Use Disorder Recovery in a Clinical SettingR61DA049263 · NIDA · BRANDEIS UNIVERSITY · PI HORGAN, CONSTANCE M., REIF, SHARON · 2019 to 2020
$865k
NIDA NIH HHS R61 DA049263NIDA NIH HHS R61DA049263
6 · The paper itself

Abstract

backgroundPatient-reported outcome measures (PROMs) offer a way to track patient recovery from substance use disorder (SUD) and make clinical decisions more effective and efficient. PROM implementation in the context of the SUD population is not yet well understood, but recovery is the type of outcome that requires self-report. While studies have found PROM implementation feasible, an abundance of literature conveys the complexities of implementing PROMs in routine clinical care. We report here on the feasibility of incorporating a PROM for SUD recovery within a buprenorphine program for people with opioid use disorders at a federally qualified health center.

methodsWe describe the challenges and distill learnings gained from the feasibility study of the Response to Addiction Recovery (R2AR) PROM instrument that was tested for validity and feasibility with staff (nurse care managers; NCMs) and clients of an office-based addiction treatment program. We assessed the R2AR in terms of clinical workflow and value to clients and clinicians within a fully remote research study which influenced the findings regarding workflow and value. We used the IHI root cause analysis framework to organize results, capturing learning relating to culture, systems, process, people, and environment.

resultsThe three most significant barriers to implementing R2AR included the need to identify a champion and change agent, educate clients and providers to disrupt cultural norms, and use the right care team member to implement the intervention. These barriers were amplified by the limited time that NCMs had available to engage with clients and the fact that R2AR’s psychosocial perspective was outside of their medication management emphasis.

conclusionsImplementing a clinically-based PROM requires clients and providers to alter the way in which they currently behave. A new tool alone cannot change the culture that ascribes provider and client roles within healthcare. The culture of patient-centered care must precede PROM adoption for effective changes to occur. Systems, such as the EHR, must mandate PROM administration to allow workflows to adjust to new processes, and to convey its import as part of clinical care. Until systems are updated, and large-scale PROM adoption becomes ubiquitous, PROMs can also play an important role in supporting self-management and shared decision making.

trial registrationThis study is registered at ClinicalTrials.gov ( https://clinicaltrials.gov/ , NCT05388045, registered April 14, 2022).

Indexed as

BuprenorphineOpiate Substitution TreatmentOpioid-Related DisordersPatient Reported Outcome MeasuresQuality ImprovementAdultFeasibility StudiesFemaleHumansMalePilot ProjectsBuprenorphineChange managementCultureFeasibilityImplementationOpioid use disorderPatient-reported outcome measuresPROMQuality frameworkRecoverySubstance use disorder

Identifiers

PMID41430618
PMCPMC12837188

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Registered trials

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.