Fidelity measures
PCP
To evaluate fidelity to the STOP intervention model, each person (PCP, NCM, Health Coach) completes measures about interventions delivered. For the PCP, this includes a checklist reporting what elements of the brief advice they delivered, and the time required. The NCMs document delivery of the intervention including number of interactions, type of interactions (e.g., text, phone, in-person visit), and the duration and content of those interactions. Health coaches complete and session content checklist at the conclusion of each session. In addition all coaching calls are recorded (when patient participant gives permission) and coded by a trained, independent rater for use of motivational interviewing and cognitive behavioral therapy, using the Motivational Interviewing Treatment Integrity (MITI) Scale 4.1 [At the end of study participation, the last survey that all patient participants complete is an assessment of what they think the study was targeting (opioids, diet, exercise, etc.).