Training
OUD, overdose
RECRUITMENT, PCP
Each of the professionals involved in the intervention receives specific training prior to patient recruitment.The Clinical Champions receive training conducted by two primary care physicians with expertise substance use (LG and Lead Investigator JM). The primary goal of the training is to prepare Champions to educate and provide guidance to their PCP colleagues. The training orients them to the study and covers the Summary to the Clinician, delivery of brief advice, management and monitoring of patients receiving prescription opioids, identifying, and assessing OUD, treatment of OUD, and overdose prevention.PCP participants randomized to the intervention receive a 20–30-min training delivered by the site Clinical Champion. This training includes practicing delivery of brief advice, understanding the Summary to the Clinician, documentation on the intervention checklist, and collaboration with the NCM. PCP participants in the EUC condition only receive an introduction to the study during the Clinical Champion’s initial presentation to the clinic.Health Coaches undergo initial training and then participate in a weekly virtual Learning Community (as in the QUIT trials [NCMs undergo 10 h of didactic training over the course of 5 days, and an additional 4–8 h of interactive workshop training prior to the start of their participation in the study. These sessions are led by two experienced nurse care managers and the study Lead Investigator (DB, CA, JL), all of whom participated in prior trials using NCM for opioid prescribing. Throughout the study, these trainers facilitate a weekly hour-long group meeting of the NCMs to offer technical support.