Applying the Consolidated Framework for Implementation Research (CFIR) to understand college health administrator perceptions on adopting and implementing opioid overdose education and naloxone distribution (OEND) programs among universities national

Our findings underscore complexities of university-based OEND program implementation while providing actionable insights to support its national scale-up. Building on identified distinctions between universities in the process of implementing OEND programming and those without intention to implement, future research should identify OEND programming implementation phase among universities nationally, advance understanding of implementation determinants and strategies distinguishing each phase, and establish best practices for OEND program implementation.