The Implementation of Medications for Opioid Use Disorder in Recovery Residences: Assessing the Impact of the Consolidated Framework for Implementation Science Constructs

BACKGROUND: Long-term, stable support services are needed to reduce the negative outcomes associated with opioid use, especially for those using medications for opioid use disorder (MOUD). While recovery residences (RRs)-the primary transitional setting after acute care in the U.S.-have begun to integrate the use of MOUD, there is little understanding of the extent of MOUD implementation. METHODS: = 128). RESULTS: Regression models revealed that perceptions of MOUD as an intervention and certification (i.e., CFIR "intervention" and "outer setting" characteristics) were significantly associated with the total number of medications accepted in RRs and the extent of MOUD use among residents. RR climate (i.e., CFIR "inner setting" characteristics) was associated with the extent of MOUD use among RR residents. CONCLUSIONS: Future research should assess if other outer setting factors (e.g., NARR guidance) that coincide with RR certification, such as opportunities for funding also increase implementation efforts, and how to better support RR implementation climate and readiness.