| Sumario: | Objectives: Opioid use disorder (OUD) among pregnant individuals has increased, indicating a need to better equip obstetric providers (OB/GYNs) and their care teams with tools and strategies to address OUD. Telementoring programs such as Project ECHO (Project Extension for Community Healthcare Outcomes) may pose one strategy. The Support Models for Addiction Related Treatment (SMART) trial compared the effectiveness of 2 support models for OB/GYNs caring for individuals with OUD. This qualitative evaluation aimed to assess facilitators and barriers to the implementation of one of the 2 models, SMART ECHO, and the implementation of program content. Methods: Semistructured participant interviews following a Consolidated Framework for Implementation Research-informed interview guide were conducted with SMART ECHO participants. An inductive thematic analysis was utilized to analyze the interview transcripts. Results: Participants included 4 OB/GYNs and 2 social workers. The interviews were analyzed using an inductive thematic analysis. Six themes emerged from the analysis: (1) benefits of SMART ECHO, (2) supportive clinic environment, (3) facilitators to implementing medication treatment for OUD (MOUD), (4) barriers to implementing MOUD, (5) practice changes, and (6) lack of primary care provider (PCP) collaboration. Participants noted practice changes because of their participation in the series and shared key facilitators and barriers to implementing MOUD. Conclusions: This study identified facilitators and barriers to the implementation of SMART ECHO and its content. The lessons learned might help with the wider implementation of similar programs aimed at educating OB/GYNs and their care teams on optimizing care for pregnant individuals experiencing OUD.
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