{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T18:57:41Z","timestamp":1777575461138,"version":"3.51.4"},"reference-count":29,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2023,11,7]],"date-time":"2023-11-07T00:00:00Z","timestamp":1699315200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Eval Health Prof"],"published-print":{"date-parts":[[2024,3]]},"abstract":"<jats:p>This study aimed to examine the association between different contextual factors (e.g., facility size, rurality, and perceived needs) and the adoption of a policy or strategy related to opioid prescribing practices in healthcare settings. Cross-sectional survey data was collected from a convenience sample of physicians ( N = 68). Logistic regression models were used to examine the effects of contextual factors on the dependent variables. Less than half reported having a policy restricting opioid prescribing practices, and 81% reported having one or more strategies for the safe use of chronic opioid therapy. After adjusting for other contextual factors, small practice size was positively associated with having a policy restricting opioid prescribing practices. This exploratory study provides insights for further investigation of how various contextual factors can influence policy adoption in different healthcare settings and practices to address major public health threats.<\/jats:p>","DOI":"10.1177\/01632787231211920","type":"journal-article","created":{"date-parts":[[2023,11,7]],"date-time":"2023-11-07T12:17:56Z","timestamp":1699359476000},"page":"66-74","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Contextual Factors and Adoption of Strategies Related to Opioid Prescribing Practices in Healthcare Settings: Cross-Sectional Study"],"prefix":"10.1177","volume":"47","author":[{"given":"Marcia G.","family":"Ory","sequence":"first","affiliation":[{"name":"Texas A&M University, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1336-819X","authenticated-orcid":false,"given":"Shinduk","family":"Lee","sequence":"additional","affiliation":[{"name":"Texas A&M University, USA"},{"name":"University of Utah, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joy P.","family":"Alonzo","sequence":"additional","affiliation":[{"name":"Texas A&M University, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Deborah","family":"Vollmer Dahlke","sequence":"additional","affiliation":[{"name":"Texas A&M University, USA"},{"name":"DVD Associates LLC, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nicole","family":"Pardo","sequence":"additional","affiliation":[{"name":"Texas A&M University, USA"},{"name":"IntechHealth LLC, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Matthew Lee","family":"Smith","sequence":"additional","affiliation":[{"name":"Texas A&M University, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2023,11,7]]},"reference":[{"key":"bibr1-01632787231211920","doi-asserted-by":"publisher","DOI":"10.1186\/s40621-018-0179-2"},{"key":"bibr2-01632787231211920","doi-asserted-by":"publisher","DOI":"10.1001\/jamainternmed.2016.0544"},{"key":"bibr3-01632787231211920","doi-asserted-by":"publisher","DOI":"10.1002\/jsc.765"},{"key":"bibr4-01632787231211920","volume-title":"Evidence-based strategies for preventing opioid overdose: What\u2019s working in the United States","author":"Centers for Disease Control and Prevention","year":"2018"},{"key":"bibr5-01632787231211920","doi-asserted-by":"publisher","DOI":"10.1186\/1748-5908-8-22"},{"key":"bibr6-01632787231211920","doi-asserted-by":"publisher","DOI":"10.1080\/08897077.2018.1561596"},{"key":"bibr7-01632787231211920","doi-asserted-by":"publisher","DOI":"10.1016\/j.copsyc.2019.01.018"},{"key":"bibr8-01632787231211920","doi-asserted-by":"publisher","DOI":"10.1111\/acem.13352"},{"key":"bibr9-01632787231211920","doi-asserted-by":"publisher","DOI":"10.1097\/BOT.0000000000000085"},{"key":"bibr10-01632787231211920","doi-asserted-by":"publisher","DOI":"10.1016\/j.jamcollsurg.2018.06.007"},{"key":"bibr11-01632787231211920","doi-asserted-by":"publisher","DOI":"10.1111\/add.14436"},{"key":"bibr12-01632787231211920","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0282222"},{"key":"bibr13-01632787231211920","doi-asserted-by":"publisher","DOI":"10.1146\/annurev-publhealth-031914-122957"},{"key":"bibr14-01632787231211920","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2021.38453"},{"issue":"1","key":"bibr15-01632787231211920","first-page":"66","volume":"15","author":"Lovecchio F.","year":"2019","journal-title":"Opioid Prescribing and Pain Management"},{"key":"bibr16-01632787231211920","doi-asserted-by":"publisher","DOI":"10.1097\/AJP.0000000000000652"},{"key":"bibr17-01632787231211920","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ps.202100689"},{"key":"bibr27-01632787231211920","doi-asserted-by":"publisher","DOI":"10.1186\/s12913-019-4015-3"},{"key":"bibr18-01632787231211920","doi-asserted-by":"publisher","DOI":"10.1080\/08897077.2017.1356787"},{"key":"bibr19-01632787231211920","doi-asserted-by":"publisher","DOI":"10.2307\/2391262"},{"key":"bibr20-01632787231211920","doi-asserted-by":"publisher","DOI":"10.1353\/nib.2018.0071"},{"issue":"5152","key":"bibr21-01632787231211920","first-page":"1419","volume":"67","author":"Scholl L.","year":"2019","journal-title":"MMWR Morbidity Mortaityl Weekly Report"},{"key":"bibr22-01632787231211920","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2018.02.039"},{"key":"bibr23-01632787231211920","doi-asserted-by":"publisher","DOI":"10.1177\/1460458215610895"},{"key":"bibr24-01632787231211920","doi-asserted-by":"publisher","DOI":"10.1007\/s11606-013-2651-6"},{"key":"bibr25-01632787231211920","volume-title":"Renewal of determination that a public health emergency exists","author":"US Department of Health &amp; 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