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The Participant-Reported Implementation Update and Score (PRIUS): A Novel Method for Capturing Implementation-Related Data Over Time
Published on: February 19, 2021
A qualitative evaluation of the implementation of a statewide drug checking program using the Consolidated Framework
Tricia Triece1, Iyabo Awogboro1, Samantha Alarcon Basurto1
1Johns Hopkins Bloomberg School of Public Health, Department of Health, Behavior & Society, USA.
Journal of Substance Use and Addiction Treatment
|July 1, 2026
Summary
Drug checking programs like Maryland's RAD can be successfully implemented by focusing on flexibility and trusted relationships. However, hostile legal and community environments pose significant barriers to sustained drug checking initiatives.
Area of Science:
- Public Health
- Implementation Science
- Drug Policy
Background:
- Drug checking programs address risks from volatile drug supplies.
- Implementation research identifies facilitators for program success.
Purpose of the Study:
- To explore staff experiences with the Rapid Analysis of Drugs (RAD) program in Maryland.
- To identify factors facilitating or hindering the implementation of drug checking services at syringe services programs.
Main Methods:
- 19 qualitative interviews with staff at syringe services programs.
- Deductive content analysis using the Consolidated Framework for Implementation Research.
Main Results:
- Program simplicity and flexibility facilitated RAD implementation.
- Hostile legal/community environments and staff turnover were key barriers.
- Trusted staff-participant relationships, especially with lived experience, enhanced uptake.
Conclusions:
- Adapting drug checking interventions requires responsiveness to context and organization.
- Centering lived experience and flexibility are critical for successful implementation.
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