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BUILD IT: An Implementation Tool to Increase Access to Evidence-based Preventive Interventions for Opioid Use Disorders

Award Number: R61DA061718
ORGANIZATION: NATIONAL INSTITUTE ON DRUG ABUSE
OPDIV: NIH
AWARD CLASS: DISCRETIONARY
AWARD ACTIVITY TYPE: SCIENTIFIC/HEALTH RESEARCH (INCLUDES SURVEYS)
PERIOD OF PERFORMANCE START DATE: 08/01/2025
PERIOD OF PERFORMANCE END DATE: 07/31/2027

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BUILD IT: An Implementation Tool to Increase Access to Evidence-based Preventive Interventions for Opioid Use Disorders - PROJECT SUMMARY/ABSTRACT This R61/R33 project, in response to RFA-DA-24-066 submitted to the National Institute on Drug Abuse (NIDA) as part of the Helping to End Addiction Long-term (HEAL) initiative, aims to develop and test a digital implementation tool to increase implementation of selected and indicated prevention programs (SIPPs) for opioid use disorder—the Building for Implementation Tool (BUILD IT). As communities struggle to adopt programs to address public health problems related to opioid use disorder, it is critical that advances in knowledge about successful implementation are made available in practical terms for rapid deployment to decision-makers who are positioned to make implementation of prevention efforts happen. BUILD IT will provide SIPP adopters, including those from low-resourced organizations, with an empirically derived alternative to expensive implementation technical assistance that is easily accessible and affordable. This phased award will allow an iterative development process, with sequenced interactions between data analysts, developmental architects, and users for input, followed by rigorous evaluation. BUILD IT will serve as an implementation support tool for organizations or systems adopting SIPPs to prevent initiation and escalation of opioid use, with a specific emphasis on HEAL initiative SIPPs. Procedures for the R61 phase include two parallel paths of activity to develop BUILD IT and prepare for its testing: (Aim 1) Secondary data analyses will be conducted using a large repository of implementation process data to identify activities or components to include as implementation recommendations. Recommendations and feedback will be based on type of program being implemented and the context in which it is being implemented, sequencing of items, value/weight of the items and the algorithmic structure over time in the implementation process. (Aim 2) Design, usability, and refinement sessions will be conducted with SIPP developers (n = 12) and community site implementers (n = 10) over a series of iterative sessions to inform the user interface and resources created. The staged architectural development of BUILD IT will run alongside both paths, interacting with them when new evidence is learned. In the R33 Phase, this project will test BUILD IT with a sample of former, current, and future HEAL-funded and other SIPP programs whose developers (n = 26) agree to include BUILD IT as an implementation tool in their scale-up efforts. Analyses will examine (Aim 1) implementation outcomes for sites exposed to BUILD IT including achievement of program start-up and competency for sustainment, as well as user feedback and (Aim 2) BUILT IT’s ability to improve implementation fidelity and subsequent program outcomes. Formal mediation analyses are proposed. BUILD IT is directly responsive to requests from program developers and implementing site communities. Having an easily accessible, informative, and evidence-based implementation tool available to newly adopting sites seeking to implement SIPPs has the potential for a substantial public health impact by increasing the availability of prevention for costly public health consequences related to the opioid epidemic.


Issue Date FY	Funding FY	Legal Entity Name	Legal Entity Address	Legal Entity City	Legal Entity State	Legal Entity Zip Code	Legal Entity COUNTY	Legal Entity COUNTRY	Assistance Listing	Award Code	Budget Year	Action Date	Action Type	Action Amount

Issue Date FY: 2026 ( Subtotal = $0 )
2026	2025	CHESTNUT HEALTH SYSTEMS INC	1003 MARTIN LUTHER KING DR	BLOOMINGTON	IL	61701	MCLEAN	USA	Drug Use and Addiction Research Programs	000	1	12/18/2025	NEW	$0
														Subtotal = $0

Issue Date FY: 2025 ( Subtotal = $398,393 )
2025	2025	CHESTNUT HEALTH SYSTEMS INC	1003 MARTIN LUTHER KING DR	BLOOMINGTON	IL	61701	MCLEAN	USA	Drug Use and Addiction Research Programs	000	1	7/17/2025	NEW	$398,393
														Subtotal = $398,393

Grand Total All Awards = $398,393

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BUILD IT: An Implementation Tool to Increase Access to Evidence-based Preventive Interventions for Opioid Use Disorders

Award Number: R61DA061718

ORGANIZATION: NATIONAL INSTITUTE ON DRUG ABUSE

OPDIV: NIH

AWARD CLASS: DISCRETIONARY

AWARD ACTIVITY TYPE: SCIENTIFIC/HEALTH RESEARCH (INCLUDES SURVEYS)

PERIOD OF PERFORMANCE START DATE: 08/01/2025

PERIOD OF PERFORMANCE END DATE: 07/31/2027

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