Fig. 1

Stepped wedge design and timeline. Ten opioid treatment programs are randomized to crossover from usual care (depicted in grey) to receipt of the Science to Service Laboratory across four wedges. The Science to Service Laboratory consists of preparation activities (depicted in blue) and active implementation activities (depicted in yellow). Following 6 months of active Science to Service Laboratory support, the programs shift into a sustainment phase (depicted in green) during which they receive minimal support. Programs provide data at the 0, 6, 12-, 18-, 24-, and 30-month marks