Fig. 1

ADOPT study design. Stepped wedge schematic for the study assuming study initiation (T1) begins early 2024. Each ‘step’ from T1 to T9 will be 5 months in length. Shaded gray cells represent the baseline (T0) period during which clusters are screened for eligibility. Shaded green cells represent the control condition of usual care. Shaded peach cells represent the 1-month transition period, during which provider participants undergo the academic detailing session. Shaded blue cells represent the intervention condition, where provider participants distribute standardized post-extraction instructions and blister packs