ED-LINC for Opioid Use Disorder
(ED-LINC2 Trial)
What You Need to Know Before You Apply
What is the purpose of this trial?
This trial tests a new healthcare approach called ED-LINC (Emergency Department Longitudinal Integrated Care) to assist individuals with opioid use disorder. The goal is to determine if this method reduces illegal opioid use, encourages adherence to treatment medications, and decreases emergency room visits. Participants will receive either usual care or the ED-LINC intervention, which includes overdose education and ongoing support. Individuals who have struggled with opioid use for some time and can be contacted by phone may be suitable for this trial. As an unphased study, this trial provides a unique opportunity to contribute to innovative care strategies for opioid use disorder.
Will I have to stop taking my current medications?
The trial information does not specify whether you need to stop taking your current medications. However, if you are receiving chronic opioid therapy, you are not eligible to participate.
What prior data suggests that the ED-LINC intervention is safe?
Research has shown that the ED-LINC program, designed to manage opioid use disorder, was tested in a small study. In this trial, researchers randomly assigned 40 patients to either the ED-LINC program or the usual care. The results indicated that patients in the ED-LINC group experienced no more side effects than those in the usual care group. Additionally, the study successfully followed over 80% of participants for up to 6 months. This suggests that ED-LINC is safe and well-tolerated by patients, with no major safety issues reported.12345
Why are researchers excited about this trial?
Researchers are excited about the ED-LINC intervention for opioid use disorder because it offers a comprehensive approach that goes beyond typical treatments like medication-assisted therapies (e.g., methadone, buprenorphine). Unlike standard care, ED-LINC includes personalized overdose education and a brief bedside intervention aimed at boosting motivation to seek outpatient care. It also employs a patient-centered decision support tool for medication-assisted treatment, along with proactive and ongoing care management. This holistic approach is designed to not only address opioid use but also tackle related health issues, potentially leading to more sustained recovery outcomes.
What evidence suggests that the ED-LINC intervention is effective for opioid use disorder?
Research has shown that the ED-LINC program is designed to assist people with opioid addiction, starting in the emergency room. In this trial, participants will receive either the ED-LINC intervention or usual care. An initial study found that patients who received ED-LINC did not use heroin less than those who received regular care. However, the program includes valuable features such as education on preventing overdoses and motivational talks to encourage further treatment. It also provides a plan for ongoing care, which is crucial for those dealing with opioid issues. While early results show limited effects on drug use, the program’s comprehensive support system could enhance treatment involvement and care.12367
Who Is on the Research Team?
Lauren K Whiteside, MD, MS
Principal Investigator
University of Washington
Are You a Good Fit for This Trial?
This trial is for adults over 18 with moderate or severe opioid use disorder (OUD) who have a phone and can provide contact information. It's not for those in other care programs, incarcerated individuals, non-English speakers, people living far from Harborview Medical Center, or patients needing urgent psychiatric help.Inclusion Criteria
Exclusion Criteria
Timeline for a Trial Participant
Screening
Participants are screened for eligibility to participate in the trial
Treatment
Participants receive the ED-LINC intervention, including overdose education, motivational bedside intervention, and a patient-centered approach to MOUD, with longitudinal care management for approximately 3 months
Follow-up
Participants are monitored for safety and effectiveness after treatment, with assessments at 1, 3, 6, and 12 months
What Are the Treatments Tested in This Trial?
Interventions
- ED-LINC
Find a Clinic Near You
Who Is Running the Clinical Trial?
University of Washington
Lead Sponsor
National Institute on Drug Abuse (NIDA)
Collaborator