Door-Through-Door Companion Rideshare Technology for Individuals With Alzheimer's Disease and Related Dementias (AD/ADRD)

Onward Health, Inc

Status and phase: Enrolling; Phase 1

Conditions: Alzheimer Disease or Associated Disorder; Cognitive Decline; Dementia

Treatments: Other: Door-through-door companion rideshare; Other: Curb-to-curb rideshare services

Study type: Interventional

Funder types: Industry; NIH

Identifiers

NCT06850870

1R44AG085945-01A1 (U.S. NIH Grant/Contract)

OnwardRCT-2024-01 v2.0

Details and patient eligibility

About

The goal of this pilot randomized controlled trial is to assess the impact of D2D rideshare services with a trained companion driver on the rate of medical appointments for older adults and individuals with AD/ADRD. Participants will be assigned either door-through-door (D2D) rideshare or curb-to-curb (C2C) rideshare services. he main question it aims to answer is:

Do D2D rideshare services reduce missed medical appointment rates compared to C2C rideshare services?

Full description

A pilot randomized controlled trial (Stage 1). By stratifying on levels of cognitive impairment, i.e., no cognitive impairment vs. have mild to moderate cognitive impairment/MCI or subjective cognitive decline/SCD, the research team will randomly assign 120 riders, who have scheduled medical appointments at partner practices of Onward, to one of two groups: Onward D2D service (intervention) vs. C2C rideshare (control).

Intervention Group (D2D): Door-to-Door rideshare services with a trained companion driver.

Control Group (C2C): Standard Curb-to-Curb rideshare services.

Enrollment: 120 estimated patients

Sex: All

Ages: 60+ years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• All participants (or their surrogate) have the capacity to agree to allow Onward service for transportation;
• have scheduled medical appointments at partner practices of Onward;
• ages 60+
• community-dwelling;
• 60 participants who self-reported cognitive problems, such as memory issue, or have mild cognitive impairment, subjective cognitive decline, or AD/ADRD diagnosis
• Resides and attends appointments in the following San Francisco Bay Area Counties (San Francisco, Alameda, Contra Costa, Marin, San Mateo, Sonoma)

Exclusion criteria

• current enrollment in another transportation study;
• already using any type of free or heavily subsized transportation service;
• enrollees with comfort care only;
• Not wheelchair bound, e.g. if using a wheelchair must be foldable and must be able to transfer
• Transient, lacking consistent long term housing
• Resides outside of the San Francisco Bay Area

Trial design

Primary purpose: Supportive Care

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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120 participants in 2 patient groups

Intervention Group: Door-through-Door Rides

Experimental group

Description:

Intervention Group (D2D): Door-to-Door rideshare services with a trained companion driver.

Treatment:

Other: Door-through-door companion rideshare

Control Group (C2C): Curb-to-Curb Rides

Active Comparator group

Description:

Control Group (C2C): Standard Curb-to-Curb rideshare services.

Treatment:

Other: Curb-to-curb rideshare services