Door-Through-Door Companion Rideshare Technology for Individuals With Alzheimer's Disease and Related Dementias (AD/ADRD)
NCT ID: NCT06850870
Last Updated: 2025-11-25
Study Results
The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.
Basic Information
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RECRUITING
PHASE1
120 participants
INTERVENTIONAL
2025-08-29
2026-11-28
Brief Summary
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Do D2D rideshare services reduce missed medical appointment rates compared to C2C rideshare services?
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Detailed Description
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Intervention Group (D2D): Door-to-Door rideshare services with a trained companion driver.
Control Group (C2C): Standard Curb-to-Curb rideshare services.
Conditions
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Study Design
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RANDOMIZED
PARALLEL
SUPPORTIVE_CARE
NONE
Study Groups
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Intervention Group: Door-through-Door Rides
Intervention Group (D2D): Door-to-Door rideshare services with a trained companion driver.
Door-through-door companion rideshare
Door-through-Door Companion Drivers, unlike traditional rideshare services, are certified in CPR and first aid, and undergo onboard training to support older adults, individuals with mobility impairments, and those with AD/ADRD. They are trained to observe behaviors of AD/ADRD patients, monitor and detect risk of falls, elopement, and other events that may require extra assistance or emergency care during transport. Drivers accompany riders continuously until they can hand off riders to clinicians or other caregivers, or return them to their home. Technology features in the rideshare platform enable continuity of care, for consistent rider-driver matching and matching of riders to drivers based on support needs.
Control Group (C2C): Curb-to-Curb Rides
Control Group (C2C): Standard Curb-to-Curb rideshare services.
Curb-to-curb rideshare services
Curb to curb rideshare services provided by a transportation network company (TNC) with drivers who don't have specialized training in supporting healthcare riders and who don't undergo fingerprint background checks or drug and alcohol testing.
Interventions
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Door-through-door companion rideshare
Door-through-Door Companion Drivers, unlike traditional rideshare services, are certified in CPR and first aid, and undergo onboard training to support older adults, individuals with mobility impairments, and those with AD/ADRD. They are trained to observe behaviors of AD/ADRD patients, monitor and detect risk of falls, elopement, and other events that may require extra assistance or emergency care during transport. Drivers accompany riders continuously until they can hand off riders to clinicians or other caregivers, or return them to their home. Technology features in the rideshare platform enable continuity of care, for consistent rider-driver matching and matching of riders to drivers based on support needs.
Curb-to-curb rideshare services
Curb to curb rideshare services provided by a transportation network company (TNC) with drivers who don't have specialized training in supporting healthcare riders and who don't undergo fingerprint background checks or drug and alcohol testing.
Eligibility Criteria
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Inclusion Criteria
* 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
* 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
60 Years
ALL
Yes
Sponsors
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National Institute on Aging (NIA)
NIH
Onward Health, Inc
INDUSTRY
Responsible Party
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Principal Investigators
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Kimberly Wachter Petty, MBA
Role: PRINCIPAL_INVESTIGATOR
Onward Health, Inc
Locations
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Onward Health HQ
San Leandro, California, United States
Countries
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Central Contacts
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Facility Contacts
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Other Identifiers
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OnwardRCT-2024-01 v2.0
Identifier Type: -
Identifier Source: org_study_id
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