Onward Door-Through-Door Companion Rideshare Technology to Improve Care for Older Adults and Individuals With Alzheimer's Disease and Related Dementias (AD/ADRD)
试验速览
- 阶段
- 1 期
- 状态
- 进行中（未招募）
- 发起方
- 入组人数
- 120
- 试验地点
- 1
- 主要终点
- Appointment Adherence
研究概览
简要总结
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?
详细描述
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.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Supportive Care
- 盲法
- None
入排标准
- 年龄范围
- 60 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •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;
- •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)
排除标准
- •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
研究组 & 干预措施
Control Group (C2C): Curb-to-Curb Rides
Control Group (C2C): Standard Curb-to-Curb rideshare services.
干预措施: Curb-to-curb rideshare services (Other)
Intervention Group: Door-through-Door Rides
Intervention Group (D2D): Door-to-Door rideshare services with a trained companion driver.
干预措施: Door-through-door companion rideshare (Other)
结局指标
主要结局
Appointment Adherence
时间窗: 9 Months
The rate of missed medical appointments (No shows and same day cancellations).
次要结局
- Ride Acceptance Rates(9 Months)
- Quality of Life (QOL)(9 months)
- Ride Completion Rates(9 Months)
- Ride Satisfaction(9 Months)
- Transportation as a SDoH(9 Months)
- Caregiver Burnout(9 Months)
- Rider Loneliness and Social Isolation(9 Months)