Comparing Peer Support and Staff-Delivered Transportation Interventions for Young Adults With Intellectual and Developmental Disabilities (YA-IDD) on Loneliness, Social Participation, and Transportation Skills
试验速览
- 阶段
- 不适用
- 状态
- Enrolling By Invitation
- 入组人数
- 325
- 试验地点
- 3
- 主要终点
- Progressive Evaluation of Travel Skills (PETS)
研究概览
简要总结
This clinical trial will look at whether young adults with intellectual and developmental disabilities (YA-IDD) have better outcomes when a travel training intervention called Ready to Ride (R2R) is taught by a specially trained Peer Supporter (PS) who shares the lived experience of having an IDD than YA-IDD who are taught Ready to Ride by staff at their community services organization. The aspects of life being looked at are loneliness, satisfaction with social activities, travel skills, service use and access, employment, and health related quality of life.
The researchers think the following things will happen.
- YA-IDD who learn from a Peer Supporter will report significantly higher satisfaction with social activities, increased social connectedness and significantly less loneliness compared to YA who are taught organization staff.
- Both groups will learn the same amount of travel skills.
- YA-IDD who learn from a Peer Supporter will show larger increases in access to community-based services, transportation use, employment and health related services after 4 months than the YA taught by organizational staff.
详细描述
This clinical trial has 2 aims.
Aim 1. Compare the effectiveness of peer support (R2R-PS) or staff delivered (R2R-S) Ready to Ride (R2R) travel intervention on loneliness, satisfaction with social activities, and travel skills (primary outcomes), and service use/access, transportation use, employment, social connectedness, and health related quality of life (secondary outcomes) for YA with IDD.
Hypothesis 1.1: YA receiving R2R-PS will report significantly higher satisfaction with social activities, increased social connectedness, and significantly less loneliness compared to YA receiving R2R-S.
Hypothesis 1.2: The travel skills demonstrated by YA receiving R2R-PS will be no worse than travel skills demonstrated by YA receiving R2R-S. We use a non-inferiority approach in response to community service organizations' request for evidence that peer support delivery does not lead to poor outcomes.
Hypothesis 1.3: YA receiving R2R-PS will demonstrate significantly greater improvements in service use/access, transportation use, employment, and health related quality of life 4 months post intervention compared to YA receiving R2R-S.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Double (Investigator, Outcomes Assessor)
盲法说明
At least one research staff masked to group assignment at each of the 4 research sites.
Primary Investigators will be masked unless a situation arises during data collection that requires them to know which group a participant was assigned to.
The project statistician/Co-I will be masked to organization and individual participants and complete randomization using a random number generator. Each community service organization will be assigned a letter (A to H) to maintain masking.
入排标准
- 年龄范围
- 18 Years 至 27 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Between the ages of 18 to 27 years old during the start of the study
- •Receives services at one of the eight community service organizations participating in the study.
- •Meets the federal diagnosis of a developmental disability (DD)
- •Qualifies for services related to their DD.
- •Scores >28 on the Transportation Prescreening Assessment (indicating readiness for travel).
排除标准
- •Independently uses public transportation >4 times/month.
- •Is not able to independently mobilize through walking or use of a mobility device.
- •Has significant non-corrected visual impairments.
研究组 & 干预措施
Peer Support Delivery (R2R-PS)
干预措施: Ready to Ride - Peer Support Delivery (Behavioral)
Standard Delivery (R2R-S)
干预措施: Ready to Ride - Standard Delivery (Behavioral)
结局指标
主要结局
Progressive Evaluation of Travel Skills (PETS)
时间窗: Data will be collected at 3 time points: 1) pre-test (<14 days prior to R2R), 2) post-test 1 (within 4 days of R2R completion) and 3) post-test 2 (4 months after R2R completion).
The Progressive Evaluation of Travel Skills (PETS) ) is a direct observation measure of independent travel, as rated by the level of support needed for participants to complete transportation-related skills. This tool has established content and construct validity with people with IDD. The PETS will be administered by research staff masked to group assignment who will evaluate each participant on a standardized route. The standardized routes have comparable difficulties across local public transportation systems.
NIH Toolbox® Item Bank v3.0 - Loneliness (Ages 18+) - Fixed Form (PROM)
时间窗: Data will be collected at 3 time points: 1) pre-test (<14 days prior to R2R), 2) post-test 1 (within 4 days of R2R completion) and 3) post-test 2 (4 months after R2R completion).
Loneliness-NIH Toolbox® Item Bank v3.0 has 5 questions rated on a 5-point scale. This measure has acceptable psychometric properties in the general population and is used in clinical populations and with people with disabilities, including IDD. The tool includes questions that have detected differences in loneliness between individuals with and without IDD. A total standard T-score will be used to analyze the data.
PROMIS Short Form v1.0 - Satisfaction with Participation in Discretionary Social Activities 7a (PROM)
时间窗: Data will be collected at 3 time points: 1) pre-test (<14 days prior to R2R), 2) post-test 1 (within 4 days of R2R completion) and 3) post-test 2 (4 months after R2R completion).
Satisfaction with Participation in Discretionary Social Activities-PROMIS Short Form v1.0 has 7 items that assess contentment with leisure interests and relationships with friends. It has been used with adults with a range of disabilities, including IDD. In a study with people with disabilities (including IDD), increased access to transportation predicted higher scores on this measure. A total standard T-score will be used to analyze the data.
次要结局
- Service attendance(Data will be collected at pre-testing retrospectively and then weekly after pre-test (<14 days prior to R2R) through post-test 2 (4 months after R2R completion).)
- Accessibility Subscale of the Perceived Access of Health Care Services (PROM)(Data will be collected at 2 time points: 1) pre-test (<14 days prior to R2R) and 2) post-test 2 (4 months after R2R completion).)
- Transportation Use(Data will be collected weekly during R2R intervention through post-test 2 (4 months after R2R completion).)
- Self-Reported Employment Data (status, hours/week, wages, percentage of missed work shifts)(Data will be collected at 2 time points: 1) pre-test (<14 days prior to R2R) and 2) post-test 2 (4 months after R2R completion).)
- Quality of Life Questionnaire (QOL-Q)(Data will be collected at 3 time points: 1) pre-test (<14 days prior to R2R), 2) post-test 1 (within 4 days of R2R completion) and 3) post-test 2 (4 months after R2R completion).)
- Social Connectedness Measure(Data will be collected at 3 time points: pre-test (<14 days prior to R2R), post-test 1 (within 4 days of R2R completion) and post-test 2 (4 months after R2R completion))