Clinical trial NCT06323850: Improving Access to Community-Based Occupations Via a Rideshare Training Program
Official title: Improving Access to Community-Based Occupations Via a Rideshare Training Progra
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: EARLY_PHASE1
Conditions: Autism
Keywords: Community Mobility
Rideshare
Lead sponsor: Virginia Commonwealth University
Sponsor class: OTHER
Collaborators: name: Organization for Autism Research
First posted: 2024-03-21
Enrollment: 13
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: SEQUENTIAL
Intervention model description: A hybrid type-2 effectiveness-implementation randomized wait-list control design . The experimental group will receive the intervention first, while the waitlist group receives no intervention (Phase 1). After the 2-month intervention period, the waitlist group will receive the intervention, while the experimental group participates in a 2-month follow-up (Phase 2). During phase three, the waitlist group will participate in the 2-month follow up.
Primary purpose: SUPPORTIVE_CARE

Brief summary: Community mobility is critical for living independently and engaging in one's community. It is especially important for people in their early adult years, as this is often a time of transition to employment and living independently. Community mobility can be particularly challenging for adults with Autism Spectrum Disorders (ASD) (henceforth referred to as autistic adults based on the preferred identity-first language of our autistic partners). Some autistic adults are unable to meet the demands of driving. Public transportation is an option for autistic adults; and autistic adults are more likely to use public transportation than their non-autistic counterparts. However, using public transportation may be just as challenging as driving for the autistic population. Rideshare (also called ride-hailing) is a relatively new form of transportation in which passengers get from point A to point B in private vehicles driven by their owners. A digital app, usually accessed on a smartphone, matches passengers and drivers, coordinates routes using a GPS system, and facilitates payment through a linked financial account. Rideshare has the potential to address many of the issues autistic adults have accessing the community. It is faster and more direct than the public train or bus, there is limited social interaction required, and rides can be scheduled at any time. Despite it's potential to increase transportation in autistic adults, there are no evidence-based training programs to support Rideshare use in this population.

Detailed description: Rideshare services are widely adopted across the globe and provide a safer, more flexible, and less taxing transportation option for many individuals. Rideshare can help people to get to more places they want to go and allows for spontaneity since a ride can be arranged in the moment, at any time of day. Rideshare picks passengers up and drops them off at their specific destination, eliminating the need to walk to bus stops, wait at stations, or transfer to more than one bus or train. Not only does this save time, it may increase safety especially at night or during inclement weather. Rideshare may also be more reliable for getting to work on time. Finally, while communicating with the driver may be a challenge, there is only one person with which to interact versus potentially many people waiting at stations or on the bus or train.

While the use of Rideshare has the potential to improve community access and expand occupational engagement for autistic adults, few training resources exist to introduce clients to this mode of transportation, assess readiness, or build confidence. Our Rideshare training program has proven feasible to conduct with autistic adults living in an urban-based semi-structured independent housing residence. This study will test the effectiveness and implementation of the SRP program in a wider range of autistic adults living in the central Virginia region

Eligibility criteria: Inclusion Criteria:

* study participants have to be 18+ years of age
* living within 100 miles of Richmond, Virginia
* Participants have to have diagnosis of ASD given by a licensed medical professional.
* Participants need to have a stable internet connection
* ability to communicate independently (verbally or via alternative communication device) in English
* have the motoric skills needed to independently use a smartphone (fine motor) and get in and out of a car (gross motor).
* Participants must own a smartphone and be familiar with texting and/or email.

Exclusion Criteria:

* participants who have a severe or profound intellectual disability (IQ below 35) given that the training was designed for those with moderate IQ and above with the potential to travel alone to familiar places
* exclude any individual who already uses Rideshare independently.
* exclude pregnant women.

Primary outcomes:
measure: Evaluate the intervention by conducting an effectiveness-implementation waitlist-controlled trial using our Safe Rideshare Program (SRP) , evaluate autistic adults participating in the SRP intervention find the intervention acceptable?
timeFrame: Baseline and after phase 1 (5 weeks)
measure: Evaluate if the trainers conducting the SRP intervention find the intervention to be appropriate
timeFrame: Baseline and after phase 1 (5 weeks)
measure: Autistic adults who have participated in the SRP program display greater independence in using Rideshare compared to autistic adults who did not participate in the SRP program (wait-list group)
timeFrame: Baseline and after phase 1 (5 weeks)
measure: Autistic adults who have participated in the SRP program display greater safety in using Rideshare compared to autistic adults who did not participate in the SRP program (wait-list group)?
timeFrame: Baseline and after phase 1 (5 weeks)
Secondary outcomes:
measure: In the wait-list group, is there a change in community engagement, social participation, and employment from the waitlist phase (no intervention) to the 2-month follow-up period (after the intervention)
timeFrame: Baseline and after phase 1 (5 weeks) and 3 months post intervention
measure: How do SRP participants use of Rideshare for community, social, and/or employment activities after the intervention
timeFrame: Baseline and after phase 1 (5 weeks) and 3 months post intervention
Other outcomes:
Locations:
city: Richmond
country: United States
facility: Virginia Commonwealth University
state: Virginia
Study officials:
affiliation: Virginia Commonwealth University
name: Stacey Reynolds
role: PRINCIPAL_INVESTIGATOR
References: