Clinical trial NCT06850870: Door-Through-Door Companion Rideshare Technology for Individuals with Alzheimer's Disease and Related Dementias (AD/ADRD)
Official title: Onward Door-Through-Door Companion Rideshare Technology to Improve Care for Older Adults and Individuals with Alzheimer's Disease and Related Dementias (AD/ADRD)
Study type: INTERVENTIONAL
Overall status: RECRUITING
Phase: PHASE1
Conditions: Alzheimer Disease or Associated Disorder
Dementia
Cognitive Decline
Keywords: Transportation
Lead sponsor: Onward Health, Inc
Sponsor class: INDUSTRY
Collaborators: name: National Institute on Aging (NIA)
First posted: 2025-02-27
Enrollment: 120
Sex: ALL
Minimum age (years): 60
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: SUPPORTIVE_CARE

Brief summary: 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?

Detailed 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.

Eligibility criteria: 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

Exclusion Criteria:

* current enrollment in another transportation study;
* already using any type of 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

Primary outcomes:
measure: Appointment Adherence
timeFrame: 9 Months
Secondary outcomes:
measure: Quality of Life (QOL)
timeFrame: 9 months
measure: Ride Acceptance Rates
timeFrame: 9 Months
measure: Ride Completion Rates
timeFrame: 9 Months
measure: Ride Satisfaction
timeFrame: 9 Months
measure: Transportation as a SDoH
timeFrame: 9 Months
measure: Caregiver Burnout
timeFrame: 9 Months
measure: Rider Loneliness and Social Isolation
timeFrame: 9 Months
Other outcomes:
Locations:
city: San Leandro
country: United States
facility: Onward Health HQ
state: California
Study officials:
affiliation: Onward Health, Inc
name: Kimberly Wachter Petty, MBA
role: PRINCIPAL_INVESTIGATOR
References: