RecruitingPhase 1NCT06850870

Door-Through-Door Companion Rideshare Technology for Individuals With Alzheimer's Disease and Related Dementias (AD/ADRD)

Onward Door-Through-Door Companion Rideshare Technology to Improve Care for Older Adults and Individuals With Alzheimer's Disease and Related Dementias (AD/ADRD)

Sponsor

Onward Health, Inc

Enrollment

120 participants

Start Date

Aug 29, 2025

Study Type

INTERVENTIONAL

Conditions

Dementia Cognitive Decline Alzheimer Disease or Associated Disorder

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?

Eligibility

Min Age: 60 Years

Plain Language Summary

Simplified for easier understanding

This study is testing whether a door-through-door rideshare service (called Onward) — which provides assisted transportation to medical appointments — can safely and effectively support older adults with memory problems or Alzheimer's disease in getting to their healthcare visits. **You may be eligible if...** - You or your surrogate are able to agree to using the Onward transportation service - You have a scheduled medical appointment at a partner practice of Onward - You are 60 years of age or older - You live in the community (not in a nursing home or care facility) - You self-report cognitive problems such as memory issues, or have been diagnosed with mild cognitive impairment, subjective cognitive decline, or Alzheimer's disease/related dementia **You may NOT be eligible if...** - You are under 60 years of age - You live in a residential care facility - You do not have an upcoming appointment at a partner practice - You or your surrogate cannot agree to the transportation service Talk to your doctor to see if this trial is right for you.

This summary was AI-generated to explain the trial in plain language. It is not medical advice. Always discuss eligibility with your doctor before enrolling in a clinical trial.

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Interventions

OTHERDoor-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.

OTHERCurb-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.