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

Inclusion Criteria6

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;
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)

Exclusion Criteria6

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

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.