Ignite Creation Date:
2025-12-25 @ 2:45 AM
Ignite Modification Date:
2026-03-01 @ 1:26 PM
Study NCT ID:
NCT02955433
Status:
COMPLETED
Last Update Posted:
2019-07-08
First Post:
2016-10-31
Is NOT Gene Therapy:
True
Has Adverse Events:
False
Brief Title:
The Impact of Rideshare Transportation Services on Appointment Adherence
Sponsor:
Organization:
Raw JSON
{'hasResults': False, 'derivedSection': {'miscInfoModule': {'versionHolder': '2025-12-24'}}, 'protocolSection': {'designModule': {'phases': ['NA'], 'studyType': 'INTERVENTIONAL', 'designInfo': {'allocation': 'NON_RANDOMIZED', 'maskingInfo': {'masking': 'NONE'}, 'primaryPurpose': 'HEALTH_SERVICES_RESEARCH', 'interventionModel': 'PARALLEL'}, 'enrollmentInfo': {'type': 'ACTUAL', 'count': 786}}, 'statusModule': {'overallStatus': 'COMPLETED', 'startDateStruct': {'date': '2016-10', 'type': 'ACTUAL'}, 'expandedAccessInfo': {'hasExpandedAccess': False}, 'statusVerifiedDate': '2019-07', 'completionDateStruct': {'date': '2017-11', 'type': 'ACTUAL'}, 'lastUpdateSubmitDate': '2019-07-03', 'studyFirstSubmitDate': '2016-10-31', 'studyFirstSubmitQcDate': '2016-11-02', 'lastUpdatePostDateStruct': {'date': '2019-07-08', 'type': 'ACTUAL'}, 'studyFirstPostDateStruct': {'date': '2016-11-04', 'type': 'ESTIMATED'}, 'primaryCompletionDateStruct': {'date': '2017-04', 'type': 'ACTUAL'}}, 'outcomesModule': {'primaryOutcomes': [{'measure': 'The proportion of missed appointments (no-shows and same-day cancellation) in the intervention arm and the control arm', 'timeFrame': 'Within 2 days of enrollment', 'description': 'The missed appointment proportion is based on the one appointment for which patients were contacted to receive a free ride'}], 'secondaryOutcomes': [{'measure': 'Arrival time to clinic relative to the scheduled time (both arms)', 'timeFrame': 'Within 2 days of enrollment'}, {'measure': 'Post-intervention, utilization frequency of acute care settings (both arms)', 'timeFrame': '7-days, 30-days, and 6 months post-appointment'}, {'measure': 'Post-intervention, utilization frequency of primary care (both arms)', 'timeFrame': '7-days, 30-days, and 6 months post-appointment'}, {'measure': 'Post-intervention, frequency of missed primary care appointments (both arms)', 'timeFrame': '30-days and 6-months post-appointment'}]}, 'oversightModule': {'oversightHasDmc': False}, 'conditionsModule': {'keywords': ['Rideshare', 'Digital transportation network', 'Missed appointment'], 'conditions': ['Appointments and Schedules', 'Social Determinants of Health', 'Transportation', 'Primary Health Care']}, 'referencesModule': {'references': [{'pmid': '29404572', 'type': 'RESULT', 'citation': 'Chaiyachati KH, Hubbard RA, Yeager A, Mugo B, Lopez S, Asch E, Shi C, Shea JA, Rosin R, Grande D. Association of Rideshare-Based Transportation Services and Missed Primary Care Appointments: A Clinical Trial. JAMA Intern Med. 2018 Mar 1;178(3):383-389. doi: 10.1001/jamainternmed.2017.8336.'}, {'pmid': '29380214', 'type': 'RESULT', 'citation': 'Chaiyachati KH, Hubbard RA, Yeager A, Mugo B, Shea JA, Rosin R, Grande D. Rideshare-Based Medical Transportation for Medicaid Patients and Primary Care Show Rates: A Difference-in-Difference Analysis of a Pilot Program. J Gen Intern Med. 2018 Jun;33(6):863-868. doi: 10.1007/s11606-018-4306-0. Epub 2018 Jan 29.'}]}, 'descriptionModule': {'briefSummary': 'This study is a prospective clinical trial designed to primarily test the impact of rideshare-based transportation services from a digital transportation network, Lyft, on reducing primary care clinic missed appointments--a composite outcome of no-shows and same day cancellations--for Medicaid patients. The study population consists of West Philadelphia residents who are established patients at two of the Penn Medicine Primary Care Practices within the University of Pennsylvania Health System. The study subjects are allocated into the intervention or control arm using a pseudorandomization approach - those receiving an appointment reminder on an even calendar day are in the intervention arm and odd calendar day calls are in the control arm.\n\nSecondary outcomes include the time of arrival to the clinics relative to actual appointment time (both arms), prospective utilization of acute care settings (both arms), prospective utilization of primary care (both arms), and description of programmatic metrics in the intervention arm (travel time, misuse, and costs). The investigators will assess the patient experience after each ride using a telephone-based survey and in-depth interviews. All adults with established primary care at the Penn Medicine Clinics, who have Medicaid, and do not require wheelchair accessible rides will be eligible for the rideshare service. The investigators hypothesize that individuals offered a rideshare-based transportation service will have a decreased proportion of missed appointments and same day cancellations as those not offered the service.'}, 'eligibilityModule': {'sex': 'ALL', 'stdAges': ['ADULT', 'OLDER_ADULT'], 'minimumAge': '18 Years', 'healthyVolunteers': True, 'eligibilityCriteria': "Inclusion Criteria:\n\n* Patients insured by Medicaid\n* Established primary care patient at the Penn Medicine Clinics\n* Address in West Philadelphia zip code\n\nExclusion Criteria:\n\n* Requiring wheelchair accessible transportation. We are unable to guarantee vehicles that will be able to accommodate these patients' physical needs."}, 'identificationModule': {'nctId': 'NCT02955433', 'briefTitle': 'The Impact of Rideshare Transportation Services on Appointment Adherence', 'organization': {'class': 'OTHER', 'fullName': 'University of Pennsylvania'}, 'orgStudyIdInfo': {'id': 'IRB-824715'}}, 'armsInterventionsModule': {'armGroups': [{'type': 'EXPERIMENTAL', 'label': 'Rideshare', 'description': "The intervention arm will receive an appointment reminder and free transportation for one appointment to travel between the patient's home and primary care clinic using a rideshare-based transportation service.", 'interventionNames': ['Other: Rideshare-based transportation']}, {'type': 'NO_INTERVENTION', 'label': 'Control', 'description': 'The control arm will receive an appointment reminder, but no free transportation offer.'}], 'interventions': [{'name': 'Rideshare-based transportation', 'type': 'OTHER', 'otherNames': ['Digital transportation network', 'Lyft'], 'armGroupLabels': ['Rideshare']}]}, 'contactsLocationsModule': {'locations': [{'zip': '19146', 'city': 'Philadelphia', 'state': 'Pennsylvania', 'country': 'United States', 'facility': 'Penn Internal Medicine Primary Care Practice', 'geoPoint': {'lat': 39.95238, 'lon': -75.16362}}]}, 'ipdSharingStatementModule': {'ipdSharing': 'NO'}, 'sponsorCollaboratorsModule': {'leadSponsor': {'name': 'University of Pennsylvania', 'class': 'OTHER'}, 'collaborators': [{'name': 'Lyft, Inc.', 'class': 'UNKNOWN'}], 'responsibleParty': {'type': 'PRINCIPAL_INVESTIGATOR', 'investigatorTitle': 'Assistant Professor of Medicine at the Perelman School of Medicine', 'investigatorFullName': 'David Grande', 'investigatorAffiliation': 'University of Pennsylvania'}}}}