The Impact of Rideshare Transportation Services on Appointment Adherence

ID: NCT02955433
Status: Completed
Phase: N/A
Start Date: October 01, 2016
First Submitted: October 31, 2016
Last Updated: February 02, 2018
Results: N/A
Sponsors & Collaborators: University of Pennsylvania, Lyft, Inc.
Location: United States
Conditions: Appointments and Schedules, Social Determinants of Health, Transportation, Primary Health Care
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Study Description

Brief Summary

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.

Secondary 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.

Detailed Description

Condition or disease Intervention/treatment Phase

Appointments and Schedules

Primary Health Care

Social Determinants of Health

Transportation

Other: Rideshare-based transportation
Other Names
Digital transportation network Lyft
N/A

Tracking Information

First Submitted DateOctober 31, 2016
Last Update Posted DateFebruary 02, 2018
Actual Start DateOctober 01, 2016
Actual Completion DateNovember 01, 2017
Actual Primary Completion DateApril 01, 2017
Results First Submitted DateN/A
Received Results Disposit DateN/A

Current Primary Outcome Measures

  • The proportion of missed appointments (no-shows and same-day cancellation) in the intervention arm and the control arm [Time Frame: Within 2 days of enrollment]

    The missed appointment proportion is based on the one appointment for which patients were contacted to receive a free ride

Original Primary Outcome Measures

Not Available

Current Secondary Outcome Measures

  • Arrival time to clinic relative to the scheduled time (both arms) [Time Frame: Within 2 days of enrollment]

  • Post-intervention, utilization frequency of acute care settings (both arms) [Time Frame: 7-days, 30-days, and 6 months post-appointment]

  • Post-intervention, utilization frequency of primary care (both arms) [Time Frame: 7-days, 30-days, and 6 months post-appointment]

  • Post-intervention, frequency of missed primary care appointments (both arms) [Time Frame: 30-days and 6-months post-appointment]

Original Secondary Outcome Measures

Not Available

Study Design

Brief TitleThe Impact of Rideshare Transportation Services on Appointment Adherence
Official Title
Brief Summary

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.

Secondary 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.

Detailed Description

Study TypeInterventional
Study PhaseN/A
Estimated Enrollment
786
Allocation
Non-Randomized
Interventional Model
Parallel Assignment
Masking
None (Open Label)
Primary Purpose
Health Services Research
Conditions
Appointments and Schedules
Primary Health Care
Social Determinants of Health
Transportation
Target Follow-Up Duration N/A
Biospecimen:
N/A
Sampling MethodN/A
Study PopulationN/A
Intervention
Other: Rideshare-based transportation

Other Names
Digital transportation network
Lyft
Study Groups/Cohorts
Rideshare
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.

Control
The control arm will receive an appointment reminder, but no free transportation offer.

Study Arms
Experimental Rideshare
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.
Other : Rideshare-based transportation

Arm Intervention/Treatment
Experimental Rideshare
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.
Other : Rideshare-based transportation

Recruitment Information

Recruitment Status:Completed
Enrollment786
Completion DateNovember 01, 2017
Eligibility Criteria: Inclusion Criteria:
- Patients insured by Medicaid
- Established primary care patient at the Penn Medicine Clinics
- Address in West Philadelphia zip code

Exclusion Criteria:
- Requiring wheelchair accessible transportation. We are unable to guarantee vehicles that will be able to accommodate these patients' physical needs.
GenderAll
Age18 Years to N/A
Accepts Healthy VolunteersAccepts Healthy Volunteers
Contacts
Not Available
Listed Location Countries
United States

Administrative Information

NCT Number:NCT02955433
Other Study ID Numbers
IRB-824715
Has Data Monitoring CommitteeNo
U.S. FDA-regulated Product Studies a U.S. FDA-regulated Drug Product: No
Studies a U.S. FDA-regulated Device Product: No
Device Product Not Approved or Cleared by U.S. FDA: No
IPD Sharing Statement
Not Available
Responsible PartyDavid Grande, University of Pennsylvania
Study Sponsor
University of Pennsylvania
Collaborators
Lyft, Inc.
Investigators
Not Available