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Intellectual Disability, Mild to ModerateYA-IDDNCT07505121

Comparing the Impact of Peer Support vs. Staff-Delivered Transportation Interventions for Young Adults With Intellectual and Developmental Disabilities.

A study testing Ready to Ride - Standard Delivery and Ready to Ride - Peer Support Delivery in people with Intellectual Disability, Mild to Moderate and Developmental Disability, run by Temple University at 3 sites in United States.

Enrolling by invitation

Enrolling by invitation. The study team selects and invites participants, usually from an existing group of patients.

Sites and contacts
Official record
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Trial summary

This clinical trial will look at whether young adults with intellectual and developmental disabilities (YA-IDD) have better outcomes when a travel training intervention called Ready to Ride (R2R) is taught by a specially trained Peer Supporter (PS) who shares the lived experience of having an IDD than YA-IDD who are… Read more about this study

Who is it for?
Ages 18 to 27 years
What is being tested?
Ready to Ride - Standard Delivery and Ready to Ride - Peer Support Delivery
Could I receive a placebo?
No, everyone receives an active treatment
How many people
325 participants
Where
3 sitesUnited States
Study dates
21 May 2026to Jun 2030
Phase
Interventional
Are there results?
Not yet: the study is under way

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 27 years
  • All sexes
  • No healthy volunteers
  • Adult

Who may be able to join

  • Between the ages of 18 to 27 years old during the start of the study
  • Receives services at one of the eight community service organizations participating in the study.
  • Meets the federal diagnosis of a developmental disability (DD)
  • Qualifies for services related to their DD.
  • Scores >28 on the Transportation Prescreening Assessment (indicating readiness for travel).

Who cannot join

  • Independently uses public transportation >4 times/month.
  • Is not able to independently mobilize through walking or use of a mobility device.
  • Has significant non-corrected visual impairments.

Trial locations and contacts

3 sites in 1 country. Contact the study team or a site near you to ask about taking part.

United States3 sites
  • University of New Hampshire

    Durham, New Hampshire, 03824

  • University of Florida

    Gainesville, Florida, 32611

  • University of Minnesota Institute on Community Integration

    Minneapolis, Minnesota, 55455

Other trials in United States

About this study

Official title: Comparing Peer Support and Staff-Delivered Transportation Interventions for Young Adults With Intellectual and Developmental Disabilities (YA-IDD) on Loneliness, Social Participation, and Transportation Skills

This clinical trial will look at whether young adults with intellectual and developmental disabilities (YA-IDD) have better outcomes when a travel training intervention called Ready to Ride (R2R) is taught by a specially trained Peer Supporter (PS) who shares the lived experience of having an IDD than YA-IDD who are taught Ready to Ride by staff at their community services organization. The aspects of life being looked at are loneliness, satisfaction with social activities, travel skills, service use and access, employment, and health related quality of life.

The researchers think the following things will happen.

  1. YA-IDD who learn from a Peer Supporter will report significantly higher satisfaction with social activities, increased social connectedness and significantly less loneliness compared to YA who are taught organization staff.
  2. Both groups will learn the same amount of travel skills.
  3. YA-IDD who learn from a Peer Supporter will show larger increases in access to community-based services, transportation use, employment and health related services after 4 months than the YA taught by organizational staff.
Read the detailed description

This clinical trial has 2 aims.

Aim 1. Compare the effectiveness of peer support (R2R-PS) or staff delivered (R2R-S) Ready to Ride (R2R) travel intervention on loneliness, satisfaction with social activities, and travel skills (primary outcomes), and service use/access, transportation use, employment, social connectedness, and health related quality of life (secondary outcomes) for YA with IDD.

Hypothesis 1.1: YA receiving R2R-PS will report significantly higher satisfaction with social activities, increased social connectedness, and significantly less loneliness compared to YA receiving R2R-S.

Hypothesis 1.2: The travel skills demonstrated by YA receiving R2R-PS will be no worse than travel skills demonstrated by YA receiving R2R-S. We use a non-inferiority approach in response to community service organizations' request for evidence that peer support delivery does not lead to poor outcomes.

Hypothesis 1.3: YA receiving R2R-PS will demonstrate significantly greater improvements in service use/access, transportation use, employment, and health related quality of life 4 months post intervention compared to YA receiving R2R-S.

Aim 2: Evaluate heterogeneity of treatment response by assessing differences in R2R outcomes across characteristics of groups (race and ethnicity, anxiety, adaptive behavior) and context (transportation availability).

Hypothesis 2.1. There will be no difference in treatment effect for YA who identify as white, non-Hispanic and those identifying as Black, Hispanic, Asian, or other race/ethnicity.

Hypothesis 2.2. There will be greater gains for YA with lower levels of adaptive behavior completing R2R, based on past research that identified that participants with intellectual disabilities (ID) with lower levels of adaptive behaviors demonstrated greater improvements in transportation skills than those with a developmental disability but without an ID after receiving the R2R intervention.37 Hypothesis 2.3. There will be no difference in primary outcomes for YA living in areas with less transportation availability, given R2R's individualized travel training approach.

Hypothesis 2.4. There will be greater gains for YA in transportation outcomes who report lower levels of anxiety, given that anxiety in linked with reduced transportation use.

Being tested
Ready to Ride - Standard Delivery, Ready to Ride - Peer Support Delivery
Keywords
Travel Training Intervention, Young Adults, Intellectual Disability, Developmental Disability, Transportation, Peer Support
Medical subject headings
Intellectual Disability, Developmental Disabilities

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Ready to Ride - Standard DeliveryBehavioural

    The standard delivery will be implemented by non-peer staff serving as interventionists. These staff will deliver the Ready to Ride (R2R) training, an established evidence-based travel training program.

    The intervention includes a total of 16 sessions. Six sessions consist of structured lessons focused on travel safety, awareness, preparedness, and skill development. The remaining sessions involve community-based learning, where participants practice travel skills in real-world settings with varying levels of support provided by the interventionist.

  • Ready to Ride - Peer Support DeliveryBehavioural

    The peer support delivery will be implemented by trained peer interventionists. Peer interventionists are individuals with lived experience of disability who are trained to provide structured support while sharing their experiences. They will deliver the Ready to Ride (R2R) training, an established evidence-based travel training program.

    The intervention includes a total of 16 sessions. Six sessions consist of structured lessons focused on travel safety, awareness, preparedness, and skill development. The remaining sessions involve community-based learning, where participants practice travel skills in real-world settings with varying levels of support. Peer interventionists will provide support through modeling, shared experience, encouragement, and guided practice.

Study groups in NCT07505121
Study groupRoleWhat they receive
Peer Support Delivery (R2R-PS)ExperimentalNot described
Receives: Behavioral: Ready to Ride - Peer Support Delivery
Standard Delivery (R2R-S)Active comparatorNot described
Receives: Behavioral: Ready to Ride - Standard Delivery

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Progressive Evaluation of Travel Skills (PETS)

    The Progressive Evaluation of Travel Skills (PETS) ) is a direct observation measure of independent travel, as rated by the level of support needed for participants to complete transportation-related skills. This tool has established content and construct validity with people with IDD. The PETS will be administered by research staff masked to group assignment who will evaluate each participant on a standardized route. The standardized routes have comparable difficulties across local public transportation systems.

    Measured: Data will be collected at 3 time points: 1) pre-test (<14 days prior to R2R), 2) post-test 1 (within 4 days of R2R completion) and 3) post-test 2 (4 months after R2R completion).

  2. NIH Toolbox® Item Bank v3.0 - Loneliness (Ages 18+) - Fixed Form (PROM)

    Loneliness-NIH Toolbox® Item Bank v3.0 has 5 questions rated on a 5-point scale. This measure has acceptable psychometric properties in the general population and is used in clinical populations and with people with disabilities, including IDD. The tool includes questions that have detected differences in loneliness between individuals with and without IDD. A total standard T-score will be used to analyze the data.

    Measured: Data will be collected at 3 time points: 1) pre-test (<14 days prior to R2R), 2) post-test 1 (within 4 days of R2R completion) and 3) post-test 2 (4 months after R2R completion).

  3. PROMIS Short Form v1.0 - Satisfaction with Participation in Discretionary Social Activities 7a (PROM)

    Satisfaction with Participation in Discretionary Social Activities-PROMIS Short Form v1.0 has 7 items that assess contentment with leisure interests and relationships with friends. It has been used with adults with a range of disabilities, including IDD. In a study with people with disabilities (including IDD), increased access to transportation predicted higher scores on this measure. A total standard T-score will be used to analyze the data.

    Measured: Data will be collected at 3 time points: 1) pre-test (<14 days prior to R2R), 2) post-test 1 (within 4 days of R2R completion) and 3) post-test 2 (4 months after R2R completion).

Secondary outcomes (6)
  1. Service attendance

    Service attendance will be collected retrospectively at pre-test and then weekly after pre-testing through the post-test 2 time period. At pre-test, participants with assistance from family/staff or trusted adults/guardians when needed, will self-report the number of scheduled and missed primary, specialty, mental health, and dental appointments due to lack of transportation over the previous four months. Following the completion of pre-test data collection, participants (or trusted adults/guardians) will receive weekly emails, texts or phones calls to respond to a monitoring survey. From the weekly reports, we will calculate the total number of missed health and service appointments.

    Measured: Data will be collected at pre-testing retrospectively and then weekly after pre-test (<14 days prior to R2R) through post-test 2 (4 months after R2R completion).

  2. Accessibility Subscale of the Perceived Access of Health Care Services (PROM)

    Accessibility Subscale of the Perceived Access of Health Care Services is a PROM that assesses the perceived distance, time, and ability to get to and from the place of services. The subscale has 4 items with response options on a 5-point Likert scale from "absolutely agree" to "absolutely disagree." It has established content and construct validity and strong internal consistency. Subscale total sum score will be used in analysis.

    Measured: Data will be collected at 2 time points: 1) pre-test (<14 days prior to R2R) and 2) post-test 2 (4 months after R2R completion).

  3. Transportation Use

    Transportation Use data will be collected through weekly monitoring surveys that ask two brief questions about the use of public transportation in the past week. The questions ask about the: 1) Use of public transportation on the goal route in the past week, and if that trip was taken independently or not and 2) Use of other public transportation fixed routes in the past week, and if that trip was taken independently or not. This data will allow us to directly measure increased public transportation skills and use.

    Measured: Data will be collected weekly during R2R intervention through post-test 2 (4 months after R2R completion).

  4. Self-Reported Employment Data (status, hours/week, wages, percentage of missed work shifts)

    Descriptive information on employment status in the last 4 months will be collected from participants with assistance from family/staff if needed. Data on employment status including working/maintaining work or not working/loss of work is collected at pre-test and post-test 2. If the participant is working, data will also be collected on number of hours worked weekly, hourly wage, and number of missed work shifts due to transportation. Percentages will be calculated for the total sessions/missed sessions.

    Measured: Data will be collected at 2 time points: 1) pre-test (<14 days prior to R2R) and 2) post-test 2 (4 months after R2R completion).

  5. Quality of Life Questionnaire (QOL-Q)

    Quality of Life Questionnaire (QOL-Q) is a 40-item measure designed to assess subjective and objective aspects of quality of life among adults with intellectual and developmental disabilities. Items are organized into four domains based upon Schalock's conceptual framework for quality of life:

    1. Satisfaction,
    2. Competence/ Productivity,
    3. Empowerment/Independence, and
    4. Social Belonging/Community Integration. Items are rated on a 3-point Likert-type scale, with higher scores indicating higher perceived quality of life. Higher scores reflect greater perceived quality of life. The QOL-Q has demonstrated acceptable-to-strong psychometric properties in prior research. Reported internal consistency reliability coefficients range from approximately .80 - .90 for the total scale, with subscale reliabilities generally ranging from .65 - .85. Test-retest reliability estimates over short intervals have been reported in the .70 - .85 range, indicating adequate score stability.

    Measured: Data will be collected at 3 time points: 1) pre-test (<14 days prior to R2R), 2) post-test 1 (within 4 days of R2R completion) and 3) post-test 2 (4 months after R2R completion).

  6. Social Connectedness Measure

    Social Connectedness Measure is designed to assess the level to which individuals who use Home and Community Based Services (HCBS), including people with intellectual and developmental disabilities (IDD), form and maintain relationships with others as defined by the National Quality Forum. The measure consists of three global and 13 specific items. Questions address the presence and availability of others, which is not captured in the current measure of loneliness. The response scale ranges from never/rarely to almost always/always. The social connectedness measure is administered as an interview by a trained staff member.

    Measured: Data will be collected at 3 time points: pre-test (<14 days prior to R2R), post-test 1 (within 4 days of R2R completion) and post-test 2 (4 months after R2R completion)

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted1 Apr 2026
  2. Study start21 May 2026
  3. Primary completionJun 2030 (estimated)
  4. Study completionJun 2030 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Model description
We will conduct a Hybrid Type 1, two-arm, clinical randomized trial while gathering information on implementation processes to inform strategies for adoption and sustainability.
Masking
Double blind
Who is masked
Investigator, Outcomes assessor
Enrolment
325 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07505121
Sponsor's protocol ID
IDD-2024C1-37368
Other IDs
IDD-2024C1-37368
Acronym
YA-IDD
Status last verified
Mar 2026
First submitted
10 Mar 2026
Last updated
10 Sep 2026
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Yes: We will submit de-identified IPD data and associated documentation to the Interuniversity Consortium for Political and Social Research (ICPSR) within 24 months after the end date of the project, enabling other researchers in the field to analyze the data and publish from it following a 12-month embargo period. Specifically, we will be self-publishing the data through the openICPSR research data-sharing service (www.openicpsr.org), which assigns a persistent DOI and DDI-compliant metadata. This will enable independent reanalysis, verification, and secondary research.

Questions about this trial

What is this clinical trial studying?

A study testing Ready to Ride - Standard Delivery and Ready to Ride - Peer Support Delivery in people with Intellectual Disability, Mild to Moderate and Developmental Disability, run by Temple University at 3 sites in United States.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 5 inclusion and 3 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: enrolling by invitation, as of the sponsor's last update on 10 Sep 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 3 sites in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Progressive Evaluation of Travel Skills (PETS) (time frame: Data will be collected at 3 time points: 1) pre-test (<14 days prior to R2R), 2) post-test 1 (within 4 days of R2R completion) and 3) post-test 2 (4 months after R2R completion).). The study lists 3 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 10 Sep 2026.

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