RecruitingNot ApplicableNCT05618444

Enhancing PAP Adherence Among Spanish-speaking Hispanic Adults With OSA

Enhancing Positive Positive Airway Pressure (PAP) Adherence Among Spanish-Speaking Hispanic Adults With Obstructive Sleep Apnea (OSA)

Sponsor

Geisinger Clinic

Enrollment

50 participants

Start Date

Oct 15, 2023

Study Type

INTERVENTIONAL

Conditions

Obstructive Sleep Apnea

Summary

This study seeks to enhance long-term positive airway pressure (PAP) adherence among Spanish-speaking Hispanics, a group with known PAP outcomes disparities. This study will assess the feasibility of a linguistically and culturally adapted tele-management intervention (Automated Management, AM) for Spanish-speaking Hispanic adults with OSA.

Eligibility

Min Age: 18 Years

Inclusion Criteria8

Spanish-speaking and reading
Self-identified Hispanic
Adults ≥ 18 years-old
Males and females
Moderate-severe OSA defined as AHI ≥15 events/hour using a hypopnea criterion of a 4% oxygen desaturation (AHI4%)
Expected availability for the duration of the study (6 months from date of randomization)
Ownership of smartphone with unlimited text messaging capability
Referred to PAP treatment and able and willing to be treated with PAP

Exclusion Criteria4

Other sleep apnea or nocturnal respiratory insufficiency or failure diagnosis other than OSA established by polysomnogram (PSG) or home sleep apnea test (HSAT)
Requirement of supplemental oxygen or other non-invasive ventilation modality
Women referred to PAP because of new-onset OSA with pregnancy as PAP treatment may be time-limited (enrolled women who become pregnant during the trial and are already on PAP treatment will not be excluded)
Anticipated or scheduled bariatric surgery and/or referred to sleep evaluation by bariatric surgery

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Interventions

BEHAVIORALAutomated Management (AM)

A tele-management intervention that will deliver two-way messages to participants via a bot - a computer program that simulates human activity. Programmed AM messages will address evidence based intervention components for positive airway pressure (PAP) adherence, including PAP use awareness (tele-monitoring), support and troubleshooting, education, and brief motivational messaging.