Community Health Advocates for Motivating PAP Use in Our Neighborhoods.
University of Miami
48 participants
Sep 29, 2023
INTERVENTIONAL
Conditions
Summary
The purpose of this research is to compare the impact of motivational enhancement therapy (MET), delivered by culturally congruent community health care workers (CHWs) versus usual care patients with previously untreated moderate-to-severe obstructive sleep apnea (OSA) on adherence to positive airway pressure (PAP) therapy.
Eligibility
Inclusion Criteria4
- ≥ 18 years of age
- Moderate-to-severe OSA
- Available to attend study visits and sessions
- Reliable access to a phone
Exclusion Criteria12
- Prior or current use of PAP therapy or other treatment (e.g., oral appliance) for OSA
- History of upper airway surgery for OSA
- Moderate to severe insomnia
- Commercial drivers
- Use of non-standard PAP including adaptive servo-ventilation or bi-level positive airway pressure
- Report of motor vehicle accident or near-miss due to sleepiness within the 2 previous years
- Unstable medical conditions that may preclude enrollment in the protocol such as: uncontrolled angina and/or congestive heart failure, uncontrolled blood pressure or resistant hypertension, severe chronic obstructive pulmonary disease, cancer, and active psychiatric disease (e.g., major depression)
- Other sleep disorders (e.g., circadian rhythm disorder)
- Use of supplemental oxygen during wakefulness or sleep
- Central sleep apnea, obesity hypoventilation syndrome or Cheyne-Stokes respiration based on the home sleep apnea test
- Resting awake oxygen saturation (SpO2) < 90%
- Participation in another clinical trial
Interested in this trial?
Get notified about updates and connect with the research team.
Interventions
Motivational Enhancement Therapy (MET) is based on the principles of motivational interviewing and is designed to promote self-efficacy and maximize behavioral change. MET will be given via phone and/or in person (approximately 30 minutes) at baseline, week 1, week 2, week 4, and week 8.
Positive Airway Pressure (PAP) therapy will be administered as per standard of care.
Locations(1)
View Full Details on ClinicalTrials.gov
For the most up-to-date information, visit the official listing.
NCT06047353