Sleep Apnea Syndromes
Conditions
Keywords
Chronic Obstructive Sleep Apnea, Sleep Apnea, Sleep Apnea Treatment
Brief summary
The purpose of this study is to examine the effect of different methods of providing education about sleep apnea and continuous positive airway pressure therapy (CPAP) use and how that education might help to improve health outcomes and the amount of time CPAP is used.
Detailed description
Poor treatment adherence with CPAP therapy is well-documented. Set against a backdrop of telemedicine applications that have grown as fast in unsubstantiated claims and assumptions of patient satisfaction, diagnostic accuracy, clinical efficacy, and cost-effectiveness as they have in technological sophistication and capabilities, the evaluative aspect of this proposal is designed as as a randomized, controlled clinical trial-Usual Care patients (control) versus i-PAP patients (intervention). An important empirical-methodological advantage of the project is the objective measurement of CPAP adherence, which is measured by internal microprocessor as the amount of time CPAP is used at the prescribed pressure. This objective measurement allows feedback of treatment adherence and efficacy to both patient and provider, and the i-PAP intervention was designed around this central feature.
Interventions
BEHAVIORALi-PAP
Internet Intervention based on wireless telemonitoring of CPAP data and patient-centered, collaborative care
BEHAVIORALUsual Care (Standard Care)
Pre-determined clinic visits and telephone support
Sponsors
Veterans Medical Research Foundation
Study design
Allocation
NON_RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Subject)
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* age \> 18 years * confirmed diagnosis of OSA * being newly prescribed CPAP therapy * having chronic symptoms as noted on screening symptom checklist * fluency in English
Exclusion criteria
* cognitive impairment sufficient to cause inability to complete the protocol (MMSE \< 24/30) * residence in a geographical area outside of San Diego County * fatal comorbidity (life expectancy less than 6 months as indicated by treating physician) * significant documented substance/chemical abuse or other participant circumstances that, in the opinion of a consensus of study team, would interfere with the safety of a prospective participant or their need for treatment
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| CPAP Adherence | 4 months |
Secondary
| Measure | Time frame |
|---|---|
| Quality of patient-centered collaborative care | 4 months |
Countries
United States
Outcome results
None listed