Obstructive Sleep Apnea
Conditions
Brief summary
The study is to maximize efficacy of message delivery to achieve desired Obstructive sleep apnea (OSA) adherence goal. Newly diagnosed black patients (n=390, all genders) from participating sleep clinics will be randomly exposed to either the individually tailored or standard OSA messages. Investigators will look at an effective and scalable intervention to improve OSA-related outcomes: a) clinical CVD and brain health measures and b) patient-centered outcomes. Patient-centered and adherence data will be captured via REDCap, enabling real-time application of data-driven decision rules while implementing the intervention.
Interventions
BEHAVIORALTailored Videos
web-based OSA messages (videos featuring role models and coaching advice using motivational enhancement) addressing OSA barriers within a health literacy framework--to decrease cognitive load and render messages understandable and actionable. OSA messages were tailored based on focus group data in the previous study (group tailoring).
BEHAVIORALOSA Treatment
Web-based platform delivering messages promoting OSA self-efficacy. . All patients will view the introductory video, followed by the video cluster: Sleep, Health, and Well-Being; Sleep-Heart Health; Lifestyle Changes; and Sleep Hygiene.
BEHAVIORALStandard Videos
Patients in the control arm will also receive an iPad, providing access to standard online OSA health information (e.g., National Sleep Foundation) in an equivalent dose as in the intervention arm using pre-selected automatic alerts to access the website
Sponsors
National Institute on Minority Health and Health Disparities (NIMHD)
NYU Langone Health
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
SINGLE (Subject)
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Self-reported race/ethnicity as African American, African, Caribbean or black * Accessible by phone * No plans to move away within the year * OSA diagnosis, consent, including permission to release medical data * Physician-diagnosed medical conditions.
Exclusion criteria
* Progressive illnesses in which disability or death is expected within 1 year * Impaired cognitive/ functional ability precluding participation * Intention to move within the same year of enrollment * Family member currently enrolled
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change from Baseline OSA Self-Efficacy Scale Score to 6 Months Score | 2 Months and 6 Months | The mean of the nonmissing item responses was calculated for each of the 3 subscales: Perceived Risk, Outcome Expectancies, and Treatment Self-Efficacy. Using this mean-weighted score prevents the distortion of the score from missing responses. Factor 1 (Risk Perception consisting of 8 questions); Factor 2 (Outcome Expectancy consisting of 9 items) and Factor 3 (Treatment Self Efficacy consisting of 9 items) are given a potential score of 1-4. |
Countries
United States
Outcome results
None listed