Chronic Care Management With Wearable Devices in Patients Prescribed Positive Airway Pressure Therapy (mPAP) Trial

VA Greater Los Angeles Healthcare System

Status: Completed

Conditions: Obstructive Sleep Apnea

Treatments: Behavioral: Immediate Intervention; Behavioral: Waitlist control

Study type: Interventional

Funder types: Other; Other U.S. Federal agency

Identifiers

NCT06039865

20233750

Details and patient eligibility

About

The goal of this clinical trial in adults with obstructive sleep apnea prescribed positive airway pressure therapy is to test the effects of a new patient-facing consumer wearable-based program (that involves provision of a consumer wearable that measures oxygen levels during sleep plus customized weekly reports to participants). The main question is to learn whether participants' use of positive airway pressure therapy will differ between the participants who receive the new program immediately versus delayed. Participants assigned to the delayed program will receive usual care while waiting for the program to begin.

Full description

After being informed about the study and potential risks, all patients giving written informed consent will undergo a screening to determine eligibility for study entry. Patients who meet the eligibility requirements will be randomized to immediate versus waitlist control in a 1:1 ratio.

Our project is at the forefront of consumer wearable research, leveraging the recent capabilities of consumer wearables to provide pulse oximetry data during sleep, to uncover new ways to promote PAP usage among patients with obstructive sleep apnea.

Enrollment: 50 patients

Sex: All

Ages: 21+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Prescribed PAP therapy from the sleep center for > 1 week
• Have an active profile in our Center's ResMed AirView or Respironics Care Orchestrator accounts for > 1 week
• Non-adherent with PAP therapy
• Willing to continue using current PAP device for 28 days continuously
• Have an electronic device compatible with the wearable app

Exclusion criteria

• Diagnosis of heart failure, chronic lung disease, dementia, active substance use disorder
• Use home oxygen
• Unstable medical or psychiatric illness
• Planned non-use of PAP therapy (e.g., waiting for replacement of recalled PAP device)
• Planned surgery or hospitalization during study period
• Planned extensive travel during study period
• History of repeated non-attendance at clinic visits

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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50 participants in 2 patient groups

Immediate Intervention

Experimental group

Description:

Participants will be provided with a consumer wearable immediately after randomization to wear for 4 weeks.

Treatment:

Behavioral: Immediate Intervention

Waitlist control

Other group

Description:

Participants will receive usual care from the sleep center for 6 weeks and then be provided with a consumer wearable to wear for 4 weeks.

Treatment:

Behavioral: Waitlist control