Evaluating Behavioral Treatments to Improve Adherence to CPAP in People With Obstructive Sleep Apnea (BREATHE)

Brown University

Status: Completed

Conditions: Adherence to CPAP in Obstructive Sleep Apnea

Treatments: Behavioral: Educational Counseling; Behavioral: Motivational Enhancement Therapy

Study type: Interventional

Funder types: Other

Identifiers

NCT00939601

R01HL067209 (U.S. NIH Grant/Contract)

Details and patient eligibility

About

Obstructive sleep apnea (OSA) is a serious sleep disorder in which a person repeatedly stops breathing or experiences shallow breathing for short periods of time during sleep. The most common treatment for OSA is the use of a continuous positive airway pressure (CPAP) machine, but many people have trouble adhering to the treatment schedule. This study will evaluate the effectiveness of two behavioral therapy programs used in combination with CPAP for improving treatment adherence in people with OSA.

Sex: All

Ages: 25 to 85 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• OSA confirmed by polysomnography (PSG)
• CPAP is the prescribed form of treatment for OSA
• Judged by sleep physician to respond to CPAP

Exclusion criteria

• Apnea/hypoxia index (AHI) less than 15
• Diagnosis of another sleep disorder that causes arousals from sleep
• Past treatment for OSA
• Current substance abuse problem
• Diagnosis of a serious medical condition that would interfere with involvement in the study
• History of a major psychiatric disorder, other than depression
• Change in antidepressant medication in the 3 months before study entry

Trial design

Primary purpose: Supportive Care

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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0 participants in 3 patient groups

Motivational Enhancement Therapy

Active Comparator group

Description:

MET will involve counseling sessions and phone calls, with a focus on building self-efficacy and providing personalized feedback on health and adherence patterns based on CPAP adherence monitoring.

Treatment:

Behavioral: Motivational Enhancement Therapy

Educational Counseling

Active Comparator group

Description:

ED will involve sessions and phone calls that include educational information, problem-solving, and adherence feedback from study staff.

Treatment:

Behavioral: Educational Counseling

Standard Care

No Intervention group