Group-based Peer Support Versus Individual Education for Patients Undergoing CPAP Treatment

Mass General Brigham

Status: Completed

Conditions: Sleep Apnea, Obstructive

Treatments: Behavioral: CPAP + Individual Education; Behavioral: CPAP + Peer Support

Study type: Interventional

Funder types: Other

Identifiers

NCT02538419

2014P002326

Details and patient eligibility

About

The investigators will compare two alternatives designed to maximize adherence to continuous positive airway pressure (CPAP) therapy for obstructive sleep apnea (OSA) - peer-support administered in groups, versus individual education.

Full description

The study is a 6-week, open-label, parallel-arm, randomized controlled trial comparing peer support and individual education (the latter of which was designed to mimic usual care). Participants in the peer-support (intervention) arm will be encouraged to attend two peer-support sessions, with one session occurring immediately prior to beginning CPAP and the other occurring two weeks later. Participants in the individual education (comparator) arm will begin CPAP without attendance at any peer-support sessions.

Enrollment: 40 patients

Sex: All

Ages: 21+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Diagnosed with obstructive sleep apnea (no cut-off for severity)
• Prescribed continuous positive airway pressure

Exclusion criteria

• Not fluent in English
• Prior CPAP use at home
• Current use of any non-CPAP treatment for obstructive sleep apnea
• A co-morbid sleep disorder
• Use of supplemental oxygen
• A clinical need for urgent CPAP therapy

Trial design

Primary purpose: Supportive Care

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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40 participants in 2 patient groups

CPAP + Peer Support

Active Comparator group

Description:

Participants randomized to this arm will receive support from a 'CPAP Peer Leader', delivered as part of a group of other participants as well as targeted one-on-one support throughout the study. All participants will receive CPAP in addition to this intervention.

Treatment:

Behavioral: CPAP + Peer Support

CPAP + Individual Education

Active Comparator group

Description:

Participants randomized to this arm will receive individual support and education from a trained investigator. All participants will receive CPAP in addition to this intervention.

Treatment:

Behavioral: CPAP + Individual Education