Reaching for Equity in Sleep Apnea Treatment (REST) Study (REST pilot)

University of California San Francisco (UCSF)

Status: Enrolling

Conditions: Sleep Apnea

Treatments: Behavioral: Health coaching

Study type: Interventional

Funder types: Other

Identifiers

NCT04209985

19-27249

Details and patient eligibility

About

This study will test a brief telephonic health coaching intervention to improve adherence to positive airway pressure therapy for treatment of obstructive sleep apnea.

Full description

The investigators will carry out a pilot study in which patients will be randomly assigned to receive health coaching or usual care. Participants are English- and Spanish-speaking patients from a county-based public health system who have received a positive airway pressure device for the treatment of sleep apnea. An unlicensed, trained health coach will call patients three times to resolve barriers to adherence. Primary outcomes include both adherence measures collected by the device modem at baseline and 4 months, and patient-reported outcomes such as daytime sleepiness.

Enrollment: 100 estimated patients

Sex: All

Ages: 18+ years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• English- or Spanish-speaking
• At least 18 years of age
• Had previously received a modem-enabled positive airway pressure device for the treatment of sleep apnea
• Not currently meeting Medicare standards for adherence of at least 4 hours per night for at least 70% of the last 30 nights
• Received care from the San Francisco General Hospital Sleep Clinic

Exclusion criteria

• Not English- or Spanish-speaking
• Younger than 18 years
• Does not have phone number at which could be reached

Trial design

Primary purpose: Health Services Research

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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100 participants in 2 patient groups

Health coaching arm

Experimental group

Description:

For the health coaching arm, an unlicensed, trained health coach will call patients up to five times to identify and resolve barriers to adherence, including lack of understanding of their condition or the treatment, discomfort in acclimating to treatment, technical difficulties in mask fit or device settings, and challenges in navigating durable medical equipment providers.

Treatment:

Behavioral: Health coaching

Usual care

No Intervention group

Description:

Patients assigned to usual care have access to all other available resources, including technical support from durable medical equipment providers, respiratory therapist visits with the Sleep Clinic, group visits, or visits with their primary care provider.