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Phase I Double-blind Randomized Controlled Trial: Sociocultural and Cognitive Perception Intervention to Promote Positive Airway Pressure Adherence

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City:   Hershey
State:   Pennsylvania
Zip Code:   17033
Conditions:   Sleep Apnea, Obstructive - Patient Compliance
Purpose:   The purpose of this study is to examine the feasibility of a tailored (i.e., individualized) intervention to promote adherence to continuous positive airway pressure therapy (CPAP) in adults with newly-diagnosed, CPAP treated, obstructive sleep apnea.
Study Summary:   Poor adherence to CPAP is a significant problem among OSA patients resulting in suboptimal health and functional outcomes. Intervention studies to promote CPAP adherence have shown relatively small effects in selected samples and were costly. The overall objective of this research is to examine the effect, feasibility, and acceptability of a tailored intervention on CPAP adherence among adults with newly-diagnosed, CPAP treated OSA. The central hypothesis is that critically timed tailored interventions that focus on sociocultural aspects and cognitive perceptions of the individual experience with OSA diagnosis and treatment will improve overall CPAP adherence rates. The pilot randomized controlled trial will examine CPAP adherence outcomes at 1wk, 1mo, and 3mo among those randomly assigned to the tailored intervention or usual (standard) care and examine specific feasibility and participant acceptability outcomes in order to design and conduct a subsequent larger randomized controlled trial testing the overall efficacy of the tailored intervention.
Criteria:   Inclusion Criteria: - males and females >/= 18 years of age - newly diagnosed with apnea/hypopnea index >/= 10 events/hr - CPAP naive - able to read and speak English Exclusion Criteria: - previous diagnosis and/or treatment of OSA - major new psychiatric diagnosis within 6 months of study enrollment - require supplemental oxygen or bilevel positive airway pressure on CPAP titration polysomnogram - diagnosis of co-existent sleep disorder on polysomnogram, including periodic limb movements >/= 10 events/hr with arousal, central sleep apnea with >/= 5 central events/hr, insomnia, sleep hypoventilation syndrome, or narcolepsy
NCT ID:   NCT01454830
Primary Contact:   Principal Investigator
Amy M Sawyer, PhD
The Pennsylvania State University

Amy M Sawyer, PhD
Phone: 8148631020
Email: ams24@psu.edu
Backup Contact:   N/A
Location Contact:   Hershey, Pennsylvania 17033
United States

Amy M Sawyer, PhD
Phone: 717-531-8520
Email: ams24@psu.edu

Site Status: Recruiting

Data Source:   ClinicalTrials.gov
Date Processed:   May 18, 2013
Modifications to this listing:   Only selected fields are shown, please use the link below to view all information about this clinical trial.
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