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

Primary Purpose

Adherence to CPAP in Obstructive Sleep Apnea

Status
Completed
Phase
Not Applicable
Locations
Study Type
Interventional
Intervention
Motivational Enhancement Therapy
Educational Counseling
Sponsored by
Brown University
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional supportive care trial for Adherence to CPAP in Obstructive Sleep Apnea focused on measuring Obstructive Sleep Apnea, OSA, Adherence, CPAP, Cognition

Eligibility Criteria

25 Years - 85 Years (Adult, Older Adult)All SexesDoes not accept 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

Sites / Locations

    Arms of the Study

    Arm 1

    Arm 2

    Arm 3

    Arm Type

    Active Comparator

    Active Comparator

    No Intervention

    Arm Label

    Motivational Enhancement Therapy

    Educational Counseling

    Standard Care

    Arm 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.

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

    Outcomes

    Primary Outcome Measures

    Secondary Outcome Measures

    Full Information

    First Posted
    July 14, 2009
    Last Updated
    July 14, 2009
    Sponsor
    Brown University
    Collaborators
    Rhode Island Hospital
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    1. Study Identification

    Unique Protocol Identification Number
    NCT00939601
    Brief Title
    Evaluating Behavioral Treatments to Improve Adherence to CPAP in People With Obstructive Sleep Apnea
    Acronym
    BREATHE
    Official Title
    Evaluating Behavioral Treatments to Improve Adherence to Continuous Positive Airway Pressure (CPAP) Therapy in People With Obstructive Sleep Apnea
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    July 2009
    Overall Recruitment Status
    Completed
    Study Start Date
    undefined (undefined)
    Primary Completion Date
    undefined (undefined)
    Study Completion Date
    undefined (undefined)

    3. Sponsor/Collaborators

    Name of the Sponsor
    Brown University
    Collaborators
    Rhode Island Hospital

    4. Oversight

    5. Study Description

    Brief Summary
    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.

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Adherence to CPAP in Obstructive Sleep Apnea
    Keywords
    Obstructive Sleep Apnea, OSA, Adherence, CPAP, Cognition

    7. Study Design

    Primary Purpose
    Supportive Care
    Study Phase
    Not Applicable
    Interventional Study Model
    Parallel Assignment
    Masking
    ParticipantCare Provider
    Allocation
    Randomized

    8. Arms, Groups, and Interventions

    Arm Title
    Motivational Enhancement Therapy
    Arm Type
    Active Comparator
    Arm 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.
    Arm Title
    Educational Counseling
    Arm Type
    Active Comparator
    Arm Description
    ED will involve sessions and phone calls that include educational information, problem-solving, and adherence feedback from study staff.
    Arm Title
    Standard Care
    Arm Type
    No Intervention
    Intervention Type
    Behavioral
    Intervention Name(s)
    Motivational Enhancement Therapy
    Intervention Type
    Behavioral
    Intervention Name(s)
    Educational Counseling

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    25 Years
    Maximum Age & Unit of Time
    85 Years
    Accepts Healthy Volunteers
    No
    Eligibility Criteria
    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

    12. IPD Sharing Statement

    Citations:
    PubMed Identifier
    20348198
    Citation
    Aloia MS, Knoepke CE, Lee-Chiong T. The new local coverage determination criteria for adherence to positive airway pressure treatment: testing the limits? Chest. 2010 Oct;138(4):875-9. doi: 10.1378/chest.09-2237. Epub 2010 Mar 26.
    Results Reference
    derived

    Learn more about this trial

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

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