Nuestro Sueno: Cultural Adaptation of a Couples Intervention to Improve Positive Airway Pressure Adherence and Sleep Health Among Latino Couples With Implications for Alzheimer's Disease Risk
University of Utah
Summary
The goal of this clinical trial is to learn if the culturally adapted couples sleep health intervention (Nuestro Sueno) improves positive airway pressure use and sleep among Hispanic couples in which one partner was diagnosed with sleep apnea and starting positive airway pressure treatment. The main questions are: 1. Does Nuestro sueno improve the patient's positive airway pressure use over the first 3 months of using it compared to an information control? 2. Does Nuestro sueno improve sleep quality for both the patient and partner, compared to an information control? 3. Does Nuestro sueno improve other aspects of life including quality of life and memory, compared to an information control?
Description
Latino adults in the United States are 1.5 times more likely to develop Alzheimer's disease and related dementias compared to non-Hispanic white adults. Obstructive sleep apnea affects 9.8% of Latino adults and confers a five-fold increased risk of Alzheimer's disease diagnosis. Consequences also extend to the bedpartner, as bedpartners of those with obstructive sleep apnea experience significant sleep disturbances, including sleep fragmentation and 3 times greater risk of insomnia. Given solid mechanistic links between both obstructive sleep apnea and insomnia and Alzheimer's Disease risk, ef…
Eligibility
- Age range
- 35+ years
- Sex
- All
- Healthy volunteers
- No
Patients inclusion criteria: * Self-reported Latino ethnicity * Age \>35, 3) * Diagnosed with obstructive sleep apnea and intend to start PAP * Never used positive airway pressure or-restarting CPAP after 3 months * Married or cohabiting with a romantic partner for \>1 year * Able to read/write English or Spanish * Access to cellular (active data plan) or Wi-Fi, or able to use study devices in order to complete the telehealth intervention. Partner inclusion criteria: * Able to read/write in English or Spanish * Interested in improving their sleep (yes/no) * Access to cellular (active data p…
Interventions
- BehavioralCouples-based treatment- Patient
couples will attend 3-telehealth based sessions to provide eduction, increase self-efficacy and teach skils based in principles of brief behavioral therapy for insomnia
- BehavioralCouples-based treatment- Partner
couples will attend 3-telehealth based sessions to provide eduction, increase self-efficacy and teach skils based in principles of brief behavioral therapy for insomnia
- OtherInformation control- Patient
Information only plus treatment as usual
- OtherInformation control- Partner
Information only plus treatment as usual
Locations (2)
- Banner HealthTucson, Arizona
- University of UtahSalt Lake City, Utah