Helping Veterans With Obstructive Sleep Apnea Determine What Matters Most in Choosing a Treatment Option: a Randomized Trial
VA Office of Research and Development
Summary
Previous studies have shown that programs encouraging the use of OSA treatments can help patients use these treatments more often, but the improvement is usually modest. This trial will test if giving patients a decision-making tool when they are first diagnosed with OSA, and combining their responses from this tool into a supportive program, will improve sleep quality and help them use their treatment more regularly.
Description
Background and Significance: Obstructive Sleep Apnea (OSA) is a significant health issue for many middle-aged and older Veterans. This condition can lead to daytime sleepiness and poor sleep quality and is a risk factor for more serious conditions such as cardiovascular disease, cognitive decline, and even increased risk of death. Common treatments for OSA include the use of medical devices such as positive airway pressure machines or oral appliances. However, many Veterans find these devices uncomfortable or difficult to use regularly. This clinical trial aims to test a new 4 session program…
Eligibility
- Age range
- 50+ years
- Sex
- All
- Healthy volunteers
- No
Inclusion Criteria: * referred for an overnight diagnostic sleep test to evaluate for sleep-disordered breathing during the study period * currently untreated for OSA (not prescribed therapy in the past year) Exclusion Criteria: * referral for overnight sleep test is for another reason than to diagnosis sleep-disordered breathing * unable to read printed material (e.g., magazine) in English language * unable to write * unstable medical/psychiatric illness (e.g., recent hospitalization) * Telephone Mini-Mental State Examination (MMSE) \< 21 or diagnosis of dementia * unstable housing * unabl…
Interventions
- BehavioralBehavioral strategy program X plus Y
Brief 4 session education program with sleep specialist focused on behavioral strategies for improving use of sleep apnea therapy. Tests behavioral strategy program X plus Y.
- BehavioralBehavioral strategy program X
Brief 4 session education program with sleep specialist focused on behavioral strategies for improving use of sleep apnea therapy Tests behavioral strategy X.
Locations (2)
- VA Greater Los Angeles Healthcare System, West Los Angeles, CAWest Los Angeles, California
- John D. Dingell VA Medical Center, Detroit, MIDetroit, Michigan