Increasing Adherence to Oral Appliance Therapy for Obstructive Sleep Apnea

Not Applicable

Completed

• Conditions: Adherence, Patient; Obstructive Sleep Apnea
• Interventions: Procedure: Routine Care; Behavioral: adherence promotion techniques

• Registration Number: NCT05038215
• Lead Sponsor: Ohio State University

Brief Summary

Obstructive sleep apnea is a chronic condition that has serious health consequences including increased risk of hypertension, type-2 diabetes, heart disease, stroke and reduced life expectancy. This study proposes to use behavioral reinforcement and support to increase adherence to oral appliance therapy for obstructive sleep apnea. The control group in the study will receive routine care. In addition, their oral appliance wear time will be monitored using a sensor built into the appliance. Routine care includes an initial 1-hr consult, then delivery of the oral appliance (with sensor) and follow-up appointments at 1 week, 1 month, 3 months, 6 months, and 1 year. The second, experimental group will receive adherence promotion techniques in addition to routine care. These adherence promotion techniques can be categorized into 6 methods. 1- spouse/partner included in a patient counseling session. 2- Educational brochure delivery at follow up appointments. 3- Electronic reminder/communication system established by patient and provider. 4-Follow up communication between primary care physician and orthodontist. 5-Celebratory certificate for good adherence with the oral appliance evaluated at 3 month, and 6 month visits. 6-Gift card delivery, $25, when patient schedules a follow up with sleep physician. Patients will be followed for within the research protocol for 6 months. There are no additional risks involved with the research and the anticipated benefit is to develop methods to increase adherence to treatment for obstructive sleep apnea. This will benefit many patients with obstructive sleep apnea who use oral appliances to control the condition.

Detailed Description

Not available

Study Timeline

• Study Start: 2017-12-05
• Study First Submitted: 2021-08-31
• Study First Submitted QC: 2021-08-31
• Study First Posted: 2021-09-09
• Primary Completion: 2022-07-05
• Study Completion: 2022-09-01
• Status Verified: 2024-05
• Last Update Submitted: 2024-05-02
• Last Update Posted: 2024-05-03

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 60

Inclusion Criteria

• Potential participants must have a diagnosis of OSA and have been referred for an oral appliance to treat this condition. The participants must have no past experience with oral appliances. Patients must be able to read and converse in English.

Exclusion Criteria

• Participants who cannot read English will be excluded because all educational material in the study is in English.

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Control	Routine Care	The control group will receive routine care
multifactor intervention	adherence promotion techniques	The experimental group will receive adherence promotion techniques in addition to routine care.

Primary Outcome Measures

Name	Time	Method
A multifactorial intervention in addition to standard care increases adherence rates in patients using a titratable oral appliance to treat obstructive sleep apnea (OSA)	6 months	The experimental interventions resulted in statistically significant improvements in patient adherence to treatment

Trial Locations

Locations (1)

Dental Faculty Practice, Ohio State University; 🇺🇸 Columbus, Ohio, United States