Pilot of Brief Health Coaching Intervention to Improve Adherence to Positive Airway Pressure Therapy: Retroactive Analysis of a Quality Improvement Project
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 131
- 试验地点
- 2
- 主要终点
- Proportion using device at any time in last 30 days
研究概览
简要总结
This study tested a low-resource, brief telephonic health coaching intervention to improve adherence to positive airway pressure therapy for treatment of sleep apnea.
详细描述
We conducted post hoc analysis of a quality improvement initiative in which patients were randomly assigned to receive health coaching or usual care. Participants were English- and Spanish-speaking patients from a county-based public health system who had previously received a positive airway pressure device for the treatment of sleep apnea. An unlicensed, trained health coach called patients three times to resolve barriers to adherence. Adherence measures collected by device modem at baseline and 4 weeks were the primary outcome measures.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •English- or Spanish-speaking
- •At least 18 years of age
- •Had previously received a modem-enabled positive airway pressure device for the treatment of sleep apnea
- •Received care from the San Francisco General Hospital Sleep Clinic
排除标准
- •Not English- or Spanish-speaking
- •Younger than 18 years
- •Does not have phone number at which could be reached
研究组 & 干预措施
Health coaching arm
For the health coaching arm, an unlicensed, trained health coach called patients three times to identify and resolve barriers to adherence, including lack of understanding of their condition or the treatment, discomfort in acclimating to treatment, technical difficulties in mask fit or device settings, and challenges in navigating durable medical equipment providers.
干预措施: Health coaching (Behavioral)
Usual care arm
Patients assigned to usual care had access to all other available resources, including technical support from durable medical equipment providers, respiratory therapist visits with the Sleep Clinic, group visits, or visits with their primary care provider.
结局指标
主要结局
Proportion using device at any time in last 30 days
时间窗: Enrollment to 30 days post enrollment
Numerator: Number of people using device at any time in last 30 days; Denominator: Number of people in study arm
次要结局
- Mean number of hours used on average over the last 30 days(Enrollment to 30 days post enrollment)
- Mean number of hours used on average over the last 30 days on nights that device was used(Enrollment to 30 days post enrollment)
- Proportion meeting Medicare standard for adherence (at least 4 hours/night for at least 70% of last 30 days)(Enrollment to 30 days post enrollment)
- Mean proportion of last 30 days in which device used at least 4 hours/night(Enrollment to 30 days post enrollment)
研究者
Rachel Willard-Grace
Assistant Professor
University of California, San Francisco