Health Coaching for Positive Airway Pressure Adherence

Not Applicable

Completed

• Conditions: Sleep Apnea
• Interventions: Behavioral: Health coaching

• Registration Number: NCT04067128
• Lead Sponsor: University of California, San Francisco

Brief Summary

This study tested a low-resource, brief telephonic health coaching intervention to improve adherence to positive airway pressure therapy for treatment of sleep apnea.

Detailed Description

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.

Study Timeline

• Study Start: 2017-03-01
• Primary Completion: 2017-05-31
• Study Completion: 2017-05-31
• Status Verified: 2019-08
• Study First Submitted: 2019-08-21
• Study First Submitted QC: 2019-08-21
• Last Update Submitted: 2019-08-22
• Study First Posted: 2019-08-26
• Last Update Posted: 2019-08-28

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 131

Inclusion Criteria

• 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

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Exclusion Criteria

• Not English- or Spanish-speaking
• Younger than 18 years
• Does not have phone number at which could be reached

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Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Health coaching arm	Health coaching	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.

Primary Outcome Measures

Name	Time	Method
Proportion using device at any time in last 30 days	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

Secondary Outcome Measures

Name	Time	Method
Mean number of hours used on average over the last 30 days	Enrollment to 30 days post enrollment	Total number of hours device used during 30 day period divided by 30 days
Mean number of hours used on average over the last 30 days on nights that device was used	Enrollment to 30 days post enrollment	Total number of hours device used during 30 day period divided by the number of days on which the device was used
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	Numerator: Number of people meeting Medicare standard for adherence; Denominator: Number of people in study arm
Mean proportion of last 30 days in which device used at least 4 hours/night	Enrollment to 30 days post enrollment	Mean across group of: (Numerator: Number of days in last 30 days that device was used at least 4 hours; Denominator: 30 days)

Trial Locations

Locations (1)

San Francisco General Hospital Sleep Clinic; 🇺🇸 San Francisco, California, United States