Trial Summary
What is the purpose of this trial?Sleep apnea is a common problem in middle-aged and older Veterans that is associated with poor nighttime sleep, more daytime sleepiness, poor functioning and worse quality of life. The recommended therapy for most patients with sleep apnea is positive airway pressure (PAP) therapy; however, over time many patients prescribed PAP therapy no longer use it regularly. This study will test the effects of an education program specifically designed for middle-aged and older Veterans who have stopped using their PAP device, or are not using it regularly.
Eligible Veterans who are enrolled into the study will receive a baseline assessment that includes questionnaires about sleep, health, and quality of life. After completing the baseline assessment, participants will be randomly assigned to one of two education groups. Both groups will meet individually with a "sleep coach" for 5 session over 8 weeks, then they will be contacted monthly by telephone for up to 6 months. Participants will complete follow-up assessments immediately after the fifth education session and again at 6-months and 12-months.
If successful, this approach has the potential to improve sleep, function and quality of life in middle-aged and older Veterans.
Eligibility Criteria
This trial is for middle-aged and older Veterans with moderate to severe sleep apnea who have stopped or are irregular in using their PAP therapy. They must not have used PAP in the last 30 days but were previously prescribed it. Those with severe mental health issues, unstable medical conditions, or significant cognitive impairment cannot participate.Inclusion Criteria
I have been diagnosed with severe sleep apnea (AHI >= 15).
You haven't been using your PAP machine regularly in the past month.
I have been prescribed a PAP machine before.
Exclusion Criteria
Severe psychopathology (e.g., active psychosis) that precludes participation in the study
Severe unstable medical illness that precludes participation in the study
You have major problems with thinking and remembering.
Participant Groups
The study tests two educational programs aimed at encouraging regular use of PAP devices among Veterans with sleep apnea. Participants will work with a 'sleep coach' over five sessions and receive follow-up calls for six months to see if this improves adherence.
2Treatment groups
Experimental Treatment
Active Control
Group I: Behavioral Education Intervention IExperimental Treatment1 Intervention
Manual-based education program provided in individual sessions
Group II: Behavioral Education Intervention IIActive Control1 Intervention
Manual-based education program provided in individual sessions
Find a Clinic Near You
Research Locations NearbySelect from list below to view details:
VA Greater Los Angeles Healthcare System, Sepulveda, CASepulveda, CA
Loading ...
Who Is Running the Clinical Trial?
VA Office of Research and DevelopmentLead Sponsor