Health Coaching for Positive Airway Pressure Adherence

NCT ID: NCT04067128

Last Updated: 2019-08-28

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

131 participants

Study Classification

INTERVENTIONAL

Study Start Date

2017-03-01

Study Completion Date

2017-05-31

Brief Summary

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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

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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.

Conditions

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Sleep Apnea

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Patients were randomly assigned to receive health coaching or usual care. 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. 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.
Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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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.

Group Type EXPERIMENTAL

Health coaching

Intervention Type BEHAVIORAL

Brief telephonic intervention consisting of up to three phone calls

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.

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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Health coaching

Brief telephonic intervention consisting of up to three phone calls

Intervention Type BEHAVIORAL

Eligibility Criteria

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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

Exclusion Criteria

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

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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University of California, San Francisco

OTHER

Sponsor Role lead

Responsible Party

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Rachel Willard-Grace

Assistant Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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San Francisco General Hospital Sleep Clinic

San Francisco, California, United States

Site Status

Countries

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United States

Other Identifiers

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17-23281

Identifier Type: -

Identifier Source: org_study_id

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