Improving sleep apnea treatment adherence through health coaching

Reaching for Equity in Sleep Apnea Treatment (REST): Pilot of Telephonic Health Coaching Intervention to Improve Adherence to Sleep Apnea Treatment

Not applicable Interventional University of California, San Francisco · NCT04209985

This study is testing whether phone coaching can help people with sleep apnea stick to their treatment using a breathing device.

Quick facts

PhaseNot applicable
Study typeInterventional
Enrollment100 (estimated)
Ages18 Years and up
SexAll
SponsorUniversity of California, San Francisco Academic / other
Locations1 site (San Francisco, California)
Trial IDNCT04209985 on ClinicalTrials.gov

What this trial studies

This study tests a telephonic health coaching intervention aimed at enhancing adherence to positive airway pressure therapy for patients with obstructive sleep apnea. Participants will be randomly assigned to receive either health coaching or usual care, with coaching provided by a trained health coach who will address barriers to adherence. The study focuses on English- and Spanish-speaking patients from a public health system who have previously received a positive airway pressure device. Outcomes will be measured through device adherence data and patient-reported outcomes over a four-month period.

Who should consider this trial

Good fit: Ideal candidates are English- or Spanish-speaking adults who have received a positive airway pressure device but are not currently adhering to treatment standards.

Not a fit: Patients who are not English- or Spanish-speaking, younger than 18, or do not have a reachable phone number may not benefit from this study.

Why it matters

Potential benefit: If successful, this intervention could significantly improve adherence to sleep apnea treatment, leading to better health outcomes for patients.

How similar studies have performed: Other studies have shown success with health coaching interventions in improving treatment adherence, suggesting this approach may be effective.

Eligibility criteria

Show full inclusion / exclusion criteria
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
* Not currently meeting Medicare standards for adherence of at least 4 hours per night for at least 70% of the last 30 nights
* 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

Where this trial is running

San Francisco, California

Study contacts

How to participate

  1. Review the eligibility criteria above with your treating physician.
  2. Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
  3. Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.
Conditions Sleep ApneaHealth coachingAdherence to treatmentHealth disparities
Last reviewed 2026-06-13 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.