REPOSE patient navigation to improve care for children with obstructive sleep apnea
Testing a Strategy to Improve Diagnostic and Treatment Pathways for Children With Sleep-Disordered Breathing: the REPOSE Navigation Intervention
This project will try a centralized patient navigator to help families of children ages 2–11 with suspected sleep-disordered breathing get timely evaluation and treatment.
Quick facts
| Phase | Not applicable |
|---|---|
| Study type | Interventional |
| Enrollment | 80 (estimated) |
| Ages | 2 Years to 12 Years |
| Sex | All |
| Sponsor | Medical University of South Carolina Academic / other |
| Locations | 1 site (Charleston, South Carolina) |
| Trial ID | NCT06828835 on ClinicalTrials.gov |
What this trial studies
The trial enrolls children aged 2.00–11.99 referred from primary care for evaluation of sleep-disordered breathing and compares a centralized patient navigation program (REPOSE) to usual care. The REPOSE navigator identifies and addresses individual barriers, provides resources and social support for parent–child dyads, and coordinates two-way communication between families and clinical teams. The study measures care delivery and clinical process outcomes, including completion of specialty evaluation, treatment initiation, and parent self-efficacy. Participants are followed for 12 months to determine whether navigation reduces barriers and improves equitable access across socioeconomic and rural/urban groups.
Who should consider this trial
Good fit: Parents or caregivers (18+) of children 2.00–11.99 years old who were referred by primary care for SDB evaluation, have a working phone, can participate for 12 months, and are not already established with sleep medicine or otolaryngology.
Not a fit: Children already established with sleep medicine or pediatric otolaryngology, families without reliable phone access or unwilling to participate for 12 months, or those facing structural service gaps beyond navigation are unlikely to benefit from this intervention.
Why it matters
Potential benefit: If successful, REPOSE could increase timely, equitable evaluation and treatment for children with SDB and help reduce racial and socioeconomic disparities in care.
How similar studies have performed: Patient navigation has improved screening, referral, and treatment in other conditions and preliminary data support its use for pediatric SDB, but navigation for SDB remains a relatively novel application.
Eligibility criteria
Show full inclusion / exclusion criteria
Inclusion Criteria: * Parents or caregivers (18 and older) of children who were referred by any primary care for SDB evaluation with sleep medicine or pediatric otolaryngology * Patients 2.00 to 11.99 years old * Parents with a working phone who are willing to participate in the study for a 12-month period after enrollment Exclusion Criteria: * Patients already established with sleep medicine or otolaryngology which would bias ease of completing specialty evaluation
Where this trial is running
Charleston, South Carolina
- Medical University of South Carolina — Charleston, South Carolina, United States (Recruiting)
Study contacts
- Principal investigator: Phayvanh Pecha, MD — Medical University of South Carolina
- Study coordinator: Phayvanh P Pecha, MD
- Email: pechap@musc.edu
- Phone: 612-267-8739
How to participate
- Review the eligibility criteria above with your treating physician.
- Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
- Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.