Using community health advocates to improve PAP therapy adherence for sleep apnea.

Is this trial a fit for you?

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This research aims to evaluate the effectiveness of motivational enhancement therapy (MET) delivered by culturally congruent community health care workers (CHWs) compared to standard care for patients with untreated moderate-to-severe obstructive sleep apnea (OSA). The study will focus on improving adherence to positive airway pressure (PAP) therapy among participants. By leveraging community health advocates, the study seeks to address barriers to treatment and enhance patient motivation and engagement. Participants will be monitored for their adherence to PAP therapy over the course of the intervention.

Why it matters

Who can join: the full rules

Inclusion Criteria

* ≥ 18 years of age
* Moderate-to-severe OSA
* Available to attend study visits and sessions
* Reliable access to a phone

Exclusion Criteria

* Prior or current use of PAP therapy or other treatment (e.g., oral appliance) for OSA
* History of upper airway surgery for OSA
* Moderate to severe insomnia
* Commercial drivers
* Use of non-standard PAP including adaptive servo-ventilation or bi-level positive airway pressure
* Report of motor vehicle accident or near-miss due to sleepiness within the 2 previous years
* Unstable medical conditions that may preclude enrollment in the protocol such as: uncontrolled angina and/or congestive heart failure, uncontrolled blood pressure or resistant hypertension, severe chronic obstructive pulmonary disease, cancer, and active psychiatric disease (e.g., major depression)
* Other sleep disorders (e.g., circadian rhythm disorder)
* Use of supplemental oxygen during wakefulness or sleep
* Central sleep apnea, obesity hypoventilation syndrome or Cheyne-Stokes respiration based on the home sleep apnea test
* Resting awake oxygen saturation (SpO2) \< 90%
* Participation in another clinical trial

Where it's running

• University of Miami
  Miami, Florida, United States Recruiting

Study contacts

• Principal investigator: Naresh Punjabi — University of Miami
• Study coordinator: Naresh Punjabi, MD
• Email: npunjabi@miami.edu
• Phone: 305-243-6388

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How to take part

1. Review the eligibility criteria above with your treating physician.
2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.