Effect of Self-Management on Improving Sleep Apnea Outcomes
NCT00310310 · Status: COMPLETED · Phase: PHASE2/PHASE3 · Type: INTERVENTIONAL · Enrollment: 240
Last updated 2017-04-20
Summary
Obstructive sleep apnea syndrome (OSA) is a common sleep disorder that is associated with serious medical and psychological complications. Nasal continuous positive airway pressure (CPAP) is the treatment of choice for this condition because it is highly effective in reducing the frequency of nocturnal respiratory events, improving sleep architecture, decreasing daytime sleepiness and improving blood pressure. Incomplete patient adherence, however, limits the effectiveness of CPAP therapy and results in sub-optimal patient outcomes. Previous efforts to enhance CPAP adherence have resulted in only modest improvements, have generally not been theory-driven, and have had minimal effects on key patient outcomes such as reduction in OSA symptoms or increase in health-related quality of life (HRQOL). The planned intervention in this proposal, the Sleep Apnea Self-Management Program (SASMP), is based on the rationale that sleep apnea is a chronic disease that requires significant self-care on the part of the patient. We draw on the extensive chronic disease self-management literature to provide a solid theoretical justification for this pragmatic intervention both to better manage key aspects of OSA and to increase CPAP adherence. Chronic disease management programs help reduce symptoms, improve HRQOL, improve treatment adherence, and decrease medical utilization.
Conditions
- Sleep Apnea Syndromes
Interventions
- BEHAVIORAL
-
Sleep Apnea Self-Management Program
Sleep apnea self-management program - 4 sessions, group-based.
- BEHAVIORAL
-
Usual care
Usual sleep apnea and cpap care
Sponsors & Collaborators
-
VA Office of Research and Development
lead FED
Principal Investigators
-
Carl J Stepnowsky, PhD · San Diego Veterans Healthcare System
Study Design
- Allocation
- RANDOMIZED
- Purpose
- OTHER
- Masking
- SINGLE
- Model
- SINGLE_GROUP
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2006-04-30
- Primary Completion
- 2009-05-31
- Completion
- 2009-12-31
Countries
- United States
Study Locations
More Related Trials
-
Time Restricted Eating in Sleep Apnea
NCT06047496 ·Status: RECRUITING ·Phase: EARLY_PHASE1
-
Telecoaching to Improve Physical Activity in Patients With Obstructive Sleep Apnea
NCT03205878 ·Status: UNKNOWN ·Phase: NA
-
Effectiveness of Auto-adjusted Continuous Positive Airway Pressure for Long-term Treatment of Sleep Apnea
NCT00280800 ·Status: COMPLETED ·Phase: NA
-
A Randomized Study to Compare Polysomnography With Overnight Home Oximetry and Auto - CPAP for Sleep Apnea
NCT00254059 ·Status: COMPLETED ·Phase: NA
-
In-Hospital Portable Sleep Monitoring for the Evaluation of Obstructive Sleep Apnea (OSA)
NCT01424592 ·Status: UNKNOWN
-
Effect of Myofunctional Therapy on OSA
NCT04608552 ·Status: COMPLETED ·Phase: NA
-
Telemedicine Interventions for Obstructive Sleep Apnea (OSA)
NCT01108081 ·Status: COMPLETED ·Phase: PHASE3
-
Evaluation of New Diagnostic and Treatment Algorithm for Obstructive Sleep Apnea
NCT00425659 ·Status: COMPLETED ·Phase: NA
-
Educational Motivational Program on Sleep Apnea
NCT06668597 ·Status: RECRUITING ·Phase: NA
-
Effects of Suboptimal CPAP Therapy on Symptoms of Obstructive Sleep Apnoea
NCT02781740 ·Status: COMPLETED ·Phase: NA
-
Behavioral Optimization to Overcome Obstructive Sleep Apnea Treatment Barriers
NCT07207473 ·Status: NOT_YET_RECRUITING ·Phase: NA
-
Benefits of Telemedicine in CPAP Treatment
NCT03202602 ·Status: COMPLETED
-
Treating Sleep Apnea in Women Veterans
NCT03377452 ·Status: COMPLETED ·Phase: NA
-
Lifestyle Modification Program to Treat Obstructive Sleep Apnea Patients
NCT01384760 ·Status: COMPLETED ·Phase: NA
-
The Impact of Sleep Apnea Treatment on Physiology Traits in Chinese Patients With Obstructive Sleep Apnea
NCT02696629 ·Status: UNKNOWN
-
12-week Tele-exercise Program in Patients With OSA
NCT06467682 ·Status: NOT_YET_RECRUITING ·Phase: NA
-
Effects of Telemedical Support on Therapeutic Results of CPAP Patients
NCT05440279 ·Status: COMPLETED ·Phase: NA
-
Promoting the Use of CPAP Therapy Among OSA Patients
NCT04372329 ·Status: COMPLETED ·Phase: NA
-
The Effects of CPAP Withdrawal on Cerebral Vascular Reactivity and Brain Oxygenation in OSA
NCT02493673 ·Status: COMPLETED ·Phase: NA
-
Titration of Continuous Positive Airway Pressure Could Predict Success of Oral Appliance to Treat Sleep Apnea
NCT01336556 ·Status: UNKNOWN ·Phase: NA
-
Using Telemedicine to Improve Veteran Sleep Apnea Care
NCT01259440 ·Status: COMPLETED ·Phase: PHASE1/PHASE2
-
OSA Recurrence in CPAP Withdrawal
NCT03472612 ·Status: COMPLETED ·Phase: NA
-
Feasibility Study of the ReVENT Sleep Apnea System
NCT02501304 ·Status: COMPLETED ·Phase: NA
-
Positive Pressure Treatment of Obstructive Sleep Apnea
NCT00636181 ·Status: COMPLETED ·Phase: NA
-
Investigation of Predictive Indices to Objectively Guide Choice of CPAP Interface
NCT03063567 ·Status: COMPLETED ·Phase: NA