OSA PAP Treatment for Veterans With SUD and PTSD on Residential Treatment Unit
NCT05156112 · Status: RECRUITING · Phase: NA · Type: INTERVENTIONAL · Enrollment: 194
Last updated 2025-11-03
Summary
Substance use disorder (SUD) and posttraumatic stress disorder (PTSD) frequently co-occur and having both disorders is associated with greater psychological and functional impairment than having either disorder alone. This is especially true in residential settings where both disorders are more severe than outpatient settings. Obstructive sleep apnea (OSA) is highly comorbid with both disorders and untreated OSA is associated with worse functional impairment across multiple domains, worse quality of life, worse PTSD, higher suicidal ideation, and higher substance use and relapse rates. Treating OSA with evidence-based positive airway pressure (PAP) in Veterans with SUD/PTSD on a residential unit is a logical way to maximize treatment adherence and treatment outcomes. This study compares OSA treatment while on a SUD/PTSD residential unit to a waitlist control group. The investigators hypothesize that treating OSA on the residential unit, compared to the waitlist control, will have better functional, SUD, and PTSD outcomes.
Conditions
- Post Traumatic Stress Disorder
- Obstructive Sleep Apnea
- Substance Use Disorder
- Residential Treatment Program
Interventions
- DEVICE
-
Positive Airway Pressure Device
Each PAP treatment initiation meeting will include 1) mask fitting; 2) psycho-education to what to expect and reviewing PAP machine problem solving; and 3) setting up correct PAP treatment (e.g., auto PAP or in rare conditions, bi-level PAP).
Sponsors & Collaborators
-
VA Office of Research and Development
lead FED
Principal Investigators
-
Peter Colvonen, PhD · VA San Diego Healthcare System, San Diego, CA
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- SINGLE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2023-01-02
- Primary Completion
- 2027-05-31
- Completion
- 2027-05-31
Countries
- United States
Study Locations
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