Overview
This study will test a brief telephonic health coaching intervention to improve adherence to positive airway pressure therapy for treatment of obstructive sleep apnea.
Description
The investigators will carry out a pilot study in which patients will be randomly assigned to receive health coaching or usual care. Participants are English- and Spanish-speaking patients from a county-based public health system who have received a positive airway pressure device for the treatment of sleep apnea. An unlicensed, trained health coach will call patients three times to resolve barriers to adherence. Primary outcomes include both adherence measures collected by the device modem at baseline and 4 months, and patient-reported outcomes such as daytime sleepiness.
Eligibility
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