Overview
The purpose of this study is to optimize the time of CPAP usage to at least 6 hours a night for 6 nights per week for people who have OSA with the help of a smartphone application called SmartWell24. This application aims to target CPAP adherence.
Eligibility
Inclusion Criteria:
- In both trials of Aim 2, twenty adults (≥18 years) per trial will be recruited who are newly diagnosed with OSA and speak English.
- In both trials, we will purposely recruit samples balanced by biological sex and OSA severity (apnea hypopnea index: 5-14 vs. ≥ 15).
- Inclusion Criteria are the same for both Aim 2 trials; Adult patients from MCCSM
sites who:
- Are diagnosed with OSA based on clinical diagnostic testing via laboratory or home-based sleep study;
- Own and have the functional and cognitive ability to use an Apple (iOS9 or higher) or Android (4.2 or higher) smartphone with minimal to no assistance;
- Are prescribed continuous or auto-titrated CPAP;
- Agree to using a smartphone application and wearable wrist sensor; and
- Speak and read English.
Exclusion Criteria:
- Unwilling to complete study measures and engage with SleepWell24;
- Refuse to not use the Fitbit application during the study trial;
- Have any conditions that would impede full participation (e.g., communication or cognitive impairments that limit ability to read and/or follow directions, other acute or severe health, cognitive, or psychological conditions);
- Currently participating in other lifestyle programs (e.g. active, formal weight loss program or research study; smoking cessation program, etc.);
- Decide to use a different PAP device than ResMed Airsense 10;
- Prescribed high-dose benzodiazepines (equivalent to > 1 mg lorazapam/night);
- Daily opioid medication use at night;'
- Unwilling to discontinue use of any current wearable sensor for the duration of the trial;
- Previous documented history of treatment/referral for claustrophobia;
- Previous CPAP use;
- Currently engaging in shiftwork defined as night shift or rotating day and night shifts; and
- Currently pregnant, trying to conceive, or breastfeeding.