Positive Airway Pressure Program



Status:Completed
Conditions:Insomnia Sleep Studies, Pulmonary
Therapuetic Areas:Psychiatry / Psychology, Pulmonary / Respiratory Diseases
Healthy:No
Age Range:18 - Any
Updated:10/31/2018
Start Date:February 2015
End Date:September 2015

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Obstructive Sleep Apnea (OSA) is a common sleep disordered breathing condition effecting
around 2-4% of the middle aged population and is characterized by periodic collapse of the
upper airway during sleep. Continuous Positive Airway Pressure (CPAP) is the primary
treatment for patients with OSA. Despite the effectiveness of CPAP in abolishing upper airway
obstruction, acceptance of and adherence with therapy has been sub-optimal.

Over the past decade, considerable research has focused on determining the factors
responsible for poor CPAP adherence. Two key areas have been identified: patient-reported
symptoms, including mask discomfort, pressure intolerance and nasal symptoms and the
importance of patient education and support. In addition we know that the patient experience
during the crucial first days and weeks of their journey predicts longer term adherence.

This study investigates the ability of an automated program that assists patients towards
continuous positive airway pressure (CPAP) therapy adherence.


Inclusion Criteria:

- ≥ 18years of age

- Diagnosed with OSA (AHI >5 events/hour) and eligible for CPAP (fixed or auto)
treatment under local requirements

- Naïve to CPAP therapy, i.e. have not been prescribed CPAP in the past 5 years

- Own a mobile phone, and has reliable mobile network coverage at their home.

- Either: the participant will use a modem; OR the participant has access to a home
internet connection (either their own, or a neighbours or friend etc) and is willing
to perform a home upload.

Exclusion Criteria:

- Contraindicated for CPAP therapy

- Medically unstable condition/diagnosis that is not yet under control

- Co-existing sleep disorder (however clinically diagnosed insomnia can be included in
the study)

- Periodic Limb Movement Arousal Index (PLMA) greater than 15/hr during the diagnostic
study
We found this trial at
3
sites
Huntsville, Alabama 35801
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Huntsville, AL
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Belleville, Illinois 62223
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Belleville, IL
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Columbia, South Carolina 29201
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Columbia, SC
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