NCT00682838

Brief Summary

Obstructive sleep apnea (OSA) is a major chronic condition affecting the quality of life of up to one-fifth of all Veterans. Because of disappointingly low adherence to the gold-standard treatment (continuous positive airway pressure therapy - CPAP), the Institute of Medicine has stated that new adherence strategies are needed that improve the quality of care, reduce social and economic costs, and help OSA patients live happier, healthier, and more productive lives through improved clinical management. The combination of a self-management approach along with emerging wireless technologies has strong potential to increase treatment adherence and improve outcomes.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
280

participants targeted

Target at P75+ for phase_2

Timeline
Completed

Started Jul 2009

Typical duration for phase_2

Geographic Reach
1 country

1 active site

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

May 12, 2008

Completed
10 days until next milestone

First Posted

Study publicly available on registry

May 22, 2008

Completed
1.1 years until next milestone

Study Start

First participant enrolled

July 1, 2009

Completed
2.8 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

May 1, 2012

Completed
1 month until next milestone

Study Completion

Last participant's last visit for all outcomes

June 1, 2012

Completed
4.3 years until next milestone

Results Posted

Study results publicly available

September 1, 2016

Completed
Last Updated

September 1, 2016

Status Verified

July 1, 2016

Enrollment Period

2.8 years

First QC Date

May 12, 2008

Results QC Date

July 8, 2015

Last Update Submit

July 20, 2016

Conditions

Keywords

Treatment complianceSelf-managementTelemedicine

Outcome Measures

Primary Outcomes (1)

  • Nightly CPAP Adherence

    Nightly CPAP adherence hours per night measured over the three-months period

    3 mos

Study Arms (4)

Self-Management (SM)

EXPERIMENTAL

Active Intervention - Self-management: Self-management Educational component focused on sleep apnea and CPAP from a self-management perspective

Behavioral: Self-management

Telemonitored Care (TC)

ACTIVE COMPARATOR

Active Comparator - Telemonitored care: Telemonitored care Consists of CPAP therapist actively monitoring care at a distance, and acting on that data per a set protocol

Behavioral: Telemonitored care

SM + TC

EXPERIMENTAL

Self-management and Telemonitored care: Combination of both SM + TC intervention

Behavioral: Self-managementBehavioral: Telemonitored care

Usual care (UC)

NO INTERVENTION

Control Group

Interventions

Self-managementBEHAVIORAL

Self-management

SM + TCSelf-Management (SM)

Telemonitored care

SM + TCTelemonitored Care (TC)

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Diagnosis of OSA
  • Prescription for CPAP treatment by a sleep physician
  • Being CPAP naïve (ie, no previous use of CPAP).

You may not qualify if:

  • Residence in a geographical area outside of San Diego County
  • Fatal comorbidity (life expectancy less than 6 months as indicated by treating physician)
  • Significant documented substance/chemical abuse

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

VA San Diego Healthcare System

San Diego, California, 92161, United States

Location

MeSH Terms

Conditions

Sleep Apnea SyndromesPatient Compliance

Interventions

Self-Management

Condition Hierarchy (Ancestors)

ApneaRespiration DisordersRespiratory Tract DiseasesSleep Disorders, IntrinsicDyssomniasSleep Wake DisordersNervous System DiseasesPatient Acceptance of Health CareTreatment Adherence and ComplianceHealth BehaviorBehavior

Intervention Hierarchy (Ancestors)

RehabilitationHealth ServicesHealth Care Facilities Workforce and Services

Results Point of Contact

Title
Carl J. Stepnowsky, PhD
Organization
VA San Diego Healthcare System

Study Officials

  • Carl J Stepnowsky, PhD

    San Diego Veterans Healthcare System

    PRINCIPAL INVESTIGATOR

Publication Agreements

PI is Sponsor Employee
Yes

Study Design

Study Type
interventional
Phase
phase 2
Allocation
RANDOMIZED
Masking
SINGLE
Who Masked
CARE PROVIDER
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
FED
Responsible Party
SPONSOR

Study Record Dates

First Submitted

May 12, 2008

First Posted

May 22, 2008

Study Start

July 1, 2009

Primary Completion

May 1, 2012

Study Completion

June 1, 2012

Last Updated

September 1, 2016

Results First Posted

September 1, 2016

Record last verified: 2016-07

Data Sharing

IPD Sharing
Will not share

Locations