The REPOSE (Reach for Equity in Pediatric Sleep Evaluation) Navigation Intervention

NCT06828835 | Recruiting

• 2 other identifiers: Pro001383231K23HL171952-01A1
• Study Type: interventional
• Target: 80
• Locations: 1 country
• Sites: 1

Brief Summary

This research study aims to find out the effect of REPOSE, a patient navigation intervention, on the receipt of equitable care among children with a broad range of socioeconomic and rural/urban status with Sleep Disordered Breathing (SDB). In the REPOSE intervention, a centralized patient navigator a) identifies and addresses dynamic individual barriers, b) provides resources and social support for parent-child dyads, and c) facilitates bidirectional SDB care coordination between clinical teams and parents to achieve evidence-based care. This study will evaluate the effects of the REPOSE intervention on SDB care delivery and clinical process outcomes for children with a broad range of socioeconomic and rural/urban status by reducing barriers and increasing self-efficacy among parents.

Conditions

Sleep Apnea, Obstructive

Keywords

Pediatrics; Sleep Disorders

Outcome Measures

Primary Outcomes (1)

• Completion of specialist evaluation

  Binary, evaluation of SDB by completion of specialist consultation (e.g., sleep medicine, otolaryngologist) per AAP guidelines.

  up to 12months

Secondary Outcomes (10)

• Time from referral to specialist consultation

  12months

• Completion of PSG

  12months

• Time to PSG

  12months

• Receipt of treatment

  12months

• Time to treatment

  12months

Other Outcomes (12)

• Sociodemographic factors

  Baseline (T0)

• Clinical characteristics

  Baseline (T0), 12months

• Social Support

  1-2 weeks following enrollment (T1), 6 months after enrollment (T2)

Study Arms (2)

Reach for Equity in Pediatric Obstructive Sleep Evaluation (REPOSE)

OTHER

REPOSE is a theory-based patient navigation intervention to address multilevel barriers to timely diagnosis and treatment of obstructive sleep-disordered breathing.

Other: Reach for Equity in Pediatric Obstructive Sleep Evaluation (REPOSE)

Usual Care

OTHER

The ordinary course of care.

Other: Usual Care

Interventions

Reach for Equity in Pediatric Obstructive Sleep Evaluation (REPOSE) OTHER

The REPOSE intervention consists of a centralized patient navigator who (1) identifies and addresses dynamic individual barriers, (2) provides support for parent-child dyads, and (3) facilitates bidirectional SDB care coordination between clinical teams and parents to achieve evidence-based care. The goals of the REPOSE intervention are to systematically address barriers to care, develop parental self-efficacy to enhance healthcare utilization (e.g., receipt of recommended care and adherence to evidence-based care), and to improve symptom severity and quality of life.

Reach for Equity in Pediatric Obstructive Sleep Evaluation (REPOSE)

Usual Care OTHER

Usual care is defined by standard clinical care delivered without a protocolized intervention (e.g., the ordinary course of care).

Usual Care

Eligibility Criteria

• Age: 2 Years - 12 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17)

You may qualify if:

• Parents or caregivers (18 and older) of children who were referred by any primary care for SDB evaluation with sleep medicine or pediatric otolaryngology
• Patients 2.00 to 11.99 years old
• Parents with a working phone who are willing to participate in the study for a 12-month period after enrollment

You may not qualify if:

• Patients already established with sleep medicine or otolaryngology which would bias ease of completing specialty evaluation

Sponsors & Collaborators

• Medical University of South Carolina: lead
• National Heart, Lung, and Blood Institute (NHLBI): collaborator

Study Sites (1)

Medical University of South Carolina

Charleston, South Carolina, 29412, United States

RECRUITING

MeSH Terms

Conditions

Sleep Apnea, Obstructive; Sleep Wake Disorders

Condition Hierarchy (Ancestors)

Sleep Apnea Syndromes; Apnea; Respiration Disorders; Respiratory Tract Diseases; Sleep Disorders, Intrinsic; Dyssomnias; Nervous System Diseases; Neurologic Manifestations; Signs and Symptoms; Pathological Conditions, Signs and Symptoms; Mental Disorders

Study Officials

• Phayvanh Pecha, MD

  Medical University of South Carolina

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Phayvanh P Pecha, MD

CONTACT

612-267-8739; pechap@musc.edu

Caroline B King, BS

CONTACT

843-300-5600; kingba@musc.edu

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Associate Professor-Faculty

Study Record Dates

• First Submitted: February 5, 2025
• First Posted: February 14, 2025
• Study Start: February 3, 2026
• Primary Completion (Estimated): August 31, 2028
• Study Completion (Estimated): August 31, 2028
• Last Updated: February 5, 2026

Record last verified: 2026-02

Locations

US (1)