Behavioral Optimization to Overcome Obstructive Sleep Apnea Treatment Barriers
BOOST
Helping Veterans With Obstructive Sleep Apnea Determine What Matters Most in Choosing a Treatment Option: a Randomized Trial
1 other identifier
interventional
128
1 country
2
Brief Summary
Previous studies have shown that programs encouraging the use of OSA treatments can help patients use these treatments more often, but the improvement is usually modest. This trial will test if giving patients a decision-making tool when they are first diagnosed with OSA, and combining their responses from this tool into a supportive program, will improve sleep quality and help them use their treatment more regularly.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for not_applicable
Started Jun 2026
Longer than P75 for not_applicable
2 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
September 26, 2025
CompletedFirst Posted
Study publicly available on registry
October 6, 2025
CompletedStudy Start
First participant enrolled
June 1, 2026
ExpectedPrimary Completion
Last participant's last visit for primary outcome
September 30, 2030
Study Completion
Last participant's last visit for all outcomes
December 31, 2030
April 23, 2026
April 1, 2026
4.3 years
September 26, 2025
April 20, 2026
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Pittsburgh Sleep Quality Index (PSQI)
The PSQI total score will be used as a measurement of sleep quality. Scores range from 0 to 21. Higher scores indicate worse outcome.
6-months after the end of the intervention/control sessions, which is approximately 8 months after randomization.
Secondary Outcomes (2)
Acceptance of therapy
One week after the end of the intervention/control sessions, which is approximately 2 months after randomization.
Treatment adherence by machine report
6-months after the end of the intervention/control sessions, which is approximately 8 months after randomization.
Other Outcomes (1)
Decisional Conflict Scale - 1 item
End of session 1, which is within 7 days of randomization.
Study Arms (2)
Sleep education program X + Y
EXPERIMENTALBrief 4 session education program with sleep specialist focused on behavioral strategies for improving use of sleep apnea therapy. Tests behavioral strategy program X plus Y.
Sleep education program X
ACTIVE COMPARATORBrief 4 session education program with sleep specialist focused on behavioral strategies for improving use of sleep apnea therapy Tests behavioral strategy X.
Interventions
Brief 4 session education program with sleep specialist focused on behavioral strategies for improving use of sleep apnea therapy. Tests behavioral strategy program X plus Y.
Brief 4 session education program with sleep specialist focused on behavioral strategies for improving use of sleep apnea therapy Tests behavioral strategy X.
Eligibility Criteria
You may qualify if:
- referred for an overnight diagnostic sleep test to evaluate for sleep-disordered breathing during the study period
- currently untreated for OSA (not prescribed therapy in the past year)
You may not qualify if:
- referral for overnight sleep test is for another reason than to diagnosis sleep-disordered breathing
- unable to read printed material (e.g., magazine) in English language
- unable to write
- unstable medical/psychiatric illness (e.g., recent hospitalization)
- Telephone Mini-Mental State Examination (MMSE) \< 21 or diagnosis of dementia
- unstable housing
- unable to attend study video or in-person visits
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (2)
VA Greater Los Angeles Healthcare System, West Los Angeles, CA
West Los Angeles, California, 90073-1003, United States
John D. Dingell VA Medical Center, Detroit, MI
Detroit, Michigan, 48201-1916, United States
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Constance H Fung, MD MSHS
VA Greater Los Angeles Healthcare System, West Los Angeles, CA
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- DOUBLE
- Who Masked
- PARTICIPANT, OUTCOMES ASSESSOR
- Masking Details
- Participants and outcome assessors will be blinded to group assignment.
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- FED
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
September 26, 2025
First Posted
October 6, 2025
Study Start (Estimated)
June 1, 2026
Primary Completion (Estimated)
September 30, 2030
Study Completion (Estimated)
December 31, 2030
Last Updated
April 23, 2026
Record last verified: 2026-04
Data Sharing
- IPD Sharing
- Will not share