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Evaluating Behavioral Treatments to Improve Adherence to CPAP in People With Obstructive Sleep Apnea (BREATHE)

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ClinicalTrials.gov Identifier: NCT00939601
Recruitment Status : Completed
First Posted : July 15, 2009
Last Update Posted : July 15, 2009
Rhode Island Hospital
Information provided by:
Brown University

Brief Summary:
Obstructive sleep apnea (OSA) is a serious sleep disorder in which a person repeatedly stops breathing or experiences shallow breathing for short periods of time during sleep. The most common treatment for OSA is the use of a continuous positive airway pressure (CPAP) machine, but many people have trouble adhering to the treatment schedule. This study will evaluate the effectiveness of two behavioral therapy programs used in combination with CPAP for improving treatment adherence in people with OSA.

Condition or disease Intervention/treatment
Adherence to CPAP in Obstructive Sleep Apnea Behavioral: Motivational Enhancement Therapy Behavioral: Educational Counseling

Study Type : Interventional  (Clinical Trial)
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Double (Participant, Care Provider)
Primary Purpose: Supportive Care
Official Title: Evaluating Behavioral Treatments to Improve Adherence to Continuous Positive Airway Pressure (CPAP) Therapy in People With Obstructive Sleep Apnea

Resource links provided by the National Library of Medicine

MedlinePlus related topics: Sleep Apnea
U.S. FDA Resources

Arm Intervention/treatment
Active Comparator: Motivational Enhancement Therapy
MET will involve counseling sessions and phone calls, with a focus on building self-efficacy and providing personalized feedback on health and adherence patterns based on CPAP adherence monitoring.
Behavioral: Motivational Enhancement Therapy
Active Comparator: Educational Counseling
ED will involve sessions and phone calls that include educational information, problem-solving, and adherence feedback from study staff.
Behavioral: Educational Counseling
No Intervention: Standard Care

Information from the National Library of Medicine

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Ages Eligible for Study:   25 Years to 85 Years   (Adult, Senior)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No

Inclusion Criteria:

  • OSA confirmed by polysomnography (PSG)
  • CPAP is the prescribed form of treatment for OSA
  • Judged by sleep physician to respond to CPAP

Exclusion Criteria:

  • Apnea/hypoxia index (AHI) less than 15
  • Diagnosis of another sleep disorder that causes arousals from sleep
  • Past treatment for OSA
  • Current substance abuse problem
  • Diagnosis of a serious medical condition that would interfere with involvement in the study
  • History of a major psychiatric disorder, other than depression
  • Change in antidepressant medication in the 3 months before study entry

Publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):
Responsible Party: Mark S. Aloia, PhD,, National Jewish Health
ClinicalTrials.gov Identifier: NCT00939601     History of Changes
Other Study ID Numbers: R01HL067209 ( U.S. NIH Grant/Contract )
First Posted: July 15, 2009    Key Record Dates
Last Update Posted: July 15, 2009
Last Verified: July 2009

Keywords provided by Brown University:
Obstructive Sleep Apnea

Additional relevant MeSH terms:
Sleep Apnea Syndromes
Sleep Apnea, Obstructive
Respiration Disorders
Respiratory Tract Diseases
Signs and Symptoms, Respiratory
Signs and Symptoms
Sleep Disorders, Intrinsic
Sleep Wake Disorders
Nervous System Diseases