Enhancing PAP Adherence Among Spanish-speaking Hispanic Adults With OSA
Trial Parameters
Brief Summary
This study seeks to enhance long-term positive airway pressure (PAP) adherence among Spanish-speaking Hispanics, a group with known PAP outcomes disparities. This study will assess the feasibility of a linguistically and culturally adapted tele-management intervention (Automated Management, AM) for Spanish-speaking Hispanic adults with OSA.
Eligibility Criteria
Inclusion Criteria: * Spanish-speaking and reading * Self-identified Hispanic * Adults ≥ 18 years-old * Males and females * Moderate-severe OSA defined as AHI ≥15 events/hour using a hypopnea criterion of a 4% oxygen desaturation (AHI4%) * Expected availability for the duration of the study (6 months from date of randomization) * Ownership of smartphone with unlimited text messaging capability * Referred to PAP treatment and able and willing to be treated with PAP Exclusion Criteria: * Other sleep apnea or nocturnal respiratory insufficiency or failure diagnosis other than OSA established by polysomnogram (PSG) or home sleep apnea test (HSAT) * Requirement of supplemental oxygen or other non-invasive ventilation modality * Women referred to PAP because of new-onset OSA with pregnancy as PAP treatment may be time-limited (enrolled women who become pregnant during the trial and are already on PAP treatment will not be excluded) * Anticipated or scheduled bariatric surgery and/or referred