Motivational support for American Indian elders with sleep apnea using airway pressure therapy

AI summary

From the trial's eligibility criteria. Machine-read from the registry text on this page, so it can be wrong. The registry text below and the trial team decide who can take part.

The trial is looking for American Indian or Alaskan Native adults with obstructive sleep apnea, a condition where breathing stops during sleep. They must have a prescribed PAP breathing machine.

Age

50 years and older in the criteria (the record lists a minimum age of 40 Years).

Sex

All sexes can join.

Disease stage

Diagnosed with obstructive sleep apnea.

Earlier treatment

Must be prescribed PAP (positive airway pressure) therapy and have a device. People already using the PAP device as much as Medicaid standards ask cannot join.

Main reasons for not taking part

• Living in a household with someone already in the study
• Already using the PAP device at the level set by Medicaid standards
• Memory or thinking decline so that the person cannot give consent on their own
• Not able to understand written and spoken English
• Not able or willing to follow all study steps

The registry criteria, word for word

What the trial wants to find out

This research project will develop and implement a motivational interviewing and electronic messaging intervention to address obstructive sleep apnea (OSA), positive airway pressure (PAP) adherence, and risk of Alzheimer's disease and related dementias in American Indians. The project will work with American Indian Elders, aged 50 years and older, from three Northern Plains Reservations and surrounding communities. A total of 300 American Indian elders with a confirmed OSA diagnosis and prescribed PAP therapy will be randomized to receive usual care consisting of PAP therapy alone (control condition) or usual care plus the culturally informed CATNAP MI component (intervention condition).

The 2 groups in the trial

• Intervention GroupTreatment being tested

  The CATNAP MI intervention consists of 3 Motivational Interviewing sessions to address obstructive sleep apnea (OSA), positive airway pressure (PAP) adherence, and risk of Alzheimer's disease and related dementias (ADRD) in American Indians and electronic messaging to support PAP adherence, and usual care. Data will be collected at baseline, 3-months, and 9-months.

  Treatment: CATNAP MI

• Waitlist Control GroupNo study treatment, for comparison

  Usual care, consisting of an in-service on how to operate the PAP machine, and a mask fitting to select the most comfortable, effective mask for the individual. After 4-6 weeks of use, the participant will be contacted by Missouri Breaks Durable Medical Equipment to review objective adherence data and address any challenges or barriers to therapy such as treatment-emergent central apneas. Data will be collected at baseline, 3-months, and 9-months.