Motivational program to help people with sleep apnea use their CPAP

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 adults with obstructive sleep apnea (OSA, breathing stops during sleep) who are about to start CPAP at home. CPAP is a machine that blows air through a mask.

Age

18 Years and older

Sex

All sexes

Disease stage

Mild OSA (AHI between 5 and 15), moderate OSA (AHI between 15 and 30) or severe OSA (AHI > 30). AHI counts breathing pauses per hour of sleep.

Earlier treatment

People must need to begin getting used to CPAP at home. People already used to CPAP cannot join.

Main reasons for not taking part

• Under 18 years old
• Already used to CPAP
• Unable to understand the Italian language

The registry criteria, word for word

What the trial wants to find out

The study aims to introduce a motivational intervention for patients with Obstructive Sleep Apnea (OSA) starting CPAP therapy to improve sleep quality and treatment adherence. It will assess average daily CPAP use and compare subjective sleep quality, daytime sleepiness, disease perception, and quality of life between the intervention group and a control group receiving standard care. Inclusion criteria are adults with OSA capable of understanding Italian; exclusion criteria are minors and those already adapted to CPAP. The experimental group will receive a four-phase motivational intervention, while the control group will follow standard CPAP adaptation without additional support.

The 2 groups in the trial

• Psychoeducation ProgramTreatment being tested

  The experimental group will receive a motivational psychoeducational intervention consisting of four phases: Phase 1 (Pre-adaptation Psychoeducation): The intervention begins with the pulmonologist's decision for home adaptation to CPAP for the patient diagnosed with OSA. The participant will receive necessary materials and an educational video (25 minutes) within two days before the provider's home visit. Phase 2 (Motivational Interview): After the first night of CPAP use, the participant will have a brief motivational interview via phone. Phase 3 (Psychological Support Interview): One week after the provider's intervention, the participant will have a support interview regarding the adaptation process (40 minutes). This first week is a high-risk period for device abandonment. Phase 4 (Monitoring Interview): Two weeks after the provider's intervention, the participant will have a monitoring interview (30 minutes) to check for any difficulties during the adaptation process.

  Treatment: Motivational educational program to improve sleep quality in OSA patients through adherence to CPAP

• Treatment as usualNo study treatment, for comparison

  The patient, following the visit with the pulmonologist specializing in sleep medicine, who has been diagnosed with OSA, will be invited to proceed with the home adaptation process for the CPAP device by the staff.