The goal of this clinical trial is to learn if a couple-focused mobile healthintervention will improve the use of continuous positive airway pressure (CPAP), theprimary treatment option for obstructive sleep apnea (OSA). Participants include newlydiagnosed patients with OSA who are candidates for CPAP treatment and their partners. Thecouples will received supportive information and resources on their mobile devices beforeCPAP begins and continuing for 6 months into CPAP treatment. Their interaction with theresources is self-paced and the time sent engaging with the information is up to them.Participants will be asked to answer questions independently at five points: before CPAP,and after using CPAP for 1-week, 1-month, 3-months and 6-months. Those questions areabout their experience of using CPAP, how the partner is involved in CPAP treatment, andsymptoms and quality of life. At the end of the study, some couples may be contacted fora virtual discussion about your experience regarding study participation which lastsapproximately 1 hour.
Not Provided
Behavioral: OurSleepKit
OurSleepKit is developed as an app including a patient version and a partner version, to
be downloaded on the patient's or partner's mobile devices at home. The goal of
OurSleepKit is to coach mutual engagement and model positive partner involvement in CPAP
treatment, thus motivating greater CPAP adherence. Using OurSleepKit, both the patient
and partner will complete periodic assessments tracking various aspects of their sleep
and CPAP use. The assessment data are then processed by OurSleepKit to provide customized
and dynamically updated support content consisting of brief story-telling videos
featuring real-life couples' experiences emphasizing positive dyadic coping and
problem-solving strategies. OurSleepKit delivers timely tailored prompts through push
notifications on the users' mobile devices' screens, linked to relevant support content,
to facilitate positive conversation in the dyad and offer in-the-moment support for CPAP
use.
Inclusion Criteria:
- patients should be males or females (age≥18 years) with diagnosed OSA and candidates
for CPAP therapy (with any type of pressure delivery mode), and are cohabiting with
their partner for at least one year
- The partners of eligible patients will be recruited if they are not diagnosed with
OSA and not using CPAP
- both partners should have their own mobile devices with access to the internet
Exclusion Criteria:
- have a diagnosis of a sleep disorder other than OSA based on a polysomnogram (e.g.,
central sleep apnea, narcolepsy, or periodic limb movement disorder)
- have planned bariatric surgery (as they typically quit CPAP after surgery)
- have a partner using CPAP
- are pregnant because the changes in respiration and sleep quality occurring with
pregnancy may confound the results.
- couples with one or both partners doing regular overnight shift work or those unable
to speak or write in English will be excluded.
Northeastern University
Boston, Massachusetts, United States
University of Pittsburgh
Pittsburgh, Pennsylvania, United States
Lichuan Ye, PhD
617-373-2582
l.ye@northeastern.edu
Jack Johnson, BS
5082460704
jac.johnson@northeastern.edu
Not Provided