Rationale and study protocol for We-PAP: a randomized pilot/feasibility trial of a couples-based intervention to promote PAP adherence and sleep health compared to an educational control
Abstract Background Obstructive sleep apnea (OSA) is a serious health condition that affects approximately 30-50% of older adults and contributes to risk for cardiometabolic disorders and dementia. Despite the well-documented role of partners in treatment seeking and adherence to positive airway pre...
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| Format: | Article |
| Language: | English |
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BMC
2022-08-01
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| Series: | Pilot and Feasibility Studies |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s40814-022-01089-x |
| _version_ | 1811342740099694592 |
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| author | Kelly Glazer Baron Allyson Gilles Krishna M. Sundar Brian R. W. Baucom Kevin Duff Wendy Troxel |
| author_facet | Kelly Glazer Baron Allyson Gilles Krishna M. Sundar Brian R. W. Baucom Kevin Duff Wendy Troxel |
| author_sort | Kelly Glazer Baron |
| collection | DOAJ |
| description | Abstract Background Obstructive sleep apnea (OSA) is a serious health condition that affects approximately 30-50% of older adults and contributes to risk for cardiometabolic disorders and dementia. Despite the well-documented role of partners in treatment seeking and adherence to positive airway pressure (PAP), treatments for OSA have nearly exclusively focused on the patient and current treatments for OSA do not address co-existing sleep problems such as insomnia that are prevalent in both patients with OSA and their partners. Therefore, the goal of this study is to develop and test a novel couples-based sleep health intervention to promote adherence to PAP and improve sleep health of the couple. Methods We are conducting a two-arm, parallel group, single blind, randomized controlled pilot/feasibility trial to compare our novel couples-based sleep health intervention (We-PAP) to an information control group (IC). We-PAP is based on a transdiagnostic model and uses a dyadic approach including increasing effective partner support, communication skills, and couple-level goal-setting. We-PAP involves 3 sessions and delivered via telehealth in weekly sessions. The IC includes standardized patient educational materials. Both groups receive the usual follow-up with their medical team. The study involves assessments at pre-treatment, post-intervention (approximately 1 month after starting PAP and completing We-PAP sessions or IC) and 3 months after starting PAP. Our main outcomes are feasibility and acceptability ratings. Secondary outcomes include comparing We-PAP to IC for PAP adherence, sleep quality (self-report and objective) and cognitive measures. Discussion We-PAP is the first couples-based transdiagnostic sleep health intervention for patients with OSA and their partners. Results of this study will be used to inform the design of a subsequent fully powered clinical trial. If successful, this intervention could significantly advance current clinical practice in the treatment of OSA and sleep health more comprehensively in older adults. Moreover, this intervention may be useful for improving sleep in other aging populations with multiple sleep and other health problems, including patients with chronic illnesses or those at risk for Alzheimer’s disease and their caregivers. Trial registration NCT04759157 . Date of registration: February 8, 2021. URL of trial registry record. |
| first_indexed | 2024-04-13T19:16:07Z |
| format | Article |
| id | doaj.art-d0af709a98d04fbfbf4acdf2f79bf37b |
| institution | Directory Open Access Journal |
| issn | 2055-5784 |
| language | English |
| last_indexed | 2024-04-13T19:16:07Z |
| publishDate | 2022-08-01 |
| publisher | BMC |
| record_format | Article |
| series | Pilot and Feasibility Studies |
| spelling | doaj.art-d0af709a98d04fbfbf4acdf2f79bf37b2022-12-22T02:33:40ZengBMCPilot and Feasibility Studies2055-57842022-08-018111010.1186/s40814-022-01089-xRationale and study protocol for We-PAP: a randomized pilot/feasibility trial of a couples-based intervention to promote PAP adherence and sleep health compared to an educational controlKelly Glazer Baron0Allyson Gilles1Krishna M. Sundar2Brian R. W. Baucom3Kevin Duff4Wendy Troxel5Division of Public Health, Department of Family and Preventive Medicine, University of UtahDivision of Public Health, Department of Family and Preventive Medicine, University of UtahDivision of Pulmonary & Critical Care Medicine, Department of Medicine, University of UtahDepartment of Psychology, University of UtahDepartment of Neurology, University of UtahRAND CorporationAbstract Background Obstructive sleep apnea (OSA) is a serious health condition that affects approximately 30-50% of older adults and contributes to risk for cardiometabolic disorders and dementia. Despite the well-documented role of partners in treatment seeking and adherence to positive airway pressure (PAP), treatments for OSA have nearly exclusively focused on the patient and current treatments for OSA do not address co-existing sleep problems such as insomnia that are prevalent in both patients with OSA and their partners. Therefore, the goal of this study is to develop and test a novel couples-based sleep health intervention to promote adherence to PAP and improve sleep health of the couple. Methods We are conducting a two-arm, parallel group, single blind, randomized controlled pilot/feasibility trial to compare our novel couples-based sleep health intervention (We-PAP) to an information control group (IC). We-PAP is based on a transdiagnostic model and uses a dyadic approach including increasing effective partner support, communication skills, and couple-level goal-setting. We-PAP involves 3 sessions and delivered via telehealth in weekly sessions. The IC includes standardized patient educational materials. Both groups receive the usual follow-up with their medical team. The study involves assessments at pre-treatment, post-intervention (approximately 1 month after starting PAP and completing We-PAP sessions or IC) and 3 months after starting PAP. Our main outcomes are feasibility and acceptability ratings. Secondary outcomes include comparing We-PAP to IC for PAP adherence, sleep quality (self-report and objective) and cognitive measures. Discussion We-PAP is the first couples-based transdiagnostic sleep health intervention for patients with OSA and their partners. Results of this study will be used to inform the design of a subsequent fully powered clinical trial. If successful, this intervention could significantly advance current clinical practice in the treatment of OSA and sleep health more comprehensively in older adults. Moreover, this intervention may be useful for improving sleep in other aging populations with multiple sleep and other health problems, including patients with chronic illnesses or those at risk for Alzheimer’s disease and their caregivers. Trial registration NCT04759157 . Date of registration: February 8, 2021. URL of trial registry record.https://doi.org/10.1186/s40814-022-01089-xObstructive sleep apnea (OSA)CouplePositive airway pressure (PAP)AdherenceSleepTransdiagnostic |
| spellingShingle | Kelly Glazer Baron Allyson Gilles Krishna M. Sundar Brian R. W. Baucom Kevin Duff Wendy Troxel Rationale and study protocol for We-PAP: a randomized pilot/feasibility trial of a couples-based intervention to promote PAP adherence and sleep health compared to an educational control Pilot and Feasibility Studies Obstructive sleep apnea (OSA) Couple Positive airway pressure (PAP) Adherence Sleep Transdiagnostic |
| title | Rationale and study protocol for We-PAP: a randomized pilot/feasibility trial of a couples-based intervention to promote PAP adherence and sleep health compared to an educational control |
| title_full | Rationale and study protocol for We-PAP: a randomized pilot/feasibility trial of a couples-based intervention to promote PAP adherence and sleep health compared to an educational control |
| title_fullStr | Rationale and study protocol for We-PAP: a randomized pilot/feasibility trial of a couples-based intervention to promote PAP adherence and sleep health compared to an educational control |
| title_full_unstemmed | Rationale and study protocol for We-PAP: a randomized pilot/feasibility trial of a couples-based intervention to promote PAP adherence and sleep health compared to an educational control |
| title_short | Rationale and study protocol for We-PAP: a randomized pilot/feasibility trial of a couples-based intervention to promote PAP adherence and sleep health compared to an educational control |
| title_sort | rationale and study protocol for we pap a randomized pilot feasibility trial of a couples based intervention to promote pap adherence and sleep health compared to an educational control |
| topic | Obstructive sleep apnea (OSA) Couple Positive airway pressure (PAP) Adherence Sleep Transdiagnostic |
| url | https://doi.org/10.1186/s40814-022-01089-x |
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