Sleep Health Education and Social Support Among Blacks With OSA

NYU Langone Health1,092 enrolled

Overview

The primary purpose of this study is to ascertain the effectiveness of tailored, peer based sleep health education and social support in increasing adherence rates to recommended Obstructive Sleep Apnea (OSA) evaluation and treatment among blacks at risk of Obstructive Sleep Apnea.

Obstructive sleep apnea (OSA), which disproportionately affects blacks (31% vs. 10%, whites), is a critical, preventable and/or treatable disease potentially causing increased cardiovascular disease (CVD) outcomes (e.g., obesity, diabetes, hypertension, stroke, arrhythmia, and chronic heart failure). Improving sleep may have direct effects in reducing CVD risk,2 enhancing brain functions, and increasing workplace productivity. Unfortunately, our focus groups suggest that most at-risk blacks are unaware of OSA symptoms or its related morbidity. Thus, it is imperative to address poor adherence among blacks with OSA, if we are to reduce health disparities associated with CVD outcomes between blacks and whites. This is a randomized study with a total of 6 sites recruiting; 3 will serve as controls and 3 that will be intervention. Group A participants (Intervention group) will receive health education from a trained Peer Health Educator and Group B participants (Control group) will meet with a salon worker, barbershop worker, or church Health Ministry group leader. Participants will be asked to use a sleep diary and wear a home sleep test device to measure sleep for 7 days. They will be followed for 12 months.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

PREVENTION

Masking

NONE

Enrollment

1,092

Conditions

Obstructive Sleep Apnea

Interventions

Peer Based Sleep Health Education and Social SupportBEHAVIORAL

Participants randomly assigned to the intervention arm will receive Obstructive Sleep Apnea education and social support from a trained Peer Educator.

Attention Control GroupBEHAVIORAL

Participants assigned to this arm of the study will receive standard sleep literature, providing information about OSA and access to available sleep services.

Eligibility

Sex: ALLMin age: 18 YearsHealthy volunteers:

Medical Language ↔ Plain English

Inclusion Criteria: * self-reported race/ethnic minority * ages ≥18 years * accessible by telephone * consent to participate, which includes permission to release medical record information * A positive screening for OSA is necessary to be enrolled in the intervention protocol. Exclusion Criteria: * are involved in another sleep study. * are unable to understand and sign this informed consent form. * know someone who is participating in this study. * had a heart attack or stroke within the past 12 weeks. * do not identify yourself as a racial/ethnic minority. * are pregnant. * Refuse to use the ARESTM home sleep test device. * Refuse to use the WatchPATTM home sleep test device. * are not at risk for sleep apnea.

Locations (1)

180 Madison Ave

New York, New York, United States

Outcomes

Primary Outcomes

Rate of adherence to recommended home OSA evaluation and treatment after intervention exposure

We will perform analysis on an intention-to-treat basis.

Time frame: 12 Months

Secondary Outcomes

Rate of Obstructive Sleep Apnea among black men and women at the community level

Obstructive Sleep Apnea among minorities.

Time frame: 12 Months

Data from ClinicalTrials.gov

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