Department of Population Health, New York School of Medicine, New York, NY, USA.
Department of Psychiatry, NYU Langone Health, New York, NY, 10016, USA.
Trials. 2018 Sep 24;19(1):519. doi: 10.1186/s13063-018-2835-9.
Compared to whites, blacks are at increased risk for obstructive sleep apnea (OSA) yet less likely to adhere to physician-recommended sleep assessment and treatment. Poor OSA health literacy and lack of social support to navigate the current healthcare system are two potential barriers to adequate OSA care. This study is designed to address these barriers by evaluating the effectiveness of a peer-based sleep health education program on adherence to OSA assessment and treatment among blacks at risk for OSA.
METHOD/DESIGN: In a two-arm, randomized controlled trial, we will ascertain the effectiveness of peer-based sleep health education and social support in increasing OSA evaluation and treatment rates among 398 blacks at low to high OSA risk. Participants at risk of OSA will receive quality controlled, culturally, and linguistically tailored peer education based on Motivational Enhancement principles over a period of 12 months. During this 12-month period, participants are encouraged to participate in a sleep home study to determine risk of OSA and, if found to be at risk, they are invited to undergo a diagnostic sleep assessment at a clinic. Participants who are diagnosed with OSA and who are prescribed continuous positive airway pressure treatment will be encouraged, through peer-based education, to adhere to recommended treatment. Recruitment for the project is ongoing.
The use of a culturally tailored sleep health education program, peer health educators trained in sleep health, and home-based sleep assessment are novel approaches in improving OSA assessment and treatment adherence in blacks who are significantly at risk for OSA. Empirical evidence from this trial will provide clinical and population level solutions on how to improve and increase assessment and treatment of OSA among blacks.
NCT02427815 . Registered on 20 April 2015. ClinicalTrials.gov title: Sleep Health Education and Social Support Among Blacks With OSA.
与白人相比，黑人患阻塞性睡眠呼吸暂停（OSA）的风险增加，但接受医生推荐的睡眠评估和治疗的可能性较低。OSA 健康素养差以及缺乏社会支持来应对当前的医疗保健系统是充分治疗 OSA 的两个潜在障碍。本研究旨在通过评估基于同伴的睡眠健康教育计划对黑人 OSA 风险人群中 OSA 评估和治疗的依从性的有效性来解决这些障碍。
方法/设计：在一项两臂、随机对照试验中，我们将确定基于同伴的睡眠健康教育和社会支持在增加 398 名低至高 OSA 风险黑人中 OSA 评估和治疗率方面的有效性。有 OSA 风险的参与者将接受基于动机增强原则的经过质量控制、文化和语言调整的同伴教育，为期 12 个月。在这 12 个月期间，鼓励参与者参加睡眠家庭研究以确定 OSA 的风险，如果发现有风险，邀请他们在诊所进行诊断性睡眠评估。被诊断患有 OSA 并被处方持续气道正压通气治疗的参与者将通过基于同伴的教育鼓励他们坚持推荐的治疗。该项目正在招募参与者。
使用文化上量身定制的睡眠健康教育计划、接受过睡眠健康培训的同伴健康教育者和家庭睡眠评估是改善黑人中 OSA 评估和治疗依从性的新颖方法，黑人患 OSA 的风险显著增加。该试验的实证证据将为如何改善和增加黑人 OSA 的评估和治疗提供临床和人群水平的解决方案。
NCT02427815。于 2015 年 4 月 20 日注册。ClinicalTrials.gov 标题：阻塞性睡眠呼吸暂停黑人患者的睡眠健康教育和社会支持。
