Sleep Apnea Video Education for CPAP (SAVE-CPAP)

Study Overview
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Brief Summary
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The purpose of this study is to determine how satisfied patients are when undergoing an overnight polysomnogram (sleep study), what their knowledge about sleep apnea is, and what factors affect obstructive sleep apnea (OSA) treatment use.

Detailed Description
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The effects of educational interventions on subject compliance, satisfaction, and knowledge of their condition will be examined through the use of video vs pamphlet and MD vs staff contact for follow-up visit reminder.

Official Title
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Impact of a Short Educational Video on OSA Patient Satisfaction, Knowledge and Outcomes

Conditions
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Obstructive Sleep Apnea

Intervention / Treatment
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* Other: Enhanced education
* Other: Usual education
* Other: Usual follow up
* Other: Enhanced follow up


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Patients aged > 18 years of age who are referred to the University of Chicago sleep laboratory for split-night polysomnography by a non-sleep physician and who have a consultation appointment with a sleep physician following the appointment Have not had prior contact with a sleep physician or prior exposure to CPAP therapy. Exclusion Criteria: Subjects will be excluded for any of the following characteristics: -Non-English speaking Illiterate Sleep study is negative for sleep apnea (apnea-hypopnea index < 5 events/hr) Subject does not undergo CPAP titration during the in-laboratory polysomnogram Subject does not have a working telephone number Poor eyesight or hearing Dementia

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Other
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Enhanced education and Enhanced follow up<br>Subjects will watch a short video and will be contacted by an MD by phone | Other: Enhanced education<br>* Investigator created video to help educate subject before the in-laboratory split night polysomnogram. The subject will watch the short video immediately prior to the initiation of the in-laboratory polysomnogram.<br>Other: Usual follow up<br>* MD will follow up by phone after the in-laboratory split night polysomnogram<br>|
| Active Comparator: Usual education and Usual follow up<br>Standard education by American Academy of Sleep Medicine (AASM)- created educational pamphlets and will be contacted by a sleep center staff member by phone | Other: Usual education<br>* Usual education by American Academy of Sleep Medicine (AASM)- created educational pamphlets<br>Other: Enhanced follow up<br>* Sleep center non-MD staff member will follow up by phone after the in-laboratory split night polysomnogram<br>|
| Experimental: Enhanced education and Usual follow up<br>Subjects will watch a short video immediately prior to the initiation of the in-laboratory polysomnogram and will be contacted by sleep center non-MD staff member by phone | Other: Enhanced education<br>* Investigator created video to help educate subject before the in-laboratory split night polysomnogram. The subject will watch the short video immediately prior to the initiation of the in-laboratory polysomnogram.<br>Other: Enhanced follow up<br>* Sleep center non-MD staff member will follow up by phone after the in-laboratory split night polysomnogram<br>|
| Experimental: Usual education with Enhanced follow up<br>Standard education by American Academy of Sleep Medicine (AASM)- created educational pamphlets and contacted by an MD by phone | Other: Usual education<br>* Usual education by American Academy of Sleep Medicine (AASM)- created educational pamphlets<br>Other: Usual follow up<br>* MD will follow up by phone after the in-laboratory split night polysomnogram<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| CPAP Therapy Adherence | Subject use of CPAP device will be monitored electronically. Subjects will be randomized to educational intervention of either viewing a video or reading a pamphlet prior to in-laboratory split night polysomnogram (sleep study) and initiation of CPAP therapy, and CPAP adherence rates of the two groups will be compared and reported. | 30 days post in-lab split night polysomnogram | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Subject compliance with sleep clinic appointment | Subjects will be randomized to receive a reminder call for follow up clinic appointment either from MD or staff, and the compliance rates of the two groups will be compared based on call type and educational intervention type. | within 3 months after the in-laboratory split night polysomnogram | 
| Patient Knowledge About Sleep Apnea and CPAP Therapy | Subjects will be administered 2 questionnaires which measure knowledge about their condition, both before and after the in-laboratory split night polysomnogram (sleep study). The scores of the two questionnaires will be combined for both test administrations. Subjects will be randomized to educational intervention of either viewing a video or reading a pamphlet prior to sleep study and initiation of CPAP therapy, and the change in the combined questionnaire scores of the two groups will be compared and reported. | 1 day post in-laboratory split night polysomnogram | 
| Patient Satisfaction With the in-laboratory split night polysomnogram | Subjects will be administered 2 questionnaires which measure their mood and well-being, both before and after the in-laboratory split night polysomnogram. The questionnaires will be scored and the scores for each subject will be combined at both testing administrations. On the night of the in-laboratory polysomnogram subjects will be randomized to educational intervention of either viewing a video or reading a pamphlet prior to the initiation of the polysomnogram and initiation of CPAP therapy, and the change in the combined questionnaire scores of the two groups will be compared and reported. | 1 day post in-laboratory split night polysomnogram | 
| CPAP Therapy Adherence | Subjects will be randomized to receive a reminder call for follow up sleep clinic appointment either from MD or non-MD sleep center staff, and the compliance rates of the two groups will be compared based on call type and educational intervention type. | 1 month post sleep clinic visit or the date of the missed sleep clinic visit | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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OSA, Apnea