100 Participants Needed

Health Coaching for Sleep Apnea

(REST pilot Trial)

Recruiting in San Francisco (>99 mi)
GS
Overseen ByGeorge Su, MD
Age: 18+
Sex: Any
Trial Phase: Academic
Sponsor: University of California, San Francisco
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)

What You Need to Know Before You Apply

What is the purpose of this trial?

This study will test a brief telephonic health coaching intervention to improve adherence to positive airway pressure therapy for treatment of obstructive sleep apnea.

Will I have to stop taking my current medications?

The trial information does not specify whether you need to stop taking your current medications.

Is health coaching safe for humans?

Health coaching, including Erickson coaching and programs like HealtheSteps™, has been used safely in various settings to support lifestyle changes for conditions like obesity, diabetes, and heart disease. Participants and coaches generally find these programs acceptable and helpful, with no significant safety concerns reported.12345

How does health coaching differ from other treatments for sleep apnea?

Health coaching for sleep apnea is unique because it focuses on lifestyle changes and weight management through personalized coaching sessions, unlike traditional treatments like CPAP (continuous positive airway pressure) which primarily address breathing issues during sleep. This approach aims to improve adherence to healthy behaviors, potentially leading to weight loss and better overall health outcomes.12678

What data supports the effectiveness of the treatment health coaching for sleep apnea?

Research shows that health coaching can help people with sleep apnea lose weight and adopt healthier lifestyles, which are important for managing the condition. In one study, patients who received coaching lost weight and improved their body composition, which can positively impact sleep apnea.1291011

Who Is on the Research Team?

RW

Rachel Willard-Grace, MPH

Principal Investigator

University of California, San Francisco

Are You a Good Fit for This Trial?

The REST study is for English or Spanish speakers over 18 who have sleep apnea and got a modem-enabled airway pressure device from San Francisco General Hospital Sleep Clinic but aren't using it enough (less than Medicare's standard). They need to be reachable by phone.

Inclusion Criteria

You have received treatment at the San Francisco General Hospital Sleep Clinic.
English- or Spanish-speaking
Not currently meeting Medicare standards for adherence of at least 4 hours per night for at least 70% of the last 30 nights
See 1 more

Exclusion Criteria

Not English- or Spanish-speaking
Does not have phone number at which could be reached

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Treatment

Participants receive telephonic health coaching to improve adherence to positive airway pressure therapy

4 months
Up to 5 calls (telephonic)

Follow-up

Participants are monitored for adherence and patient-reported outcomes such as daytime sleepiness

4 months

What Are the Treatments Tested in This Trial?

Interventions

  • Health coaching
Trial Overview This trial tests if a short health coaching program done over the phone can help people with obstructive sleep apnea stick to their positive airway pressure therapy better.
How Is the Trial Designed?
2Treatment groups
Experimental Treatment
Active Control
Group I: Health coaching armExperimental Treatment1 Intervention
Group II: Usual careActive Control1 Intervention

Find a Clinic Near You

Who Is Running the Clinical Trial?

University of California, San Francisco

Lead Sponsor

Trials
2,636
Recruited
19,080,000+

Published Research Related to This Trial

In a study of 26 obstructive sleep apnea patients over 20 weeks, Erickson coaching led to significant reductions in body weight, neck circumference, waist-to-hip ratio, and body fat percentage, with an average weight loss of 5.2%.
77% of participants achieved a weight reduction of over 3%, and factors like attending coaching sessions and reaching personal physical performance goals were linked to successful weight loss, highlighting the effectiveness of coaching in promoting healthy lifestyle changes.
Erickson solution-focused coaching for weight management in obese patients with obstructive sleep apnoea: ECOHEALTH pilot study.Tkacova, R., Paranicova, I., Timkova, E., et al.[2021]
Obstructive sleep apnoea (OSA) is often linked with obesity, affecting about 70% of patients, and while CPAP therapy is the standard treatment, it does not lead to significant long-term weight loss or improvements in cardiovascular health.
The study proposes that Erikson coaching, a lifestyle intervention, could enhance adherence to healthy behaviors in obese OSA patients, potentially leading to weight reduction and better metabolic health, which may ultimately reduce cardiovascular risks.
Erickson health coaching: An innovative approach for weight management in obese patients with obstructive sleep apnoea?Tkacova, R.[2019]
Patient coaching is an effective process that helps individuals achieve their health goals, whether for preventive measures or chronic treatment.
By creating a supportive environment for open communication, coaching can lead to quicker and more efficient improvements in health outcomes.
[Coaching and diabetes].Roca, JM.[2011]

Citations

Erickson solution-focused coaching for weight management in obese patients with obstructive sleep apnoea: ECOHEALTH pilot study. [2021]
Erickson health coaching: An innovative approach for weight management in obese patients with obstructive sleep apnoea? [2019]
[Coaching and diabetes]. [2011]
Impact of an Extended Telemonitoring and Coaching Program on Continuous Positive Airway Pressure Adherence. [2022]
Eight-year post-trial follow-up of morbidity and mortality of telephone health coaching. [2021]
[Health counseling in primary care doctors' offices: a new wind! The Health Coaching Program of the Swiss College of Primary Care Medicine]. [2015]
Compendium of the Health and Wellness Coaching Literature. [2020]
Process evaluation of the HealtheSteps™ lifestyle prescription program. [2019]
CPAP devices: encouraging patients with sleep apnea. [2022]
Effect of Mediterranean diet versus prudent diet combined with physical activity on OSAS: a randomised trial. [2022]
How to assess, diagnose, refer and treat adult obstructive sleep apnoea: a commentary on the choices. [2019]
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