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. 2018 Sep 24;19(1):519.
doi: 10.1186/s13063-018-2835-9.

Culturally tailored, peer-based sleep health education and social support to increase obstructive sleep apnea assessment and treatment adherence among a community sample of blacks: study protocol for a randomized controlled trial

Azizi A Seixas  1   2 , Chau Trinh-Shevrin  3 , Joseph Ravenell  3 , Gbenga Ogedegbe  3 , Ferdinand Zizi  3 , Girardin Jean-Louis  3
Affiliations

Culturally tailored, peer-based sleep health education and social support to increase obstructive sleep apnea assessment and treatment adherence among a community sample of blacks: study protocol for a randomized controlled trial

Azizi A Seixas et al. Trials. .

Abstract

Background: 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.

Discussion: 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.

Trial registration: NCT02427815 . Registered on 20 April 2015. ClinicalTrials.gov title: Sleep Health Education and Social Support Among Blacks With OSA.

Keywords: Blacks; Education; Home-study; Obstructive sleep apnea; Peer.

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Conflict of interest statement

Authors’ information

All authors are faculty at New York University School of Medicine, 227 East 30th Street, 10016 New York, NY, USA.

Ethics approval and consent to participate

The trial was approved by New York University School of Medicine Institutional Review Board. All participants will sign a consent document in order to participate in this trial. The study reference number at NYU School of Medicine is i14-01028.

Consent for publication

Not applicable.

Competing interests

The authors declare that they have no competing interests.

Publisher’s Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Figures

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Fig. 1
Effects of obstructive sleep apnea treatment on health outcomes
Fig. 2
Fig. 2
Theoretical framework for the impact of peer-based behavioral intervention on adherence to recommended obstructive sleep apnea evaluation and treatment
Fig. 3
Fig. 3
Study design
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Fig. 4
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