Enhancing PAP Adherence Among Spanish-speaking Hispanic Adults With OSA

This study seeks to enhance long-term positive airway pressure (PAP) adherence among Spanish-speaking Hispanics, a group with known PAP outcomes disparities. This study will assess the feasibility of a linguistically and culturally adapted tele-management intervention (Automated Management, AM) for Spanish-speaking Hispanic adults with OSA.

Inclusion Criteria:Spanish-speaking and readingSelf-identified HispanicAdults ≥ 18 years-oldMales and femalesModerate-severe OSA defined as AHI ≥15 events/hour using a hypopnea criterion of a 4% oxygen desaturation (AHI4%)Expected availability for the duration of the study (6 months from date of randomization)Ownership of smartphone with unlimited text messaging capabilityReferred to PAP treatment and able and willing to be treated with PAPExclusion Criteria:Other sleep apnea or nocturnal respiratory insufficiency or failure diagnosis other than OSA established by polysomnogram (PSG) or home sleep apnea test (HSAT)Requirement of supplemental oxygen or other non-invasive ventilation modalityWomen referred to PAP because of new-onset OSA with pregnancy as PAP treatment may be time-limited (enrolled women who become pregnant during the trial and are already on PAP treatment will not be excluded)Anticipated or scheduled bariatric surgery and/or referred to sleep evaluation by bariatric surgery