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Telehealth for Sleep Apnea: Effectiveness, Implementation, and Cost in the Military Health System

RecruitingNAAges 18 Years - 64 YearsAllUniformed Services University of the Health Scien…
NCT07121452 on ClinicalTrials.gov ↗
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In plain words

What the trial is, and whether it could suit you

The long-term goal of this research is to improve military health and operational readiness among military service members with sleep disorders. The overall objective of the current study is to 1) determine the clinical effectiveness (non-inferiority) and cost-effectiveness of OSA telehealth care, including a human sleep navigator (vs private sector care), and 2) to perform a formative evaluation of the implementation of the OSA telehealth care intervention within the National Capitol Region (NCR) market. The central hypothesis is that OSA telehealth care including a human sleep navigator is clinically non-inferior to private sector care and also more cost-effective than private sector care. The investigators plan to achieve the objectives via these 3 Specific Aims: Specific Aim 1: To determine the clinical effectiveness (non-inferiority) of OSA telehealth care, relative to private secto

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📋 Eligibility rules (as published)
Inclusion Criteria: 1. Age 18-64 years 2. ADFM or DEERS beneficiary 3. Enrolled in any TRICARE (Prime, Standard, or Extra) 4. Deferred to private sector care (i.e., local TRICARE network) for OSA care 5. Newly diagnosed with OSA (AHI\>5) 6. Access to smartphone, desktop, laptop, or tablet computer Exclusion Criteria: 1. History of prior OSA testing, diagnosis, or care 2. Contraindication for home sleep apnea testing, based on established AASM criteria 3. History of or high-risk for organic sleep disorders other than OSA (e.g., REM behavior disorder, obesity hypoventilation syndrome) 4. Active alcohol or substance dependence 5. Severe sleepiness (Epworth Sleepiness Scale \[ESS\]\>18, or clinician judgment) 6. Pending permanent family change of station (PCS) within 6 months 7. Active-duty military service members (ADSM) 8. Untreated major medical or psychiatric illness 9. Pursuit of non-PAP treatment for OSA
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What it tests

  • Sleep Navigator
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Where

2 sites
Uniformed Services University
Bethesda, United States
Walter Reed National Military Medical Center
Bethesda, United States
🤝 Taking part is your choice, and you can leave at any time. Only the trial team can confirm you are eligible — always decide together with your own doctor.
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