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Trial registered on ANZCTR
Registration number
ACTRN12607000424404
Ethics application status
Approved
Date submitted
15/08/2007
Date registered
22/08/2007
Date last updated
7/07/2022
Date data sharing statement initially provided
7/07/2022
Date results provided
7/07/2022
Type of registration
Prospectively registered
Titles & IDs
Public title
Increasing adherence to Obstructive Sleep Apnea (OSA) treatment with a cognitive Behavioural therapy (CBT) intervention
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Scientific title
Increasing adherence to Obstructive Sleep Apnea (OSA) treatment with a cognitive Behavioural therapy (CBT) intervention
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Secondary ID [1]
281001
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Nil.
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Universal Trial Number (UTN)
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Trial acronym
Increasing adherence to OSA with a CBT intervention
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Obstructive Sleep Apnea
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Adherence to treatment which is Continuous Positive Airway Pressure
2259
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Condition category
Condition code
Respiratory
2349
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0
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Sleep apnoea
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Continuous positive airway pressure treatment (CPAP); a one session group cognitive behavioural therapy intervention to promote CPAP acceptance and adherence, duration approximately 1 hour; and a 1 hour social reciprocity control treatment to assess if time spent with individuals increases CPAP acceptance and adherence.
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Intervention code [1]
1970
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Treatment: Devices
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Intervention code [2]
1971
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Behaviour
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Comparator / control treatment
Social Reciprocity – this control is designed to determine the influence of social support on CPAP acceptance and adherence. During the social reciprocity session participants will be shown a video on sleep and healthy lifestyle and information on how to contact local CPAP support groups will be provided. Tea and coffee will be served to participants after the video and there will be an opportunity to talk with other participants.
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Control group
Active
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Outcomes
Primary outcome [1]
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Primary Outcome 1: Acceptance and uptake of CPAP usage
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Assessment method [1]
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Timepoint [1]
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Time point for Outcome 1: 1month, 3 months, 6 months following intervention
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Primary outcome [2]
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Primary Outcome 2: Average Nightly CPAP usage > 4 hours and > 6 hours
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Assessment method [2]
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Timepoint [2]
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Timepoint for Outcome 2: Baseline, 1 month, 3 months, 6 months following intervention
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Primary outcome [3]
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Primary Outcome 3: Neurocognitive function
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Assessment method [3]
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Timepoint [3]
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Timepoint for Outcome 3: Baseline, 1 month, 6 months following intervention
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Secondary outcome [1]
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Secondary Outcome 1: Mood (depression, anxiety, stress)
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Assessment method [1]
5410
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Timepoint [1]
5410
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Timepoint for Outcome 1: Baseline, 1 month and 6 months following intervention
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Secondary outcome [2]
5411
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Secondary Outcome 2: Daytime sleep propensity
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Assessment method [2]
5411
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Timepoint [2]
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Timepoint for Outcome 2: Baseline, 1 month and 6 months following intervention
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Eligibility
Key inclusion criteria
Diagnosis of Obstructive Sleep Apnea
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
An inability to communicate and understand written English.
Use of psychotropic drugs.
Previous trial of CPAP.
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Study design
Purpose of the study
Educational / counselling / training
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Participants recruited from sleep clinics at the Royal Prince Alfred and Royal North Shore Hospitals, individuals who have been diagnosed with OSA following polysomnography and who have elected to undergo CPAP treatment will be invited to take part in the present study.
Consenting participants were randomised to in hospital CPAP titration or home autoCPAP titration. Allocation was concealed using sealed opaque envelopes which were opened following participant consent and prior to treatment as usual session.
Following treatment as usual for CPAP participants were randomised to CBT or Social Reciprocity (SR). Sealed opaque envelopes containing treatment allocation were opened following completion of treatment as usual.
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
There are two randomisation components in this study. Both sequences are permuted block randomisation from a web based sequence programme.
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
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Intervention assignment
Parallel
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Other design features
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Phase
Not Applicable
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Type of endpoint/s
Efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
10/09/2007
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Actual
1/11/2007
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Date of last participant enrolment
Anticipated
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Actual
3/08/2009
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Date of last data collection
Anticipated
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Actual
3/05/2010
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Sample size
Target
220
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Accrual to date
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Final
206
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Recruitment in Australia
Recruitment state(s)
NSW
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Recruitment postcode(s) [1]
373
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2050
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Recruitment postcode(s) [2]
374
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2065
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Funding & Sponsors
Funding source category [1]
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Government body
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Name [1]
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National Health and Medical Research Council
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Address [1]
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Level 5
20 Allara St
Canberra ACT 2601
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Country [1]
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Australia
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Primary sponsor type
Charities/Societies/Foundations
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Name
Woolcock Institute of Medical Research
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Address
PO Box M77
Missenden Road
Camperdown NSW 2050
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Country
Australia
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Secondary sponsor category [1]
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University
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Name [1]
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University of Sydney
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Address [1]
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The University of Sydney
NSW 2006
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Country [1]
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Australia
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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Sydney South West Area Health Service Ethics Review Committee (RPAH Zone)
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Ethics committee address [1]
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Main Quadrangle A14 The University of Sydney NSW 2006
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Ethics committee country [1]
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Australia
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Date submitted for ethics approval [1]
4423
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Approval date [1]
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20/06/2007
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Ethics approval number [1]
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10225
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Summary
Brief summary
Obstructive Sleep Apnea (OSA) is a common sleep disorder which is commonly treated with Continuous Positive Airway Pressure (CPAP). Up to 50% of individuals either do not take their CPAP treatments home or are not using them at 6 months. Preliminary data from CPAP patients found significantly increased uptake and usage >4hours each night with a Cognitive behavioural therapy CBT) intervention. Our aim is to compare TAU with the addition of a CBT intervention to TAU with the addition of Social Reciprocity to determine the effectiveness of CBT in improving CPAP treatment acceptance and adherence in OSA sufferers
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Dr Delwyn Bartlett
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Address
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Woolcock Institute of Medical Research PO Box M77 Missenden Road Camperdown NSW 2050
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Country
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Australia
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Phone
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+61 2 9515 5830
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Fax
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Email
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[email protected]
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Contact person for public queries
Name
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Sarah Newton-John
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Address
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Woolcock Institute of Medical Research
PO Box M77 Missenden Road
Camperdown NSW 2050
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Country
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Australia
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Phone
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61 2 9515 6578
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Fax
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61 2 9550 5865
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Email
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[email protected]
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Contact person for scientific queries
Name
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Delwyn Bartlett
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Address
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Woolcock Institute of Medical Research
PO Box M77 Missenden Road
Camperdown NSW 2050
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Country
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Australia
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Phone
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61 2 9515 5830
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Fax
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61 2 9515 7070
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Email
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[email protected]
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Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
Yes
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What data in particular will be shared?
Individual participant underlying published results only.
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When will data be available (start and end dates)?
Data will be made available upon request, after publication, with no end date determined.
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Available to whom?
Data will be made available upon request, after publication and will be determined upon negotiation with researchers who provided a methodologically sound proposal.
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Available for what types of analyses?
Any purpose.
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How or where can data be obtained?
Secure data transfer and signed data access agreement. Contact:
[email protected]
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What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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