Tailored behavioral intervention among blacks with metabolic syndrome and sleep apnea

Results of the MetSO trial

Girardin Jean-Louis, Valerie Newsome, Natasha J. Williams, Ferdinand Zizi, Joseph Ravenell, Gbenga Ogedegbe

Research output: Contribution to journalArticle

Abstract

Study Objectives: To assess effectiveness of a culturally and linguistically tailored telephone-delivered intervention to increase adherence to physician-recommended evaluation and treatment of obstructive sleep apnea (OSA) among blacks. Methods: In a two-arm randomized controlled trial, we evaluated effectiveness of the tailored intervention among blacks with metabolic syndrome, relative to those in an attention control arm (n = 380; mean age = 58 ± 13; female = 71%). The intervention was designed to enhance adherence using culturally and linguistically tailored OSA health messages delivered by a trained health educator based on patients' readiness to change and unique barriers preventing desired behavior changes. Results: Analysis showed 69.4% of the patients in the intervention arm attended initial consultation with a sleep specialist, compared to 36.7% in the control arm; 74.7% of those in the intervention arm and 66.7% in the control arm completed diagnostic evaluation; and 86.4% in the intervention arm and 88.9% in the control arm adhered to PAP treatment based on subjective report. Logistic regression analyses adjusting for sociodemographic factors indicated patients in the intervention arm were 3.17 times more likely to attend initial consultation, compared to those in the control arm. Adjusted models revealed no significant differences between the two arms regarding adherence to OSA evaluation or treatment. Conclusion: The intervention was successful in promoting importance of sleep consultation and evaluation of OSA among blacks, while there was no significant group difference in laboratory-based evaluation and treatment adherence rates. It seems that the fundamental barrier to OSA care in that population may be the importance of seeking OSA care.

Original languageEnglish (US)
JournalSleep
Volume40
Issue number1
DOIs
StatePublished - Jan 1 2017

Fingerprint

Sleep Apnea Syndromes
Obstructive Sleep Apnea
Referral and Consultation
Sleep
Health Educators
Therapeutics
Telephone
Randomized Controlled Trials
Logistic Models
Regression Analysis
Physicians
Health
Population

Keywords

  • Adherence
  • Blacks
  • Obstructive sleep apnea
  • Positive airway pressure
  • Race/ethnicity
  • Sleep consultation

ASJC Scopus subject areas

  • Clinical Neurology
  • Physiology (medical)

Cite this

Tailored behavioral intervention among blacks with metabolic syndrome and sleep apnea : Results of the MetSO trial. / Jean-Louis, Girardin; Newsome, Valerie; Williams, Natasha J.; Zizi, Ferdinand; Ravenell, Joseph; Ogedegbe, Gbenga.

In: Sleep, Vol. 40, No. 1, 01.01.2017.

Research output: Contribution to journalArticle

Jean-Louis, Girardin ; Newsome, Valerie ; Williams, Natasha J. ; Zizi, Ferdinand ; Ravenell, Joseph ; Ogedegbe, Gbenga. / Tailored behavioral intervention among blacks with metabolic syndrome and sleep apnea : Results of the MetSO trial. In: Sleep. 2017 ; Vol. 40, No. 1.
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abstract = "Study Objectives: To assess effectiveness of a culturally and linguistically tailored telephone-delivered intervention to increase adherence to physician-recommended evaluation and treatment of obstructive sleep apnea (OSA) among blacks. Methods: In a two-arm randomized controlled trial, we evaluated effectiveness of the tailored intervention among blacks with metabolic syndrome, relative to those in an attention control arm (n = 380; mean age = 58 ± 13; female = 71{\%}). The intervention was designed to enhance adherence using culturally and linguistically tailored OSA health messages delivered by a trained health educator based on patients' readiness to change and unique barriers preventing desired behavior changes. Results: Analysis showed 69.4{\%} of the patients in the intervention arm attended initial consultation with a sleep specialist, compared to 36.7{\%} in the control arm; 74.7{\%} of those in the intervention arm and 66.7{\%} in the control arm completed diagnostic evaluation; and 86.4{\%} in the intervention arm and 88.9{\%} in the control arm adhered to PAP treatment based on subjective report. Logistic regression analyses adjusting for sociodemographic factors indicated patients in the intervention arm were 3.17 times more likely to attend initial consultation, compared to those in the control arm. Adjusted models revealed no significant differences between the two arms regarding adherence to OSA evaluation or treatment. Conclusion: The intervention was successful in promoting importance of sleep consultation and evaluation of OSA among blacks, while there was no significant group difference in laboratory-based evaluation and treatment adherence rates. It seems that the fundamental barrier to OSA care in that population may be the importance of seeking OSA care.",
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