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Addressing insufficient positive airway pressure use among older Veterans with obstructive sleep apnea

Organization VA GREATER LOS ANGELES HEALTHCARE SYSTEMLocation LOS ANGELES, UNITED STATESPosted 1 Jul 2021Deadline 30 Sept 2025 ⚠️
VANIHUS FederalResearch GrantFY202665 and older65 or older65 years of age and older65 years of age or more65 years of age or older65+ years65+ years oldActive Follow-upAddressAdverse effectsAfter CareAfter-TreatmentAftercareAged 65 and OverAreaAttitudeBehavior Conditioning TherapyBehavior ModificationBehavior TherapyBehavior TreatmentBehavioralBehavioral Conditioning TherapyBehavioral ModificationBehavioral TherapyBehavioral TreatmentCOVID crisisCOVID epidemicCOVID pandemicCOVID-19 crisisCOVID-19 epidemicCOVID-19 eraCOVID-19 global health crisisCOVID-19 global pandemicCOVID-19 health crisisCOVID-19 pandemicCOVID-19 periodCOVID-19 public health crisisCOVID-19 yearsCardiovascular DiseasesCaringChronicClinicalCognitive DisturbanceCognitive ImpairmentCognitive declineCognitive function abnormalConditioning TherapyDataData SystemsDiabetes MellitusDiagnosisDisciplineDiseaseDisorderDisturbance in cognitionDrowsinessEducationEducational aspectsEquipmentFunctional impairmentGoalsHealthHealth Care SystemsHigh PrevalenceHourHypertensionHypoxiaHypoxicIT SystemsImpaired cognitionIndividualInformation SystemsInformation Technology SystemsInstitutionInterventionLeftManualsMeasurementMeasuresMental DepressionMental HealthMental HygieneMethodologyModelingNewly DiagnosedObstructive Sleep ApneaOutcomeOutcome MeasureOxygen DeficiencyParticipantPatient Outcomes AssessmentsPatient Reported MeasuresPatient Reported OutcomesPatientsPersonal SatisfactionPhonePittsburgh Sleep Quality IndexPrevalenceProviderPsychological HealthPsychologistQOLQuality of lifeRandomizedRandomized, Controlled TrialsRecommendationReportingResearchRiskSARS-CoV-2 epidemicSARS-CoV-2 global health crisisSARS-CoV-2 global pandemicSARS-CoV-2 pandemicSARS-coronavirus-2 epidemicSARS-coronavirus-2 pandemicSelf ManagementServicesSevere Acute Respiratory Syndrome CoV 2 epidemicSevere Acute Respiratory Syndrome CoV 2 pandemicSevere acute respiratory syndrome coronavirus 2 epidemicSevere acute respiratory syndrome coronavirus 2 pandemicSleepSleep ApneaSleep Apnea SyndromesSleep DeprivationSleep DisordersSleep FragmentationsSleep HypopneaSleep-Disordered BreathingSomnolenceStructureSyndrome, Sleep Apnea, ObstructiveTechniquesTelephoneTestingTimeTreatment EfficacyVascular Hypertensive DiseaseVascular Hypertensive DisorderVeteransWorkabove age 65active followupadverse consequenceadverse outcomeafter age 65age 65 and greaterage 65 and olderage 65 or olderageage of 65 years onwardaged 65 and greateraged 65+aged ≥65airflow limitationairflow obstructionairway limitationairway obstructionattentional controlbehavior interventionbehavioral interventioncardiovascular disordercare as usualclinical practicecognitive dysfunctioncognitive losscompare to controlcomparison controlcoronavirus disease 2019 crisiscoronavirus disease 2019 epidemiccoronavirus disease 2019 global health crisiscoronavirus disease 2019 global pandemiccoronavirus disease 2019 health crisiscoronavirus disease 2019 pandemiccoronavirus disease 2019 public health crisiscoronavirus disease crisiscoronavirus disease epidemiccoronavirus disease pandemiccoronavirus disease-19 global pandemiccoronavirus disease-19 pandemiccost estimatecost estimationdeficient sleepdepressiondesigndesigningdiabeteseffective interventionefficacy testingexperiencefollow upfollow-upfollowed upfollowupfunctional outcomesfuture implementationhealth related quality of lifehigh blood pressurehuman old age (65+)hyperpiesiahyperpiesishypertensive diseasehypertensive disorderimplementation outcomesimprovedimprovement on sleepinadequate sleepinnovateinnovationinnovativeinsufficient sleepinterestintervention efficacymeasurable outcomenew approachesnovelnovel approachesnovel strategiesnovel strategyobstructed airflowobstructed airwayolder adultolder adulthoodoutcome measurementoutreachover 65 yearsphysical conditioningphysical healthpilot testpositive airway pressurepost treatmentprimary outcomeprogramsquality of sleeprandomisationrandomizationrandomized control trialrandomly assignedremote careremote gradingremote health careremote monitoringremote reviewremote supervisionremote testingremote therapistremote therapyremote treatmentremotely supervisedrespiratory airway obstructionsevere acute respiratory syndrome coronavirus 2 global health crisissevere acute respiratory syndrome coronavirus 2 global pandemicsleep debtsleep deficiencysleep deficitsleep diseasessleep dysfunctionsleep illnesssleep improvementsleep insufficiencysleep losssleep problemsleep qualitysleep-related breathing disordersleepinessstroke recoverytelehealthtelemonitoringtherapeutic efficacytherapy efficacytooltreatment as usualusual carevirtualwell-beingwellbeing≥65 years

Applications closed.

Description preview

Background: The most frequently diagnosed sleep disorder among older Veterans is obstructive sleep apnea
(OSA), which is associated with serious adverse effects on health, quality of life and survival. Positive airway

pressure (PAP) is recommended as first-line treatment (particularly for moderate to severe OSA), but

sustained use is difficult to…

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