Culturally tailored, peer-based sleep health education and social support to increase obstructive sleep apnea assessment and treatment adherence among a community sample of blacks: study protocol for a randomized controlled trial

Azizi A Seixas, Chau Trinh-Shevrin, Joseph Ravenell, Gbenga Ogedegbe, Ferdinand Zizi, Girardin Jean-Louis, Azizi A Seixas, Chau Trinh-Shevrin, Joseph Ravenell, Gbenga Ogedegbe, Ferdinand Zizi, Girardin Jean-Louis

Abstract

Background: Compared to whites, blacks are at increased risk for obstructive sleep apnea (OSA) yet less likely to adhere to physician-recommended sleep assessment and treatment. Poor OSA health literacy and lack of social support to navigate the current healthcare system are two potential barriers to adequate OSA care. This study is designed to address these barriers by evaluating the effectiveness of a peer-based sleep health education program on adherence to OSA assessment and treatment among blacks at risk for OSA.

Method/design: In a two-arm, randomized controlled trial, we will ascertain the effectiveness of peer-based sleep health education and social support in increasing OSA evaluation and treatment rates among 398 blacks at low to high OSA risk. Participants at risk of OSA will receive quality controlled, culturally, and linguistically tailored peer education based on Motivational Enhancement principles over a period of 12 months. During this 12-month period, participants are encouraged to participate in a sleep home study to determine risk of OSA and, if found to be at risk, they are invited to undergo a diagnostic sleep assessment at a clinic. Participants who are diagnosed with OSA and who are prescribed continuous positive airway pressure treatment will be encouraged, through peer-based education, to adhere to recommended treatment. Recruitment for the project is ongoing.

Discussion: The use of a culturally tailored sleep health education program, peer health educators trained in sleep health, and home-based sleep assessment are novel approaches in improving OSA assessment and treatment adherence in blacks who are significantly at risk for OSA. Empirical evidence from this trial will provide clinical and population level solutions on how to improve and increase assessment and treatment of OSA among blacks.

Trial registration: NCT02427815 . Registered on 20 April 2015. ClinicalTrials.gov title: Sleep Health Education and Social Support Among Blacks With OSA.

Keywords: Blacks; Education; Home-study; Obstructive sleep apnea; Peer.

Conflict of interest statement

Authors’ information

All authors are faculty at New York University School of Medicine, 227 East 30th Street, 10016 New York, NY, USA.

Ethics approval and consent to participate

The trial was approved by New York University School of Medicine Institutional Review Board. All participants will sign a consent document in order to participate in this trial. The study reference number at NYU School of Medicine is i14-01028.

Consent for publication

Not applicable.

Competing interests

The authors declare that they have no competing interests.

Publisher’s Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Figures

Fig. 1
Fig. 1
Effects of obstructive sleep apnea treatment on health outcomes
Fig. 2
Fig. 2
Theoretical framework for the impact of peer-based behavioral intervention on adherence to recommended obstructive sleep apnea evaluation and treatment
Fig. 3
Fig. 3
Study design
Fig. 4
Fig. 4
SPIRIT checklist

References

    1. Lee W, Nagubadi S, Kryger MH, Mokhlesi B. Epidemiology of obstructive sleep apnea: a population-based perspective. Expert Rev Respir Med. 2008;2(3):349–364. doi: 10.1586/17476348.2.3.349.
    1. Dempsey JA, Veasey SC, Morgan BJ, O’Donnell CP. Pathophysiology of sleep apnea. Physiol Rev. 2010;90(1):47–112. doi: 10.1152/physrev.00043.2008.
    1. Kapur VK. Obstructive sleep apnea: diagnosis, epidemiology, and economics. Respir Care. 2010;55(9):1155–1167.
    1. Mannarino MR, Di Filippo F, Pirro M. Obstructive sleep apnea syndrome. Eur J Intern Med. 2012;23(7):586–593. doi: 10.1016/j.ejim.2012.05.013.
    1. Wright J, Johns R, Watt I, Melville A, Sheldon T. Health effects of obstructive sleep apnoea and the effectiveness of continuous positive airways pressure: a systematic review of the research evidence. BMJ. 1997;314:851–860. doi: 10.1136/bmj.314.7084.851.
    1. Mehra Reena, Benjamin Emelia J., Shahar Eyal, Gottlieb Daniel J., Nawabit Rawan, Kirchner H. Lester, Sahadevan Jayakumar, Redline Susan. Association of Nocturnal Arrhythmias with Sleep-disordered Breathing. American Journal of Respiratory and Critical Care Medicine. 2006;173(8):910–916. doi: 10.1164/rccm.200509-1442OC.
    1. Buchner NJ, Sanner BM, BorgelJ RLC. Continuous positive airway pressure treatment of mild to moderate obstructive sleep apnea reduces cardiovascular risk. Am J Respir Crit Care Med. 2007;176:1274–1280. doi: 10.1164/rccm.200611-1588OC.
    1. Xie L, Kang H, Xu Q, Chen MJ, Liao Y, Thiyagarajan M, O’Donnell J, Christensen DJ, Nicholson C, Iliff JJ, Takano T, Deane R, Nedergaard M. Sleep drives metabolite clearance from the adult brain. Science. 2013;342:373–377. doi: 10.1126/science.1241224.
    1. Morrell MJ, Jackson ML, Twigg GL, Ghiassi R, McRobbie DW, Quest RA, Pardoe H, Pell GS, Abbott DF, Rochford PD, Jackson GD, Pierce RJ, O’Donoghue FJ, Corfield DR. Changes in brain morphology in patients with obstructive sleep apnoea. Thorax. 2010;65:908–914. doi: 10.1136/thx.2009.126730.
    1. Rosekind MR, Gregory KB, Mallis MM, Brandt SL, Seal B, Lerner D. The cost of poor sleep: workplace productivity loss and associated costs. J Occup Environ Med. 2010;52:91–98. doi: 10.1097/JOM.0b013e3181c78c30.
    1. Sajkov D, Wang T, Saunders NA, Bune AJ, Neill AM, Douglas MR. Daytime pulmonary hemodynamics in patients with obstructive sleep apnea without lung disease. Am J Respir Crit Care Med. 1999;159:1518–1526. doi: 10.1164/ajrccm.159.5.9805086.
    1. Borgel J, Sanner BM, Bittlinsky A, Keskin F, Bartels NK, Buechner N, Huesing A, Rump LC, Mugge A. Obstructive sleep apnoea and its therapy influence high-density lipoprotein cholesterol serum levels. Eur Respir J. 2006;27:121–127. doi: 10.1183/09031936.06.00131304.
    1. Harsch IA, Hahn EG, Konturek PC. Insulin resistance and other metabolic aspects of the obstructive sleep apnea syndrome. Med Sci Monit. 2005;11:RA70–RA75.
    1. Milleron O, Pilliere R, Foucher A, de Roquefeuil F, Aegerter P, Jondeau G, Raffestin BG, Dubourg O. Benefits of obstructive sleep apnoea treatment in coronary artery disease: a long-term follow-up study. Eur Heart J. 2004;25:728–734. doi: 10.1016/j.ehj.2004.02.008.
    1. Mansfield DR, Gollogly NC, Kaye DM, Richardson M, Bergin P, Naughton MT. Controlled trial of continuous positive airway pressure in obstructive sleep apnea and heart failure. Am J Respir Crit Care Med. 2004;169:361–366. doi: 10.1164/rccm.200306-752OC.
    1. Palm Andreas, Midgren Bengt, Theorell-Haglöw Jenny, Ekström Magnus, Ljunggren Mirjam, Janson Christer, Lindberg Eva. Factors influencing adherence to continuous positive airway pressure treatment in obstructive sleep apnea and mortality associated with treatment failure – a national registry-based cohort study. Sleep Medicine. 2018;51:85–91. doi: 10.1016/j.sleep.2018.07.007.
    1. Kripke DF, Ancoli-Israel S, Klauber MR, Wingard DL, Mason WJ, Mullaney DJ. Prevalence of sleep disordered breathing in ages 40-64 years: a population-based survey. Sleep. 1997;20:65–76. doi: 10.1093/sleep/20.1.65.
    1. Redline S, Tishler P, Hans M, Tosteson T, Strohl K, Spry K. Racial differences in sleep-disordered breathing in African-Americans and Caucasians. Am J Respir Crit Care Med. 1997;155:186–192. doi: 10.1164/ajrccm.155.1.9001310.
    1. Young T, Finn L. Epidemiological insights into the public health burden of sleep disordered breathing: sex differences in survival among sleep clinic patients. Thorax. 1998;53(Suppl 3):S16–S19. doi: 10.1136/thx.53.2008.S16.
    1. Ancoli-Israel S, Klauber MR, Stepnowsky C, Estline E, Chinn A, Fell R. Sleep-disordered breathing in African-American elderly. J Gerontol. 1989;44:M18–M21. doi: 10.1093/geronj/44.1.M18.
    1. Gottlieb DJ, Whitney CW, Bonekat WH, Iber C, James GD, Lebowitz M, Nieto FJ, Rosenberg CE. Relation of sleepiness to respiratory disturbance index: the sleep heart health study. Am J Respir Crit Care Med. 1999;159:502–507. doi: 10.1164/ajrccm.159.2.9804051.
    1. The National Commission on Sleep Disorders Research. 1998. . Accessed 20 Aug 2012.
    1. Ball EM, Simon RD, Jr, Tall AA, Banks MB, Nino-Murcia G, Dement WC. Diagnosis and treatment of sleep apnea within the community. The Walla Walla Project. Arch Intern Med. 1997;157:419–424. doi: 10.1001/archinte.1997.00440250069008.
    1. Bahammam Ahmed, Kryger Meir. DECISION MAKING IN OBSTRUCTIVE SLEEP-DISORDERED BREATHING. Otolaryngologic Clinics of North America. 1999;32(2):333–348. doi: 10.1016/S0030-6665(05)70133-X.
    1. Chung SA, Jairam S, Hussain MR, Shapiro CM. Knowledge of sleep apnea in a sample grouping of primary care physicians. Sleep Breath. 2001;5:115–121. doi: 10.1055/s-2001-17429.
    1. Silverberg DS, Oksenberg A, Iaina A. Sleep related breathing disorders are common contributing factors to the production of essential hypertension but are neglected, underdiagnosed, and undertreated. Am J Hypertens. 1997;10:1319–1325. doi: 10.1016/S0895-7061(97)00322-1.
    1. Jean-Louis G, Magai C, Cohen CI, Zizi F, von Gizycki H, DiPalma J, Casimir G. Ethnic differences in reported sleep problems in older adults. Sleep. 2001;24:926–933. doi: 10.1093/sleep/24.8.926.
    1. Jean-Louis G, Magai C, Consedine NS, Pierre-Louis J, Zizi F, Casimir GJ, Belzie L. Insomnia symptoms and repressive coping in a sample of older Black and White women. BMC Womens Health. 2007;7:1. doi: 10.1186/1472-6874-7-1.
    1. Friedman M, Bliznikas D, Klein M, Duggal P, Somenek M, Joseph NJ. Comparison of the incidences of obstructive sleep apnea-hypopnea syndrome in African-Americans versus Caucasian-Americans. Otolaryngol Head Neck Surg. 2006;134:545–550. doi: 10.1016/j.otohns.2005.12.011.
    1. O’Connor GT, Lind BK, Lee ET, Nieto FJ, Redline S, Samet JM, Boland LL, Walsleben JA, Foster GL. Variation in symptoms of sleep-disordered breathing with race and ethnicity: the sleep heart health study. Sleep. 2003;26:74–79.
    1. Jean-Louis G, Zizi F, von Gizycki H, Dharawat A, Lazar J, Brown C. Evaluation of sleep apnea in a sample of black patients. J Clin Sleep Med. 2008;15:421–425.
    1. Weaver TE, Sawyer AM. Adherence to continuous positive airway pressure treatment for obstructive sleep apnoea: implications for future interventions. Indian J Med Res. 2010;131:245–258.
    1. Hertz RP, Unger AN, Cornell JA, Saunders E. Racial disparities in hypertension prevalence, awareness, and management. Arch Intern Med. 2005;165:2098–2104. doi: 10.1001/archinte.165.18.2098.
    1. Kotchen JM, Shakoor-Abdullah B, Walker WE, Chelius TH, Hoffmann RG, Kotchen TA. Hypertension control and access to medical care in the inner city. Am J Public Health. 1998;88:1696–1699. doi: 10.2105/AJPH.88.11.1696.
    1. Nieto FJ, Alonso J, Chambless LE, Zhong M, Ceraso M, Romm FJ, Cooper L, Folsom AR, Szklo M. Population awareness and control of hypertension and hypercholesterolemia. The Atherosclerosis Risk in Communities study. Arch Intern Med. 1995;155:677–684. doi: 10.1001/archinte.1995.00430070027003.
    1. Pavlik VN, Hyman DJ, Vallbona C, Toronjo C, Louis K. Hypertension awareness and control in an inner-city African-American sample. J Hum Hypertens. 1997;11:277–283. doi: 10.1038/sj.jhh.1000445.
    1. Community-level HIV intervention in 5 cities: final outcome data from the CDC AIDS Community Demonstration Projects. Am J Public Health. 1999;89:336–45.
    1. Boutron I, Moher D, Altman DG, Schulz KF, Ravaud P, Group C Extending the CONSORT statement to randomized trials of nonpharmacologic treatment: explanation and elaboration. Ann Intern Med. 2008;148:295–309. doi: 10.7326/0003-4819-148-4-200802190-00008.
    1. Chan AW, Tetzlaff JM, Altman DG, Laupacis A, Gotzsche PC, Krleza-Jeric K, et al. SPIRIT 2013 statement: defining standard protocol items for clinical trials. Ann Intern Med. 2013;158:200–207. doi: 10.7326/0003-4819-158-3-201302050-00583.
    1. Merzel C, D’Afflitti J. Reconsidering community-based health promotion: promise, performance, and potential. Am J Public Health. 2003;93:557–574. doi: 10.2105/AJPH.93.4.557.
    1. Rothman J, Tropman JE. Anonymous Strategies of community organization. Itaska: Peakock; 1987. Models of community organization and macro practice.
    1. Israel BA. Social networks and social support: implications for natural helper and community level interventions. Health Educ Q. 1985;12:65–80. doi: 10.1177/109019818501200106.
    1. Smedley BD, Nelson AR, Stith AY. Unequal Treatment: Confronting Racial and Ethnic Disparities in Health Care. Washington: The National Academies Press; 2002. pp. 1–764.
    1. Cheatham CT, Barksdale DJ, Rodgers SG. Barriers to health care and health-seeking behaviors faced by black men. J Am Acad Nurse Pract. 2008;20:555–562. doi: 10.1111/j.1745-7599.2008.00359.x.
    1. Green PM, Kelly BA. Colorectal cancer knowledge, perceptions, and behaviors in African Americans. Cancer Nurs. 2004;27:206–215. doi: 10.1097/00002820-200405000-00004.
    1. Lewis LM, Askie P, Randleman S, Shelton-Dunston B. Medication adherence beliefs of community-dwelling hypertensive African Americans. J Cardiovasc Nurs. 2010;25:199–206. doi: 10.1097/JCN.0b013e3181c7ccde.
    1. Ogedegbe G, Harrison M, Robbins L, Mancuso CA, Allegrante JP. Barriers and facilitators of medication adherence in hypertensive African Americans: a qualitative study. Ethn Dis. 2004;14:3–12.
    1. Choudhury SM, Brophy S, Fareedi MA, Zaman B, Ahmed P, Williams R. Psychology issues and education: examining the effectiveness of a peer-led education programme for type 2 diabetes and cardiovascular disease in a Bangladeshi population. Diabet Med. 2010;26:40–44. doi: 10.1111/j.1464-5491.2008.02639.x.
    1. Brice J. West-Indian families. In: McGoldrick J, Pearce J, Giordano J, editors. Ethnicity and Family Therapy. New York: Guilford Press; 1982. pp. 123–133.
    1. Perez-Stable EJ, Napoles-Springer A, Miramontes JM. The effects of ethnicity and language on medical outcomes of patients with hypertension or diabetes. Med Care. 1997;35:1212–1219. doi: 10.1097/00005650-199712000-00005.
    1. Dewy J. Experience and Thinking. In: Anonymous, editor. Democracy and Education: Free Press, Collier-MacMillan Ltd; 1916. p. 139–51.
    1. Nyswander D. The philosophical, behavioral, and professional bases for health education. The Open Society: Its Implications for Health Educators. In: Simonds S, editor. The Sophe Heritage Collection of Health Education Monographs. Oakland: Third Party Publishing Company; 2002. pp. 290–342.
    1. Madden PA, Heath AC, Rosenthal NE, Martin NG. Seasonal changes in mood and behavior. The role of genetic factors. Arch Gen Psychiatry. 1996;53:47–55. doi: 10.1001/archpsyc.1996.01830010049008.
    1. Smith W, Assink J, Klein R, Mitchell P, Klaver CC, Klein BE, Hofman A, Jensen S, Wang JJ, de Jong PT. Risk factors for age-related macular degeneration: pooled findings from three continents. Ophthalmology. 2001;108:697–704. doi: 10.1016/S0161-6420(00)00580-7.
    1. Ramos IN, May M, Ramos KS. Environmental health training of promotoras in colonias along the Texas-Mexico border. Am J Public Health. 2001;91:568–570. doi: 10.2105/AJPH.91.4.568.
    1. Earp JA, Eng E, O’Malley MS, Altpeter M, Rauscher G, Mayne L, Mathews HF, Lynch KS, Qaqish B. Increasing use of mammography among older, rural African American women: results from a community trial. Am J Public Health. 2002;92:646–654. doi: 10.2105/AJPH.92.4.646.
    1. Buller D, Buller MK, Larkey L, Sennott-Miller L, Taren D, Aickin M, Wentzel TM, Morrill C. Implementing a 5-a-day peer health educator program for public sector labor and trades employees. Health Educ Behav. 2000;27:232–240. doi: 10.1177/109019810002700209.
    1. Zuvekas A, Nolan L, Tumaylle C, Griffin L. Impact of community health workers on access, use of services, and patient knowledge and behavior. J Ambul Care Manage. 1999;22:33–44. doi: 10.1097/00004479-199910000-00007.
    1. Ehrhardt BL, Krumboltz JD, Koopman C. Training peer sexual health educators: changes in knowledge, counseling self-efficacy, and sexual risk behavior. Am J Sex Educ. 2006;2:139–155.
    1. Satterfield D. Training community health workers and peer educators for HIV/AIDS prevention in Africa: Intergrating African Healing wisdom and evidence-based behavior change strategies. In: Wallace BC, Konuwa A, Ayeboafo N, editors. Toward equity in health: a new global approach to health disparities. New York: Springer Publishing Company; 2010. pp. 341–360.
    1. United States Department of Health and Human Services . Training Community Health Workers: Using Technology and Distance Education. 2010.
    1. Releford BJ, Frencher SK, Jr, Yancey AK, Norris K. Cardiovascular disease control through barbershops: design of a nationwide outreach program. J Natl Med Assoc. 2010;102:336–345. doi: 10.1016/S0027-9684(15)30606-4.
    1. Hess PL, Reingold JS, Jones J, Fellman MA, Knowles P, Ravenell JE, Kim S, Raju J, Ruger E, Clark S, Okoro C, Ogunji O, Knowles P, Leonard D, Wilson RP, Haley RW, Ferdinand KC, Freeman A, Victor RG. Barbershops as hypertension detection, referral, and follow-up centers for black men. Hypertension. 2007;49:1040–1046. doi: 10.1161/HYPERTENSIONAHA.106.080432.
    1. Abanilla PK, Huang KY, Shinners D, Levy A, Ayernor K, Aikins AG, Ogedegbe O. Cardiovascular disease prevention in Ghana: feasibility of a faith-based organizational approach. Bull World Health Organ. 2011;89:648–656. doi: 10.2471/BLT.11.086777.
    1. Ogedegbe G, Chaplin W, Schoenthaler A, Statman D, Berger D, Richardson T, Phillips E, Spencer J, Allegrante JP. A practice-based trial of motivational interviewing and adherence in hypertensive African Americans. Am J Hypertens. 2008;21:1137–1143. doi: 10.1038/ajh.2008.240.
    1. Bellg AJ, Borrelli B, Resnick B, Hecht J, Minicucci DS, Ory M, Ogedegbe G, Orwig D, Ernst D, Czajkowski S. Enhancing treatment fidelity in health behavior change studies: best practices and recommendations from the NIH behavior change consortium. Health Psychol. 2004;23:443–451. doi: 10.1037/0278-6133.23.5.443.
    1. Resnick B, Bellg AJ, Borrelli B, Defrancesco C, Breger R, Hecht J, Sharp DL, Levesque C, Orwig D, Ernst D, Ogedegbe G, Czajkowski S. Examples of implementation and evaluation of treatment fidelity in the BCC studies: where we are and where we need to go. Ann Behav Med. 2005;29(Suppl):46–54. doi: 10.1207/s15324796abm2902s_8.
    1. Prochaska J, Redding C, Evers KE. The transtheoretical model and stages of change. In: Glanz K, Lewis FM, Rimer BK, editors. Health Behavior and Health Education. San Francisco: Jossey-Bass. 2015.
    1. Kong BW. Community programs to increase hypertension control. Journal of the National Medical Association. 1989;81(Suppl):13.
    1. Drake BF, Shelton RC, Gilligan T, Allen JD. A church-based intervention to promote informed decision making for prostate cancer evaluation among African American men. J Natl Med Assoc. 2010;102:164–171. doi: 10.1016/S0027-9684(15)30521-6.
    1. Drake BF, Keane TE, Mosley CM, Adams SA, Elder KT, Modayil MV, Ureda JR, Hebert JR. Prostate cancer disparities in South Carolina: early detection, special programs, and descriptive epidemiology. J S C Med Assoc. 2006;102:241–242.
    1. Green J, Tones K. Determinants of Health Actions. Thousand Oaks: SAGE Publications; 2010. Health promotion: planning and strategies; pp. 111–154.
    1. Rogers E. Diffusion of Innovations. New York: Simon and Shuster Inc.; 2003.
    1. Levendowski DJ, Olmstead R, Popovic D, Carper DL, Berka C, Westbrook PR. Assessment of obstructive sleep apnea risk and severity in truck drivers: validation of a screening questionnaire. Sleep Diagnosis and Therapy. 2007;2(2):20–26.
    1. Pandey A, Gekhman D, Gousse Y, McKenzie S, Zizi F, Ogedegbe G, Jean-Louis G. Short sleep and dysfunctional beliefs and attitudes toward sleep among black men. Sleep. 2011;34:261–262. doi: 10.1093/sleep/34.3.261.
    1. Levendowski DJ, Morgan T, Montague J, Melzer V, Berka C, Westbrook PR. Prevalence of probable obstructive sleep apnea risk and severity in a population of dental patients. Sleep Breath. 2008;12:303–309. doi: 10.1007/s11325-008-0180-z.
    1. Williams JB. Standardizing the Hamilton Depression Rating Scale: past, present, and future. Eur Arch Psychiatry Clin Neurosci. 2001;251(Suppl 2):II6–I12. doi: 10.1007/BF03035120.
    1. Baca-Garcia E, Blanco C, Saiz-Ruiz J, Rico F, Diaz-Sastre C, Cicchetti DV. Assessment of reliability in the clinical evaluation of depressive symptoms among multiple investigators in a multicenter clinical trial. Psychiatry Res. 2001;102:163–173. doi: 10.1016/S0165-1781(01)00249-9.
    1. Smith S, Lang C, Sullivan K, Warren J. Two new tools for assessing patients’ knowledge and beliefs about obstructive sleep apnea and continuous positive airway pressure therapy. Sleep Med. 2004;5:359–367. doi: 10.1016/j.sleep.2003.12.007.
    1. Weaver TE, Laizner AM, Evans LK, Maislin G, Chugh DK, Lyon K, Smith PL, Schwartz AR, Redline S, Pack AI, Dinges DF. An instrument to measure functional status outcomes for disorders of excessive sleepiness. Sleep. 1997;20:835–843. doi: 10.1093/sleep/20.4.278.
    1. Stepnowsky CJ, Jr. Improving measurement of CPAP self-efficacy. Sleep 2004;27:1219-1220.
    1. McHorney CA, Ware JE, Jr, Raczek AE. The MOS 36-item short-form health survey (SF-36): II. Psychometric and clinical tests of validity in measuring physical and mental health constructs. Med Care. 1993;31:247–263. doi: 10.1097/00005650-199303000-00006.
    1. Stepnowsky CJ., Jr Improving measurement of CPAP self-efficacy. Sleep. 2004;27:1219–1220. doi: 10.1093/sleep/27.5.990.
    1. Rogers ES, Martin R, Anthony W, Massaro J, Danley K, Crean T, Penk W. Assessing readiness for change among persons with severe mental illness. Community Ment Health J. 2001;37:97–112. doi: 10.1023/A:1002705614293.
    1. Rogers ES, Martin R, Anthony W, Massaro J, Danley K, Crean T, and Penk W. Assessing readiness for change among persons with severe mental illness. Community Ment. Health J 2001;37:97-112.
    1. Levendowski Daniel J., Morgan Todd, Montague Jon, Melzer Victoria, Berka Chris, Westbrook Philip R. Prevalence of probable obstructive sleep apnea risk and severity in a population of dental patients. Sleep and Breathing. 2008;12(4):303–309. doi: 10.1007/s11325-008-0180-z.
    1. Kaneko Y, Floras JS, Usui K, Plante J, Tkacova R, Kubo T, Ando S, Bradley TD. Cardiovascular effects of continuous positive airway pressure in patients with heart failure and obstructive sleep apnea. N Engl J Med. 2003;348:1233–1241. doi: 10.1056/NEJMoa022479.
    1. Williams Natasha J., Castor Chimene, Seixas Azizi, Ravenell Joseph, Jean-Louis Girardin. Sleep Disorders and Symptoms in Blacks with Metabolic Syndrome: the Metabolic Syndrome Outcome Study (MetSO) Ethnicity & Disease. 2018;28(3):193. doi: 10.18865/ed.28.3.193.
    1. Levendowski DJ, Olmstead EM, Popovich D, Carper D, Berka C, Westbrook PR. Assessment of obstructive sleep apnea risk and severity in truck drivers: validation of an evaluation questionnaire. Sleep Diagn Ther. 2007;2:20–26.
    1. Demede M, Pandey A, Zizi F, Bachmann R, Donat M, McFarlane SI, Jean-Louis G, Ogedegbe G. Resistant hypertension and obstructive sleep apnea in the primary-care setting. Int J Hypertens. 2011;2011:340.
    1. Benoit J, Pandey A, Racine C, Zizi F, Francois A, Brown CD, Jean-Louis G. Differences in sleep measures between Caribbean- and US-born blacks with metabolic syndrome. Sleep. 2012;35(Suppl):305.
    1. Carrieri MP, Leport C, Protopopescu C, Cassuto JP, Bouvet E, Peyramond D, Raffi F, Moatti JP, Chene G, Spire B. Factors associated with nonadherence to highly active antiretroviral therapy: a 5-year follow-up analysis with correction for the bias induced by missing data in the treatment maintenance phase. J Acquir Immune Defic Syndr. 2006;41:477–485. doi: 10.1097/01.qai.0000186364.27587.0e.
    1. Ibrahim JG, Chen MH, Lipsitz SR. Monte Carlo EM for missing covariates in parametric regression models. Biometrics. 1999;55:591–596. doi: 10.1111/j.0006-341X.1999.00591.x.
    1. Kelsey J, Thompson W, Evan A. Methods in observational epidemiology. New York: Oxford University Press; 1986.
    1. Ayappa I, Norman RG, Seelall V, Rapoport DM. Validation of a self-applied unattended monitor for sleep disordered breathing. J Clin Sleep Med. 2008;4:26–37.
    1. Choi JH, et al. Validation study of portable device for the diagnosis of obstructive Sleep apnea according to the new AASM scoring criteria: Watch-PAT 100. Acta Otolaryngol. 2010;130:838–843. doi: 10.3109/00016480903431139.
    1. Department of Health and Human Services Centers for Medicare and Medicaid Services Medicare coverage issues manual. Transmittal. 2001;150:section 60–section 17.
    1. Kapur VK, Auckley DH, Chowdhuri S, Kuhlmann DC, Mehra R, Ramar K, Harrod CG. Clinical practice guideline for diagnostic testing for adult obstructive sleep apnea: an American Academy of Sleep Medicine clinical practice guideline. Journal of Clinical Sleep Medicine. 2017;13(03):479-504. .
    1. Ahn C, Hu F, Skinner CS, Ahn D. Effect of imbalance and intracluster correlation coefficient in cluster randomization trials with binary outcomes when the available number of clusters is fixed in advance. Contemp Clin Trials. 2009;30:317–320. doi: 10.1016/j.cct.2009.03.007.
    1. Preacher KJ, Zyphur MJ, Zhang Z. A general multilevel SEM framework for assessing multilevel mediation. Psychol Methods. 2010;15:209–233. doi: 10.1037/a0020141.
    1. Reeves-Hoche MK, Meck R, Zwillich CW. Nasal CPAP: an objective evaluation of patient compliance. Am J Respir Crit Care Med. 1994;149:149–154. doi: 10.1164/ajrccm.149.1.8111574.
    1. Stepnowsky CJ, Palau JJ, Gifford AL, Ancoli-Israel S. A self-management approach to improving continuous positive airway pressure adherence and outcomes. Behav Sleep Med. 2007;5:131–146. doi: 10.1080/15402000701190622.
    1. Lankford DA. Wireless CPAP patient monitoring: accuracy study. Telemed J E Health. 2004;10:162–169. doi: 10.1089/1530562041641264.
    1. Aloia MS, Arnedt JT, Stepnowsky C, Hecht J, Borrelli B. Predicting treatment adherence in obstructive sleep apnea using principles of behavior change. J Clin Sleep Med. 2005;1:346–353.
    1. Edwards SJ, Braunholtz DA, Lilford RJ, Stevens AJ. Ethical issues in the design and conduct of cluster randomised controlled trials. BMJ. 1999;318:1407–1409. doi: 10.1136/bmj.318.7195.1407.
    1. Imai K, Keele L, Tingley D. A general approach to causal mediation analysis. Psychol Methods. 2010;15:309–334. doi: 10.1037/a0020761.
    1. Ten Have TR, Joffe MM, Vanderweele TJ, Vansteelandt S. A review of causal estimation of effects in mediation analyses odds ratios for mediation analysis for a dichotomous outcome. Stat Methods Med Res. 2012;21:77–107. doi: 10.1177/0962280210391076.
    1. Victor RG, Ravenell JE, Freeman A, Bhat DG, Storm JS, Shafiq M, Knowles P, Hannan PJ, Haley R, Leonard D. A barber-based intervention for hypertension in African American men: design of a group randomized trial. Am Heart J. 2009;157:30–36. doi: 10.1016/j.ahj.2008.08.018.
    1. Van Rompay KK, Madhivanan P, Rafiq M, Krupp K, Chakrapani V, Selvam D. Empowering the people: development of an HIV peer education model for low literacy rural communities in India. Hum Resour Health. 2008;6:6. doi: 10.1186/1478-4491-6-6.
    1. Cartwright R. Sleeping together: a pilot study of the effects of shared sleeping on adherence to CPAP treatment in obstructive sleep apnea. J Clin Sleep Med. 2008;4:123–127.
    1. Hoy CJ, Vennelle M, Kingshott RN, Engleman HM, Douglas NJ. Can intensive support improve continuous positive airway pressure use in patients with the sleep apnea/hypopnea syndrome? Am J Respir Crit Care Med. 1999;159:1096–1100. doi: 10.1164/ajrccm.159.4.9808008.
    1. Baron KG, Smith TW, Czajkowski LA, Gunn HE, Jones CR. Relationship quality and CPAP adherence in patients with obstructive sleep apnea. Behav Sleep Med. 2009;7:22–36. doi: 10.1080/15402000802577751.
    1. Baron Kelly Glazer, Smith Timothy W., Berg Cynthia A., Czajkowski Laura A., Gunn Heather, Jones Christopher R. Spousal involvement in CPAP adherence among patients with obstructive sleep apnea. Sleep and Breathing. 2010;15(3):525–534. doi: 10.1007/s11325-010-0374-z.
    1. Hale L, Hale B. Treat the source not the symptoms: why thinking about sleep informs the social determinants of health. Health Educ Res. 2010;25:395–400. doi: 10.1093/her/cyq027.
    1. Murray-Bachmann R, Henry K, Ggrander MA, Ward K, Zizi F, Nunes J, Ogedegbe G, Jean-Louis G. Social determinants of short sleep among black and white Americans. Sleep. 2011;34:261. doi: 10.1093/sleep/34.3.261.
    1. Williams Natasha J., Grandner Michael A., Snipes Shedra A., Rogers April, Williams Olajide, Airhihenbuwa Collins, Jean-Louis Girardin. Racial/ethnic disparities in sleep health and health care: importance of the sociocultural context. Sleep Health. 2015;1(1):28–35. doi: 10.1016/j.sleh.2014.12.004.
    1. Williams NJ, Jean-Louis G, Ceïde ME, Pandey A, Osorio R, Mittelman M, McFarlane SI. Effect of maladaptive beliefs and attitudes about sleep among community-dwelling African American men at risk for obstructive sleep apnea. Journal of sleep disorders & therapy. 2017;6(3).
    1. Low AK, Grothe KB, Wofford TS, Bouldin MJ. Addressing disparities in cardiovascular risk through community-based interventions. Ethn Dis. 2007;17:S2–S9.
    1. Appel SJ, Giger JN, Davidhizar RE. Opportunity cost: the impact of contextual risk factors on the cardiovascular health of low-income rural southern African-American women. J Natl Black Nurses Assoc. 2008;19:42–51.
    1. Patel NP, Grandner MA, Xie D, Branas CC, Gooneratne N. “Sleep disparity” in the population: poor sleep quality is strongly associated with poverty and ethnicity. BMC Public Health. 2010;10:475. doi: 10.1186/1471-2458-10-475.
    1. Hale L, Hill TD, Burdette AM. Does sleep quality mediate the association between neighborhood disorder and self-rated physical health? Prev Med. 2010;51:275–278. doi: 10.1016/j.ypmed.2010.06.017.

Source: PubMed

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