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The IPAd Study: Exploring the Association Between Insomnia and Positive Airway Pressure Adherence in Children

Obstructive Sleep Apnea | Central Sleep Apnea | Hypoventilation

Sleep-disordered breathing (SDB) is prevalent in children and adolescents and untreated SDB impacts key indicators of physical and psychosocial health. Positive airway pressure (PAP) therapy is highly effective for the treatment of SDB and is associated with favorable clinical outcomes but is limited by poor adherence. Emerging literature in adults suggests that intolerance to PAP therapy may be related to coexisting insomnia. However, the presence of insomnia in children with known SDB as well as its impact on PAP adherence have not been explored. This proposal will explore the association of coexisting insomnia on PAP adherence in children with SDB using a cross-sectional study design. The investigators will assess the association between insomnia and PAP therapy adherence, measured as the mean minutes of nightly PAP usage over 6 months of use on objective downloads.

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Participation Requirements

  • Sex:

    ALL

  • Eligible Ages:

    4 to 17

Participation Criteria

Participant Inclusion Criteria

In order to be eligible to participate in this study, an individual must meet all of the following criteria:

1. Children aged 4-17 years old
2. Prescribed PAP therapy for at least 6 months

Participant Exclusion Criteria

An individual or caregiver who meets one or more of the following criteria will be excluded from participation in this study:

1) Limited knowledge and proficiency in English to complete the study as judged by the clinical team.

Study Location

The Hospital for Sick Children
The Hospital for Sick Children
Toronto, Ontario
Canada

Contact Study Team

Primary Contact

Lena Xiao, MD

[email protected]
416-813-6346
Study Sponsored By
The Hospital for Sick Children
Participants Required
More Information
Study ID: NCT05949164