Monitoring and Peer Support to Improve Treatment Adherence and Outcomes
Monitoring and Peer Support to Improve Treatment Adherence and Outcomes
The O2VERLAP study investigators would like to find out if individuals living with both COPD
 and OSA would benefit from an online, educational curriculum, coupled with access to peer
 support (i.e. telephone and online chatting with peers) and remote CPAP adherence monitoring
 data. The curriculum and peer coaching is meant to provide participants the information and
 tools they need to be more compliant in using their CPAP device.
The O2VERLAP study focuses on a subset of the Chronic Obstructive Pulmonary Disease (i.e.
 COPD) community that are also living with a diagnosis of Sleep Apnea (i.e. SA); having a
 diagnosis of both COPD and SA is referred to as Overlap Syndrome (i.e. OS). There are about
 300 million people living with COPD globally; of those, OSA affects 17% of adults and over
 25% of older adults with rates increasing in association with the obesity epidemic. So, there
 are approximately 51-75 million individuals living with OS worldwide. This subset of the COPD
 community is met with increased morbidity and mortality rates compared to either diagnosis
 alone. The primary treatment for OSA is continuous positive airway pressure (i.e. CPAP,
 sometimes shortened to PAP).

 When individuals with OS are adherent to their nighttime CPAP therapies they see
 significantly improved outcomes, comparable to individuals living with a diagnosis of COPD
 alone. As a result, the primary aim of this study is to improve CPAP adherence in patients
 living with OS. The study investigators hope to do this through a proactive, peer-support
 based intervention, supplemented by an online curriculum and access to remote CPAP adherence
 monitoring data. Peer-coaches will include individuals who are living with COPD and OSA, who
 are similar to the study population. The COPD Information Line associates will act in this
 peer- support role through dyadic, telephone-based communication and through secure online
 chat. The COPD Information Line peer-coaches will be able to provide participants experience-
 based advice, patient-centered guidance on troubleshooting adherence barriers, as well as
 patient-centered advice on how to facilitate CPAP adherence. Peer coaches will also include
 Respiratory Therapists who will be able to provide coaching from the perspective of a
 caregiver. Additionally, all peer based support aims to provide emotional and social support
 to participants. The participants will have the ability to chat with their peer coaches
 online, both in real-time and asynchronously, and will additionally have weekly check ins
 with their coaches. The curriculum addresses many common CPAP adherence barriers and
 facilitators. The investigators hope that the combination of peer-support and self-learning
 will cultivate patient activation, self-management strategies and improve participant's
 health literacy. Ultimately, the investigators expect that this will improve CPAP adherence
 rates at 6 weeks and 12 weeks.
Inclusion Criteria:

 -  Age: >40 years

 -  Primary language: English

 -  Diagnosed with both Chronic Obstructive Pulmonary Disease (COPD) and Obstructive Sleep
 Apnea (OSA)

 -  Prescription for positive airway pressure therapy (PAP). There should be no minimum or
 maximum flow required (i.e., no limitation on PAP modality).

 -  Access to the internet viand a PC, tablet, or smart phone to complete all study
 activities from home or remotely

 -  PAP device with wireless modem

 Exclusion Criteria:

 -  Non-English speakers

 -  Life expectancy less than or equal to six months