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Telehealth for Sleep Apnea: Effectiveness, Implementation, and Cost in the Military Health System
Tele-Sleep OSA: Clinical Effectiveness, Implementation, and Economic Impact of Telehealth Care for Obstructive Sleep Apnea in the Military Health System
Who can join
Ages 18 to 64 · All sexes
Full eligibility criteria
Inclusion Criteria: 1. Age 18-64 years 2. ADFM or DEERS beneficiary 3. Enrolled in any TRICARE (Prime, Standard, or Extra) 4. Deferred to private sector care (i.e., local TRICARE network) for OSA care 5. Newly diagnosed with OSA (AHI\>5) 6. Access to smartphone, desktop, laptop, or tablet computer Exclusion Criteria: 1. History of prior OSA testing, diagnosis, or care 2. Contraindication for home sleep apnea testing, based on established AASM criteria 3. History of or high-risk for organic sleep disorders other than OSA (e.g., REM behavior disorder, obesity hypoventilation syndrome) 4. Active alcohol or substance dependence 5. Severe sleepiness (Epworth Sleepiness Scale \[ESS\]\>18, or clinician judgment) 6. Pending permanent family change of station (PCS) within 6 months 7. Active-duty military service members (ADSM) 8. Untreated major medical or psychiatric illness 9. Pursuit of non-PAP treatment for OSA
About the study
The long-term goal of this research is to improve military health and operational readiness among military service members with sleep disorders. The overall objective of the current study is to 1) determine the clinical effectiveness (non-inferiority) and cost-effectiveness of OSA telehealth care, including a human sleep navigator (vs private sector care), and 2) to perform a formative evaluation of the implementation of the OSA telehealth care intervention within the National Capitol Region (NCR) market. The central hypothesis is that OSA telehealth care including a human sleep navigator is clinically non-inferior to private sector care and also more cost-effective than private sector care. The investigators plan to achieve the objectives via these 3 Specific Aims: Specific Aim 1: To determine the clinical effectiveness (non-inferiority) of OSA telehealth care, relative to private sector care. Hypothesis 1a: Relative to private sector care, OSA telehealth care is non-inferior for achieving PAP adherence (primary endpoint).
Hypothesis 1b: Relative to private sector care, OSA telehealth care is non-inferior for reducing OSA symptoms and for patient satisfaction (secondary endpoints).
Specific Aim 2: To engage participants via qualitative focus groups and conduct a formative evaluation of the implementation of the OSA telehealth care intervention, using a standardized approach based on the Reach, Effectiveness, Adoption, Implementation, and Maintenance (RE-AIM) framework.
Specific Aim 3: To perform a cost-effectiveness analysis of OSA telehealth care from the DHA perspective.
Hypothesis 3: Relative to private sector care, OSA telehealth care is more cost-effective.
What is being tested
- Sleep Navigator (behavioral)
Sponsor: Uniformed Services University of the Health Sciences · Participants: 160 · Started: Oct 15, 2025
Contact the study team
- Pewu J Lavela, B.S · Phone: 301-319-4930
- Manisha K Djohi, M.S. · Phone: 301-319-4930
Official record on ClinicalTrials.gov — NCT07121452
Locations in the U.S.
| Maryland | Uniformed Services University, Bethesda (Not yet recruiting) Walter Reed National Military Medical Center, Bethesda |
Conditions
From ClinicalTrials.gov, data retrieved Sep 30, 2026. Each study sets its own eligibility; the study team decides who can join.