Diagnosis and Treatment of Sleep Apnea Using Technology in Adults Living in Shelters

What this Trial Is About

Researchers are studying sleep apnea in people experiencing homelessness who live in shelters. Sleep apnea is a condition where breathing stops and starts during sleep, causing fatigue and low quality of life. This population may have a higher rate of undiagnosed sleep apnea due to barriers in healthcare access. The study aims to diagnose and treat sleep apnea using technology and telemedicine to improve quality of life and health outcomes for shelter residents. Participants will have their sleep apnea assessed using a portable polysomnography device called Prodigy 2, which measures breathing, heart function, oxygen levels, and sleep stages overnight. Those diagnosed with sleep apnea and eligible for treatment will be offered options including auto-titrating CPAP or a mandibular advancement device based on clinical guidelines and personal preferences. Participants will also complete several questionnaires related to sleep, fatigue, depression, asthma control, and other health factors. Throughout the study, researchers will monitor sleep data, apnea severity, treatment adherence, and quality of life changes over a period of up to six months after starting treatment. They will assess outcomes such as apnea prevalence, sleep-related quality of life, blood pressure effects, and factors influencing treatment use. The study will last up to four years and includes safety monitoring and follow-up visits to better understand sleep apnea in this vulnerable group.

Digital Technology for Sleep and Homelessness