ClinicalTrials.gg
Not yet recruitingNCT07377968Updated Jan 30, 2026

Wearable Device to Promote CPAP Adherence in Obstructive Sleep Apnea (OSA) Patients

An interventional study of garmin vivoactive 5 with self-monitoring data and Garmin vivoactive 5 without self-monitoring data in Obstructive Sleep Apnea (OSA), sponsored by Ramathibodi Hospital. Not yet recruiting at 1 site in Thailand. Open to participants aged 19 Years and older. Per ClinicalTrials.gov, last updated 2026-01-30.

Sponsored by Ramathibodi Hospital · Not applicable, Interventional, and Supportive care

From the registry’s dates

  • Primary completion was expected by Jun 2026, 4 months ago, but the record still lists the study as not yet recruiting.
Phase
Not applicable
Study type
Interventional
Enrollment
80
Allocation
Randomized
Ages
19 Years and older
Sex
All
01

Study summary

The goal of this study type: clinical trial is to evaluate adherence for CPAP used with wearable device in OSA patients comparing with controlled group; could include any of the following: adult patients (≥ 19 yr of age) with moderate to severe OSA (AHI ≥ 15 events/hr by polysomnography (PSG), according to the American Academy of Sleep Medicine, diagnosed at the sleep clinic in Ramathibodi hospital, patients with OSA who are first time to prescribed CPAP treatment and in the waiting process for their machine. The main question it aims to answer is: Could a wearable device help increase the adherence of CPAP in obstructive sleep apnea patients?

Primary outcome is adherence for CPAP: time usage per day(min) and % usage > 4 hours

Secondary outcome are access sleepiness and quality of sleep by questionnaire (ESS and PSQI) in Thai version, the correlation between wearable-derived and CPAP data: Total sleep time(min), sleep stage (light, deep and REM), and health information: heart rate, oxygen saturation, stress, sleep score and step counting

If there is a comparison group: Researchers will compare wearable group and control group to see the effect of wearable to increase adherence of CPAP used.

Participants will

  • Divide into two group by randomization using 4 block randomization
  • In wearable group, the participants will receive wearable and download application, they allow to access all the time
  • In control group, the participants will receive wearable and download application, but they will not allow to access until they come to hospital for follow up at the end of the study
Read the detailed description
  1. Lead-in Period Patients who have been diagnosed with moderate to severe obstructive sleep apnea and are scheduled to receive continuous positive airway pressure (CPAP) therapy will be referred to the Sleep Clinic, 7th Floor, Phra Thep Building, Ramathibodi Hospital. At this clinic, the research team will provide detailed information about the study. If the patient agrees to participate, written informed consent will be obtained. Participants will then be randomly assigned into one of two groups - the wearable device group or the control group - using block randomization. The allocation sequence will be prepared by a statistician and sealed in opaque envelopes to maintain allocation concealment. During this period, while waiting for CPAP device delivery from the supplier, participants will be asked to wear a Garmin Vivoactive 5 smartwatch to collect baseline data. They will also complete standardized questionnaires in Thai: the Epworth Sleepiness Scale (ESS) and the Pittsburgh Sleep Quality Index (PSQI) to evaluate baseline sleepiness and sleep quality.
  2. Wearable Device Group (N = 40) Participants in this group will receive a Garmin Vivoactive 5 smartwatch and be instructed on its proper use. They will also learn how to access their health data via the Garmin Connect application, including sleep stages (light, deep, REM), heart rate, oxygen saturation, and daily step count. These data will be used to enhance patient engagement and support goal setting for personal health improvement. Participants will continue to receive standard education and counseling regarding CPAP use, with an emphasis on adherence and motivation to achieve optimal health outcomes.
  3. Control Group (N = 40) Participants in this group will also receive a Garmin Vivoactive 5 smartwatch but will be informed that access to health data through the application will only be available during follow-up visits at the hospital, including the final follow-up visit. Participants will not have direct access to the application, as login requires a password controlled by the research team. If a participant connects the device to another account, the research team will be able to detect it due to the creation of a new user profile, resulting in incomplete data continuity. Patients will be able to view limited on-screen information, such as average oxygen saturation, sleep score, and step count. The screen brightness will be adjusted to the lowest level to minimize light exposure during sleep. They will also receive standard CPAP education identical to the intervention group, encouraging consistent device use for optimal treatment benefits.
  4. Follow-Up Procedures 4.1 Week 1 and 2 (Line call/video call Follow-Up) All participants will be contacted by Line call/video call at Week 1 and 2 to assess CPAP adherence, address difficulties, and provide additional guidance to promote usage of at least 4 hours per night. Participants in the wearable group will be asked to capture screenshots from their Garmin Connect app and send them via the Sleep Center's official LINE account. The data collected will include sleep stage distribution, total sleep time, heart rate, oxygen saturation, sleep score, and step count.

    4.2 Weeks 4 and 8 (Clinic Follow-Up) At Weeks 4 and 8, participants will attend in-person follow-up visits at the Sleep Clinic.

    Data collected will include:

    • From Garmin Connect: sleep stage, total sleep time, HR, oxygen saturation, sleep score, step count.
    • From CPAP device downloads: average usage time per day (minutes), % nights used >4h, AHI, leak, and pressure levels. At Week 8, participants will again complete ESS and PSQI (Thai versions) to evaluate post-intervention outcomes.
  5. Data Management and API Integration During the study, the research team will request access to Garmin Health API for raw data retrieval, which may be used for further research analysis or development of a web-based application for patient monitoring.
  6. Data Collection and Analysis All collected data will be compiled, cleaned, and analyzed according to the predefined statistical plan.
  7. End of Study Procedure At the end of the 8-week study period, participants will return the Garmin Vivoactive 5 smartwatch. The research team will verify data completeness, clean and reset the devices, and prepare them for use by subsequent participants.
02

Conditions studied

  • Obstructive Sleep Apnea (OSA)

Keywords

  • adherence
  • OSA
  • wearable device
  • health
03

In context

Sleep Apnea, Obstructive

2,240 studies on the registry are indexed under Sleep Apnea, Obstructive; 475 are open to participants now.

This study's planned enrollment of 80 is above the median of 52 across 1,472 interventional studies indexed under Sleep Apnea, Obstructive.

Browse Sleep Apnea, Obstructive studies →

Lead sponsor

Ramathibodi Hospital is the lead sponsor of 63 studies on the registry; 6 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
19 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Adult patients (≥ 19 yr of age) with moderate to severe OSA (AHI ≥ 15 events/hr at the sleep clinic in Ramathibodi hospital
  • Study after EC approval to March, 2026
  • Patients with OSA who are prescribed CPAP therapy and accepted a trial of therapy

Exclusion criteria

Exclusion Criteria:

  • Patients deny to provide an
  • Patients had active cardiovascular, pulmonary, psychiatric disease, and epilepsy
  • Patients had been previously used CPAP for treatment of OSA
  • Patients have a problem to use a wearable device or watch
  • Patients had used any smartwatch before
  • Patients do not have a smart phone
Terms in these criteria, in plain language(1)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

05

Study design

Phase
Not applicable
Primary purpose
Supportive care
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Triple (Participant, Care provider, Outcomes assessor)
Enrollment
80 participants (estimated)

Study arms

  • Experimental
    Wearable group

    Standard care of CPAP with Garmin vivoactive 5 with self-monitoring data (Patients can access the data by themselves)

    Device: garmin vivoactive 5 with self-monitoring data

  • Sham comparator
    Control group

    Standard care of CPAP with Garmin vivoactive 5 no self-monitoring data (Patients cannot access the data by themselves)

    Device: Garmin vivoactive 5 without self-monitoring data

Interventions

  • Devicegarmin vivoactive 5 with self-monitoring data

    patients can access health data by themselves

  • DeviceGarmin vivoactive 5 without self-monitoring data

    Patients cannot access their health data

06

What researchers measure

Primary outcomes

  1. Average daily CPAP usage time

    Average CPAP usage time per day, measured in minutes using CPAP device data.

    Time frame: From enrollment to 4 weeks and 8 weeks of treatment

  2. Percentage of nights with CPAP usage ≥ 4 hours

    Percentage of days with CPAP usage ≥ 4 hours per night, reported as a percentage (%), derived from CPAP device data.

    Time frame: From enrollment to 4 weeks and 8 weeks of treatment

Secondary outcomes

  1. Daytime sleepiness assessed by Epworth Sleepiness Scale (Thai version)

    Epworth Sleepiness Scale (ESS) total score ranging from 0 to 24; higher scores indicate greater daytime sleepiness. A score \>10 indicates excessive daytime sleepiness.

    Time frame: From enrollment to 4 week and 8 week of treament

  2. Sleep quality assessed by Pittsburgh Sleep Quality Index (Thai version)

    Pittsburgh Sleep Quality Index (PSQI) total score ranging from 0 to 21; higher scores indicate poorer sleep quality. A score \>5 indicates poor sleep quality.

    Time frame: From enrollment to 4 week and 8 week of treatment

  3. Total sleep time

    Total sleep time measured in minutes, derived from Garmin Vivoactive 5 and CPAP data

    Time frame: From enrollment to 4 week and 8 week of treatment

  4. Percentage of light sleep stage derived from wearable device

    Percentage of light sleep stage (%), derived from Garmin Vivoactive 5.

    Time frame: From enrollment to 4 weeks and 8 weeks of treatment

  5. Percentage of deep sleep stage derived from wearable device

    Percentage of deep sleep stage (%), derived from Garmin Vivoactive 5.

    Time frame: From enrollment to 4 weeks and 8 weeks of treatment

  6. Percentage of REM sleep stage derived from wearable device

    Percentage of REM sleep stage (%), derived from Garmin Vivoactive 5.

    Time frame: From enrollment to 4 weeks and 8 weeks of treatment

  7. Mean heart rate derived from wearable device

    Average heart rate measured in beats per minute (bpm), derived from Garmin Vivoactive 5.

    Time frame: From enrollment to 4 weeks and 8 weeks of treatment

  8. Average oxygen saturation derived from wearable device

    Average oxygen saturation measured as a percentage (%), derived from Garmin Vivoactive 5.

    Time frame: From enrollment to 4 weeks and 8 weeks of treatment

  9. Stress score derived from wearable device

    Stress score reported by Garmin Vivoactive 5, ranging from 0 to 100.

    Time frame: From enrollment to 4 weeks and 8 weeks of treatment

  10. Sleep score derived from wearable device

    Sleep score reported by Garmin Vivoactive 5, ranging from 0 to 100.

    Time frame: From enrollment to 4 weeks and 8 weeks of treatment

  11. Daily step count derived from wearable device

    Average daily step count measured in steps per day, derived from Garmin Vivoactive 5.

    Time frame: From enrollment to 4 weeks and 8 weeks of treatment

07

Study locations

1 site
  • Ramathibodi hospital, Mahidol university
    Ratchathewi, Bangkok 10400, Thailand
    • Visasiri Tantrakul, Doctor of Medicine (M.D.) · ContactVtantrakul@gmail.com · (660)86-379-3629
    • Somruetai Matupumanon, Doctor of Medicine (M.D.) · Contactmany_toon@hotmail.com · (660)889644536
    • Somprasong Liamsombut, Doctor of Medicine (M.D.) · Sub investigator
    • Visasiri Tantrakul, Doctor of Medicine (M.D.) · Principal investigator
    • Somruetai Matupumanon, Doctor of Medicine (M.D.) · Sub investigator
    • Pongsakorn Tanayapong, Doctor of Medicine (M.D.) · Sub investigator
    • Suparee Boonmanunt, Master in Economics · Sub investigator
08

References and documents

Publications

  • Aardoom JJ, Loheide-Niesmann L, Ossebaard HC, Riper H. Effectiveness of eHealth Interventions in Improving Treatment Adherence for Adults With Obstructive Sleep Apnea: Meta-Analytic Review. J Med Internet Res. 2020 Feb 18;22(2):e16972. doi: 10.2196/16972. PubMed 32130137 ↗
  • Weaver TE, Grunstein RR. Adherence to continuous positive airway pressure therapy: the challenge to effective treatment. Proc Am Thorac Soc. 2008 Feb 15;5(2):173-8. doi: 10.1513/pats.200708-119MG. PubMed 18250209 ↗
  • Luyster FS, Strollo PJ Jr, Zee PC, Walsh JK; Boards of Directors of the American Academy of Sleep Medicine and the Sleep Research Society. Sleep: a health imperative. Sleep. 2012 Jun 1;35(6):727-34. doi: 10.5665/sleep.1846. PubMed 22654183 ↗
  • Schyvens AM, Peters B, Van Oost NC, Aerts JM, Masci F, Neven A, Dirix H, Wets G, Ross V, Verbraecken J. A performance validation of six commercial wrist-worn wearable sleep-tracking devices for sleep stage scoring compared to polysomnography. Sleep Adv. 2025 Mar 22;6(2):zpaf021. doi: 10.1093/sleepadvances/zpaf021. eCollection 2025 Apr. PubMed 40303381 ↗
  • Fox N, Hirsch-Allen AJ, Goodfellow E, Wenner J, Fleetham J, Ryan CF, Kwiatkowska M, Ayas NT. The impact of a telemedicine monitoring system on positive airway pressure adherence in patients with obstructive sleep apnea: a randomized controlled trial. Sleep. 2012 Apr 1;35(4):477-81. doi: 10.5665/sleep.1728. PubMed 22467985 ↗

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

Individual participant data

Plan to share: Undecided

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jan 30, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07377968
Lead sponsor
Ramathibodi Hospital
Responsible party
Visasiri Tantrakul (Principal investigator, Ramathibodi Hospital) — Principal investigator
First posted
Jan 30, 2026
Start date
Jan 6, 2026 (estimated)
Primary completion
Jun 30, 2026 (estimated)
Completion
Jun 30, 2026 (estimated)
Last update
Jan 30, 2026

Study contacts

Visasiri Tantrakul, Doctor of Medicine (M.D.)
Contact
Vtantrakul@gmail.com
(660)86-379-3629
Somruetai Matupumanon, Doctor of Medicine (M.D.)
Contact
many_toon@hotmail.com
(660)889644536
Visasiri Tantrakul, Doctor of Medicine (M.D.)
principal investigator · Ramathibodi hospital, Mahidol university

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is not yet recruiting, as verified in Jan 2026. You cannot join it, but the record below documents what was studied.

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