Community Health Advocates for Motivating PAP Use in Our Neighborhoods.

Inclusion criteria

• ≥ 18 years of age
• Moderate-to-severe OSA
• Available to attend study visits and sessions
• Reliable access to a phone

Exclusion criteria

• Prior or current use of PAP therapy or other treatment (e.g., oral appliance) for OSA
• History of upper airway surgery for OSA
• Moderate to severe insomnia
• Commercial drivers
• Use of non-standard PAP including adaptive servo-ventilation or bi-level positive airway pressure
• Report of motor vehicle accident or near-miss due to sleepiness within the 2 previous years
• Unstable medical conditions that may preclude enrollment in the protocol such as: uncontrolled angina and/or congestive heart failure, uncontrolled blood pressure or resistant hypertension, severe chronic obstructive pulmonary disease, cancer, and active psychiatric disease (e.g., major depression)
• Other sleep disorders (e.g., circadian rhythm disorder)
• Use of supplemental oxygen during wakefulness or sleep
• Central sleep apnea, obesity hypoventilation syndrome or Cheyne-Stokes respiration based on the home sleep apnea test
• Resting awake oxygen saturation (SpO2) < 90%
• Participation in another clinical trial