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Obstructive Sleep Apnea (OSA)NCT07377968

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

A study testing garmin vivoactive 5 with self-monitoring data and Garmin vivoactive 5 without self-monitoring data in people with Obstructive Sleep Apnea (OSA), run by Ramathibodi Hospital at 1 site in Thailand.

Not yet recruiting

Opening soon. The study is approved but enrolment has not started yet. Sites may already take enquiries.

Sites and contacts
Official record
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Trial 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… Read more about this study

Who is it for?
Ages 19 years and older
Conditions the study is for
Obstructive Sleep Apnea (OSA)
What is being tested?
garmin vivoactive 5 with self-monitoring data and Garmin vivoactive 5 without self-monitoring data
Type of treatment
Medical device
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
80 participants
Where
1 siteThailand
Study dates
6 Jan 2026to 30 Jun 2026
Phase
Interventional
Are there results?
Not yet: the study is under way

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 19 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • 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

Who cannot join

  • Patients deny to provide an informed consent
  • 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

Trial locations and contacts

1 site in 1 country. Contact the study team or a site near you to ask about taking part.

Visasiri Tantrakul, Doctor of Medicine (M.D.) contact

(660)86-379-3629

Vtantrakul@gmail.com

Somruetai Matupumanon, Doctor of Medicine (M.D.) contact

(660)889644536

many_toon@hotmail.com

Thailand1 site
  • Ramathibodi hospital, Mahidol university

    Ratchathewi, Bangkok, 10400

    Visasiri Tantrakul, Doctor of Medicine (M.D.), (660)86-379-3629, Vtantrakul@gmail.com

    Somruetai Matupumanon, Doctor of Medicine (M.D.), (660)889644536, many_toon@hotmail.com

Other trials in Thailand

About this study

Official title: Efficacy of Wearable Device to Promote CPAP Adherence in Patients With Obstructive Sleep Apnea (OSA); A Randomized Controlled Trial

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

Read more

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.
  1. 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.
  2. Data Collection and Analysis All collected data will be compiled, cleaned, and analyzed according to the predefined statistical plan.
  3. 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.
Being tested
garmin vivoactive 5 with self-monitoring data, Garmin vivoactive 5 without self-monitoring data
Keywords
adherence, OSA, wearable device, health
Medical subject headings
Sleep Apnea, Obstructive

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • garmin vivoactive 5 with self-monitoring dataDevice

    patients can access health data by themselves

  • Garmin vivoactive 5 without self-monitoring dataDevice

    Patients cannot access their health data

Study groups in NCT07377968
Study groupRoleWhat they receive
Wearable groupExperimentalStandard care of CPAP with Garmin vivoactive 5 with self-monitoring data (Patients can access the data by themselves)
Receives: Device: garmin vivoactive 5 with self-monitoring data
Control groupSham comparatorStandard care of CPAP with Garmin vivoactive 5 no self-monitoring data (Patients cannot access the data by themselves)
Receives: Device: Garmin vivoactive 5 without self-monitoring data

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Average daily CPAP usage time

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

    Measured: 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.

    Measured: From enrollment to 4 weeks and 8 weeks of treatment

Secondary outcomes (11)
  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.

    Measured: 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.

    Measured: 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

    Measured: 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.

    Measured: 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.

    Measured: 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.

    Measured: 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.

    Measured: 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.

    Measured: 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.

    Measured: 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.

    Measured: 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.

    Measured: From enrollment to 4 weeks and 8 weeks of treatment

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted30 Jan 2026
  2. Study start6 Jan 2026 (estimated)
  3. Primary completion30 Jun 2026 (estimated)
  4. Study completion30 Jun 2026 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Supportive care
Allocation
Randomised
Intervention model
Parallel groups
Masking
Triple blind
Who is masked
Participant, Care provider, Outcomes assessor
Enrolment
80 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07377968
Sponsor's protocol ID
COA. No. MURA2025/1065
Status last verified
Jan 2026
First submitted
5 Jan 2026
Last updated
30 Jan 2026
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Undecided

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

Questions about this trial

What is this clinical trial studying?

A study testing garmin vivoactive 5 with self-monitoring data and Garmin vivoactive 5 without self-monitoring data in people with Obstructive Sleep Apnea (OSA), run by Ramathibodi Hospital at 1 site in Thailand.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 3 inclusion and 6 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: opening soon, as of the sponsor's last update on 30 Jan 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Thailand. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

Contact Visasiri Tantrakul, Doctor of Medicine (M.D.) ((660)86-379-3629, Vtantrakul@gmail.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Average daily CPAP usage time (time frame: From enrollment to 4 weeks and 8 weeks of treatment). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT07377968, which also lists 5 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 30 Jan 2026.

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