for people ages 18 years and up (full criteria)
Healthy Volunteers
healthy people welcome
study started
completion around
Principal Investigator
by Rachel Willard-Grace, MPH (ucsf)
Headshot of Rachel Willard-Grace
Rachel Willard-Grace



This study will test a brief telephonic health coaching intervention to improve adherence to positive airway pressure therapy for treatment of obstructive sleep apnea.

Official Title

Reaching for Equity in Sleep Apnea Treatment (REST): Pilot of Telephonic Health Coaching Intervention to Improve Adherence to Sleep Apnea Treatment


The investigators will carry out a pilot study in which patients will be randomly assigned to receive health coaching or usual care. Participants are English- and Spanish-speaking patients from a county-based public health system who have received a positive airway pressure device for the treatment of sleep apnea. An unlicensed, trained health coach will call patients three times to resolve barriers to adherence. Primary outcomes include both adherence measures collected by the device modem at baseline and 4 months, and patient-reported outcomes such as daytime sleepiness.


Sleep Apnea, Health coaching, Adherence to treatment, Health disparities, Apnea, Sleep Apnea Syndromes


You can join if…

Open to people ages 18 years and up

  • English- or Spanish-speaking
  • At least 18 years of age
  • Had previously received a modem-enabled positive airway pressure device for the treatment of sleep apnea
  • Not currently meeting Medicare standards for adherence of at least 4 hours per night for at least 70% of the last 30 nights
  • Received care from the San Francisco General Hospital Sleep Clinic

You CAN'T join if...

  • Not English- or Spanish-speaking
  • Younger than 18 years
  • Does not have phone number at which could be reached


  • Zuckerberg San Francisco General Hospital Sleep Clinic accepting new patients
    San Francisco California 94110 United States

Lead Scientist at University of California Health

  • Rachel Willard-Grace, MPH (ucsf)
    Rachel Willard-Grace is the Director of the Center for Excellence in Primary Care (CEPC). CEPC identifies, develops, tests, and disseminates promising innovations in primary care to improve the patient experience, enhance population health and health equity, reduce the cost of care, and restore joy and satisfaction in the practice of primary care.


accepting new patients
Start Date
Completion Date
University of California, San Francisco
Study Type
Expecting 100 study participants
Last Updated