The Adherence of Proactive Sleep Apnea Therapy

Inclusion Criteria:

• Must have a new diagnosis of moderate or severe OSA (i.e., AHI > 15 events/hour).

• Must be 18-70 years old.

• No history of self-reported, uncontrolled, severe cardiovascular or neurologicalissues.

• Must be able to comply with all study requirements as outlined in the consent form.

• Must be able to follow the directions of the study doctor and research team.

• Must be able to understand English and be willing to provide informed consent.

Exclusion Criteria:

• Prior use of PAP machines.

• Subjects actively using bi-level PAP or require oxygen therapy.

• Subjects who are medically complicated or who are medically unstable ( i.e., cancer,dementia, unstable cardiac or respiratory disease, or unstable psychiatric illness).

• Potential sleep apnea complications that, in the opinion of the clinician, mayaffect the health and safety of the participant.

• Inability or unwillingness to given written informed consent.

• Neuromuscular disease, hypoglossal-nerve palsy, severe restrictive or obstructivepulmonary disease, moderate-to-severe pulmonary arterial hypertension, severevalvular heart disease, New York Heart Association class III or IV heart failure,recent myocardial infarction or severe cardiac arrhythmias (within the past 6months), persistent uncontrolled hypertension despite medication use, activepsychiatric disease, and coexisting non-respiratory sleep disorders that wouldconfound functional sleep assessment.

• Pregnancy, planning to attempt to become pregnant, or breastfeeding.