CATNAPCognition After Obstructive Sleep Apnea (OSA) Treatment Among Native American People (CATNAP)

The study aims to help Native American elders who have obstructive sleep apnea (OSA) by investigating how a special program might improve their use of a breathing device called positive airway pressure (PAP) therapy. The program is called CATNAP and is designed to be culturally meaningful for American Indian participants. Researchers are interested in seeing if better adherence to this therapy can also have a positive effect on cognitive function and reduce the risk of Alzheimer's disease and other dementias. This is important because sleep disorders and cognitive decline are closely linked, and finding ways to improve both could lead to better health outcomes for this community. Participants in the study will be divided into two groups. One group will continue with the standard care, which includes using the PAP therapy device. The other group will receive the same standard care plus additional support through motivational interviewing sessions and electronic messages specifically tailored to their cultural context. Researchers will track how often participants use their PAP devices by monitoring data that is automatically sent to the cloud. The effectiveness of the intervention will be evaluated by checking participants' PAP adherence and cognitive function at the start, after three months, and after nine months. By comparing these results, the study hopes to determine if the additional support makes a significant difference in treatment adherence and cognitive health.