The IPAD Cohort Study: Insomnia and Positive Airway Pressure Adherence in Children and Adolescents

Positive Airway Pressure (PAP) is a treatment used to help people with sleep-disordered breathing, particularly those with obstructive sleep apnea (OSA). The device delivers pressurized air through a mask to keep the airways open during sleep, improving breathing and preventing interruptions in sleep. Studying how insomnia affects PAP adherence in children can help improve future treatments. However, no long-term studies have looked at this in children. Based on previous research, the investigators plan to conduct a study across multiple centers focusing on children with OSA starting PAP therapy. The study will explore how insomnia affects PAP adherence and how race and ethnicity play a role.

NCT Number	NCT07176767
Lead Sponsor	Lena Xiao Collaborators: American Academy of Sleep Medicine, The Hospital for Sick Children
Conditions	Sleep Apnea, Obstructive, Insomnia
Enrollment	82 participants
Start Date	2025-06-12
Primary Completion	2026-12-31 (estimated)
Study Completion	2026-12-31 (estimated)
Updated on ClinicalTrials.gov	2025-09-23