Abstract: Systems and methods provide cushioning to the tubing of a user-worn nasal cannula delivery system to mitigate the potentially negative effects of direct tubing-to-skin contact in the area around the user's ears. An apparatus may include multiple shaped straps individually connected to shaped hold pieces. The apparatus securely holds the cannula tubing in place while shielding the tubing from the tissues around the user's ears. In some embodiments, multiple straps may be connected to create a single headgear piece that protects both ears while resting snugly against the user's head.