0541 Acceptance and Impact of Telemedicine in Patient Sub-Groups With Obstructive Sleep Apnea: Analysis From the Tele-Osa Randomized Clinical Trial

Chang, Jooyoung; Derose, Stephen F.; Benjafield, Adam; Crocker, Maureen; Kim, J; Becker, Kendra; Woodrum, R; Arguelles, Jessica; Hwang, Dennis

doi:10.1093/sleepj/zsx050.540

Cited by 6 publications

(4 citation statements)

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“…A follow‐up study (Tele‐OSA) was performed by Chang and colleagues at Kaiser Permanente evaluating the impact of U‐Sleep on CPAP adherence . This study further evaluated the effect of remote telemedicine education delivered as an automated interactive web‐based platform (Emmi Solutions, Inc., Chicago, IL, USA).…”

Section: Tm Adherence and Progress Of Cpap‐treated Osa Syndrome Patientsmentioning

confidence: 99%

“…21 A follow-up study (Tele-OSA) was performed by Chang and colleagues at Kaiser Permanente evaluating the impact of U-Sleep on CPAP adherence. 22 This study further evaluated the effect of remote telemedicine education delivered as an automated interactive webbased platform (Emmi Solutions, Inc., Chicago, IL, USA). Patients (1455) were randomized into four trial arms: (i) usual care; (ii) usual care + education; (iii) usual care + U-Sleep; and (iv) usual care + education + U-Sleep.…”

Section: Tm Adherence and Progress Of Cpap-treated Osa Syndrome Patiementioning

confidence: 99%

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Does remote monitoring change OSA management and CPAP adherence?

et al. 2017

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It is increasingly recognized that the high prevalence of obstructive sleep apnoea (OSA), and its associated cardio-metabolic morbidities make OSA a burden for society. Continuous positive airway pressure (CPAP), the gold standard treatment, needs to be used for more than 4 h/night to be effective, but suffers from relatively poor adherence. Furthermore, CPAP is likely to be more effective if combined with lifestyle changes. Thus, the remote telemonitoring (TM) of OSA patients in terms of CPAP use, signalling of device problems, following disease progression, detection of acute events and monitoring of daily physical activity is an attractive option. In the present review, we aim to summarize the recent scientific data on remote TM of OSA patients, and whether it meets expectations. We also look at how patient education and follow-up via telemedicine is used to improve adherence and we discuss the influence of the profile of the healthcare provider. Then, we consider how TM might be extended to encompass the patient's cardio-metabolic health in general. Lastly, we explore how TM and the deluge of data it potentially generates could be combined with electronic health records in providing personalized care and multi-disease management to OSA patients.

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Section: Tm Adherence and Progress Of Cpap‐treated Osa Syndrome Patientsmentioning

confidence: 99%

Section: Tm Adherence and Progress Of Cpap-treated Osa Syndrome Patiementioning

confidence: 99%

Does remote monitoring change OSA management and CPAP adherence?

et al. 2017

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“…Sleep Sci. 2021;14(Special 1): [31][32][33][34][35][36][37][38][39][40] To maintain increased adherence, it is suggested that telemonitoring should be continuous 49 . The implementation of telemonitoring of PAP data associated with distance education programs increased adherence in the first 90 days of treatment, and the likelihood of long-term use of the device (>360 days) 50 .…”

Section: Advantages Of Telemonitoringmentioning

confidence: 99%

Proposed management model for the use of telemonitoring of adherence to positive airway pressure equipment - position paper of the Brazilian Association of Sleep Medicine - ABMS

Vidigal¹,

Brasil²,

Ferreira³

et al. 2021

Sleep Sci

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This document "Proposed management model for the use of telemonitoring to positive airway pressure adherence" was prepared by a special commission of the Brazilian Association of Sleep Medicine, with the objective of recommending a follow-up model for patients undergoing positive airway pressure therapy using telemonitoring. This proposal was prepared based on a survey and analysis of the most up-to-date national and international literature and uses the best available evidence to facilitate the standardization of care by Sleep Science specialists with potential benefit for patients. Among the conclusions of the document, it is emphasized that telemonitoring is an important tool that allows health professionals trained in sleep-disordered breathing to remotely monitor PAP therapy, allowing prompt and, when necessary, daily adjustments to be made in order to increase adherence to treatment. The authors also conclude that the privacy of the data received and shared during the provision of telemonitoring must be respected by the physician or health professional trained in sleep, with the authorization of the patient and/or person responsible, who should be made aware of the short-, medium-and long-term provision of the service.

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“…The evaluation of CPAP adherence has been based on the average number of hours or minutes of use [12][13][14], which yields a rate of hours per night and a standard deviation. Such analysis considers entire periods of use, which are aggregated to one single value.…”

Section: Introductionmentioning

confidence: 99%

CPAP Adherence Assessment via Gaussian Mixture Modeling of Telemonitored Apnea Therapy

et al. 2022

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Sleep disorders pose serious cardiovascular threats if not treated effectively. However, adherence to Continuous Positive Airway Pressure (CPAP), the most recommended therapy, is known to be challenging to monitor. Telemonitored CPAP equipment has improved the follow-up of CPAP adherence (hours of use per night) by producing far larger amounts of data collected daily. The analysis of such data have relied on averaging the entire therapeutic history and interpreting it without a proper reference concerning the level of adherence. By contrast, we contribute with an unsupervised machine-learning methodology that (i) translates the adherence data to a scale of discrete numbers that hold correspondence to the most usual 30-day-long patterns as observed in a real-word database; (ii) avoids the loss of information aggregation problem by creating summaries of the time series that capture the dynamic nature of the everyday-use CPAP. Our experiments have detected eight particular adherence behaviors validated with information-oriented statistical criteria; we successfully applied them to the time series of a French hospital to produce summaries that reflect the adherence of any 30 days of interest. Our method can aid physicians in more precisely evaluating the therapy adherence, as well as fostering systems to alert of problems in the treatment automatically.

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0541 Acceptance and Impact of Telemedicine in Patient Sub-Groups With Obstructive Sleep Apnea: Analysis From the Tele-Osa Randomized Clinical Trial

Cited by 6 publications

References 0 publications

Does remote monitoring change OSA management and CPAP adherence?

Does remote monitoring change OSA management and CPAP adherence?

Proposed management model for the use of telemonitoring of adherence to positive airway pressure equipment - position paper of the Brazilian Association of Sleep Medicine - ABMS

CPAP Adherence Assessment via Gaussian Mixture Modeling of Telemonitored Apnea Therapy

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