Acceptance of Telemonitoring Among Patients with Obstructive Sleep Apnea Syndrome: How is the Perceived Interest by and for Patients?

Bros, Julie; Poulet, Caroline; Arnol, Nathalie; Deschaux, Chrystèle; Gandit, Michèle; Charavel, Marie

doi:10.1089/tmj.2017.0134

Cited by 19 publications

(19 citation statements)

References 24 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Another concern is related to patients' perceptions of telemonitoring. In a recent study from TURINO et al [50], patients were not worried about being remotely observed through telemonitoring systems, but in another study of patient acceptance of telemonitoring, despite the fact that the majority (78%) of the 160 studied patients expressed a favourable attitude toward telemonitoring, 40% consider this device intrusive [64].…”

Section: Discussionmentioning

confidence: 91%

Telemedicine in the diagnosis and treatment of sleep apnoea

Bruyneel

2019

Eur Respir Rev

View full text Add to dashboard Cite

@ERSpublicationsUsing telemedicine in obstructive sleep apnoea patients under continuous positive airway pressure therapy leads to reductions in nursing workload, early identification of problematic patients, and at least similar treatment adherence.ABSTRACT Telemedicine (TM) is a current tool in the landscape of medicine. It helps to address public health challenges such as increases in chronic disease in an ageing society and the associated burden in healthcare costs. Sleep TM refers to patient data exchange with the purpose of enhancing disease management. Obstructive sleep apnoea (OSA) syndrome is a chronic disorder associated with a significant morbidity, mainly cardiometabolic, and mortality. Obtaining adequate compliance to continuous positive airway pressure (CPAP) remains the greatest challenge related to OSA treatment, and the adoption of TM to support OSA management makes sense. In addition, the prevalence of OSA is growing and OSA is associated with increased healthcare costs that could be streamlined by the application of TM. In OSA, multiple modalities of TM are utilised, such as telediagnostics, teleconsultation, teletherapy and telemonitoring of patients being treated with CPAP. In the present article, I aim to provide an overview of current practice and the recent developments in TM for OSA management. Concerns related to TM use will also be addressed.

show abstract

Section: Discussionmentioning

confidence: 91%

Telemedicine in the diagnosis and treatment of sleep apnoea

Bruyneel

2019

Eur Respir Rev

View full text Add to dashboard Cite

show abstract

“…To that end, telemedicine interventions must be enlightened by more research on their usability by both patients and healthcare professionals [26]. Even though telemedicine is in general well accepted by OSA patients [27], recent work by TURINO et al [10] showed telemonitoring of CPAP signals alone did not improve CPAP treatment compliance and was associated with lower patient satisfaction. Moreover, from the professionals' side there are well-known factors preventing the widespread implementation of this strategy, including poor organisation in healthcare institutions, regulations and clinical practice guidelines, and staff training.…”

Section: Discussionmentioning

confidence: 99%

Mobile health application to support CPAP therapy in obstructive sleep apnoea: design, feasibility and perspectives

et al. 2020

View full text Add to dashboard Cite

BackgroundCurrent continuous positive airway pressure (CPAP) devices can be monitored remotely; however, in-person visits are kept for clinical follow-up in order to promote CPAP use and resolve potential side-effects. Mobile health is a promising way to provide remote and easy clinical control for CPAP follow-up and support. We aimed to evaluate the feasibility and acceptance by obstructive sleep apnoea (OSA) patients and healthcare professionals of a newly designed mobile app (Appnea-Q) to promote clinical control through a self-monitoring tool for patients with CPAP supervised by sleep professionals.MethodsAppnea-Q incorporates a simple follow-up questionnaire with automated responses, together with frequent problems and lifestyle recommendations sections. Feasibility, acceptance and usefulness were assessed. First, an internal validation was performed during outpatient CPAP follow-up visits with sleep professionals from various sleep units. Second, an external validation was performed in a subgroup of 15 patients at home.ResultsMost patients (n=75) considered the app useful and were willing to use it and recommend it (72–88%). Up to 64.87% agreed on its capacity to reduce hospital visits. Appnea-Q was rated as acceptable (79.37±19.29) by the system usability score. Sleep professionals (n=30) concurred on its usefulness for OSA patient follow-up, particularly during the first month of CPAP therapy. The external validation showed its feasibility among 11 out of 15 patients and their data were received accordingly on the professionals' web platform.ConclusionsAccording to our validation process, and the viewpoints of the patients and professionals, our new mobile app is a feasible and well-received tool for personal OSA management. Future clinical trials should substantiate its performance and cost-effectiveness in the clinical arena.

show abstract

“…This finding was explained by the lack of in-person contact in the intervention arm, whereas clinical appointments were only scheduled for the control arm. 80 Also, in the study of Bros and colleagues, 151 a majority (78%) of patients expressed a favorable attitude toward telemonitoring, but nearly 40% considered the telemonitoring device like intrusive. Telemonitoring also encompasses the risk to mask some aspects of care, by relying excessively on technical parameters, forgetting the clinical context.…”

Section: Patient Satisfactionmentioning

confidence: 98%

Telemedicine in Sleep-Disordered Breathing

Verbraecken

2021

Sleep Medicine Clinics

View full text Add to dashboard Cite

Telemedicine has applications in all stages of the diagnosis, treatment, and follow-up of patients with sleep-disordered breathing. Diagnostic applications include telemonitored polysomnography, communication of test results and therapeutic options, and remote continuous positive airway pressure titration. Online compliance monitoring results in similar and in some cases improved compliance when compared with traditional face-to-face evaluations. The impact of telemedicine on compliance depends on the preexisting organization of standard care in the routine setting. Combining theory-driven behavioral approaches with telemedicine technology could hold the answer to increasing real-world adherence rates. Targeted troubleshooting and support based on individual patient data, web-, and/or app-based teaching, and combinations via a smartphone app or coaching website is feasible. Telemedicine is likely cost-effective but requires better evidence.

show abstract

Acceptance of Telemonitoring Among Patients with Obstructive Sleep Apnea Syndrome: How is the Perceived Interest by and for Patients?

Cited by 19 publications

References 24 publications

Telemedicine in the diagnosis and treatment of sleep apnoea

Telemedicine in the diagnosis and treatment of sleep apnoea

Mobile health application to support CPAP therapy in obstructive sleep apnoea: design, feasibility and perspectives

Telemedicine in Sleep-Disordered Breathing

Contact Info

Product

Resources

About