Automated Tele-Monitoring on CPAP Adherence at 1 Year: The Tele-OSA Trial

Crocker, Maureen; Chang, Jooyoung; Liang, Joanne; Becker, Kendra; Kim, Joseph; Woodrum, R; Vega, Dara; Dewitte, J; Arguelles, Jessica; Derose, Stephen F.; Benjafield, Adam; Hwang, Dennis

doi:10.1183/1393003.congress-2017.pa4729

Cited by 2 publications

(1 citation statement)

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“…Participants were predominantly male and obese, which also impedes the transferability to other patient groups. However, distribution of sex and BMI is in line with those in similar studies [ 16 , 38 – 40 ] indicating that the patient population in the current study is representative for the use of telemedical support. Furthermore, the distribution of sex within the two groups was identical (12 women and 38 men each).…”

Section: Discussionsupporting

confidence: 91%

Effect of a digital patient motivation and support tool on CPAP/APAP adherence and daytime sleepiness: a randomized controlled trial

Franke,

Piezonna,

Schäfer

et al. 2023

Sleep Biol. Rhythms

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The purpose of this study was to assess the effect of a digital patient support (DPS) tool, complementary to standard care on continuous or automatic positive airway pressure (auto)CPAP adherence and daytime sleepiness after 12 weeks in patients diagnosed with severe obstructive sleep apnea (OSA). All patients with apnea–hypopnea index (AHI) ≥ 30 per hour were prospectively included and randomized to receive standard care (SC) or standard care with personalized DPS via a mobile app prototype version (SC + DPS). Patients in the SC + DPS arm received additionally automated feedback on their therapy, motivational messages and therapy recommendations. 100 patients completed the study (SC: 50, SC + DPS: 50). No differences were found in characteristics of SC vs. SC + DPS (mean ± SD) for age (53.9 ± 10.8 vs. 51.7 ± 12.3 years), initial diagnostic apnea–hypopnea index (51.1 ± 15.5 vs. 50.9 ± 17.7 events/h), BMI (33.8 ± 6.7 vs. 33.5 ± 4.5 kg/m), and Epworth Sleepiness Scale (ESS) baseline score (9.5 ± 4.2 vs. 9.1 ± 5.2). After 12 weeks, mean ESS score was significantly lower (SC: 7.6 ± 4.1 vs. SC + DPS: 5.5 ± 3.9; p = 0.006) in the SC + DPS group vs. standard care group. Therapy adherence was significantly higher (SC: 268.7 ± 122.1 vs. SC + DPS: 338.8 ± 106.8 min; p = 0.002) in the SC + DPS group compared to standard care group. No difference was found in the residual AHI between both groups. However, SC + DPS group showed a trend towards fewer phases with increased leakage compared to SC group. Intention-to-treat analysis (112 (56/56) patients) showed similar results. After 12 weeks, (auto)CPAP adherence and daytime sleepiness improved significantly in patients with severe OSA using the digital patient support tool.Clinical Trial Registration (retrospectively registered): Registry: NCT05440279; Title: Effects of Telemedical Support on Therapeutic Results of CPAP Patients; URL: https://clinicaltrials.gov/ct2/show/NCT05440279; Date of registration: June 30, 2022.

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Section: Discussionsupporting

confidence: 91%