SMART DOCS: A New Patient-Centered Outcomes and Coordinated-Care Management Approach for the Future Practice of Sleep Medicine

Kushida, Clete A.; Nichols, Deborah A.; Holmes, Tyson H.; Miller, Ric; Griffin, Kara; Cardell, Chia-Yu; Hyde, Pamela R.; Cohen, Ellis N.; Manber, Rachel; Walsh, James K.

doi:10.5665/sleep.4422

Cited by 12 publications

(5 citation statements)

References 67 publications

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“…The “sustainable methods, algorithms, and research tools for delivering optimal care study” (SMART DOCS) is a PCORI-sponsored randomized, two-arm, single center, long-term comparative effectiveness study designed to compare a patient-centered and coordinated-care management approach with a conventional care approach in patients with sleep disorder complaints [113]. Features of the patient-centered approach include standardized intake (the Alliance sleep questionnaire which integrates other existing scales and questionnaires), use of novel technology, co-management with primary care, integration of multidisciplinary sleep team members for education and support, and enhanced patient–provider data and information sharing through a dedicated, easy-to-understand web-portal.…”

Section: Applying a Patient-centered Care Approach In Osa (See Table 1)mentioning

confidence: 99%

Patient-centered care in obstructive sleep apnea: A vision for the future

Hilbert

Yaggi

2018

Sleep Medicine Reviews

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Obstructive sleep apnea is a common condition, with multiple potential neurocognitive, cardiovascular, and metabolic consequences. Efficacious treatment is available, but patient engagement is typically required for treatment to be effective. Patients with sleep apnea are phenotypically diverse and have individual needs, preferences, and values that impact treatment decisions. There has been a shift in obstructive sleep apnea management from diagnosis to chronic care management. Making treatment decisions that incorporate an individual patient's values and preferences and are personalized for that patient's biology has the potential to improve patient outcomes. A patient-centered care approach in obstructive sleep apnea is reviewed including 1) determining patient-specific needs to guide treatment decisions, 2) understanding patient values, preferences, and other factors impacting treatment decisions and using shared decision-making, 3) enhancing patient education and support to improve treatment adherence, 4) promoting patient engagement, 5) optimizing care coordination, continuity of care, and access to care, and 6) determining and assessing patient-centered outcomes.

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Section: Applying a Patient-centered Care Approach In Osa (See Table 1)mentioning

confidence: 99%

Patient-centered care in obstructive sleep apnea: A vision for the future

Hilbert

Yaggi

2018

Sleep Medicine Reviews

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“…The rapid development of mobile health applications, secure messaging, and telemedicine platforms along with patient-centered and patient-navigator strategies are attractive and efficient options for delivering behavioral, educational, and supportive interventions to improve PAP adherence. [118][119][120] Home-Based versus Laboratory-Based Testing In two large randomized controlled trials, home-based diagnostic testing and PAP titration were comparable to laboratorybased diagnosis and manual PAP titrations in the management of OSA [121][122][123] and may be cost effective alternatives to full night polysomnography. 124 However, real-world Markov modelling suggest that laboratory polysomnography may be more cost-effective.…”

Section: Health Disparities In Osamentioning

confidence: 99%

Implementation of Sleep and Circadian Science: Recommendations from the Sleep Research Society and National Institutes of Health Workshop

Parthasarathy

Carskadon

Jean-Louis

et al. 2016

Sleep

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community stakeholders regarding obstructive sleep apnea. (3) Increase the proportion of students in grades 9 through 12 who get sufficient sleep and (4) Perform trials aimed at improving adherence to treatments for sleep-disordered breathing (particularly evaluating cognitive therapy approaches). The fourth priority area was identified as an important barrier to implementation science efforts in sleep.

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“…It was observed that physical activity and exercise were related to higher quality sleep and less sleep disorders in healthy adults. Poor sleep quality and abnormal sleep durations (over or under 7-8 hours a day) were identified as being associated with morbidity and mortality (8). It was seen that exercising for more than one hour a day is associated with a longer duration of sleep and that low-intensity exercises had a positive influence on sleep (8).…”

Section: Introductionmentioning

confidence: 99%

“…Poor sleep quality and abnormal sleep durations (over or under 7-8 hours a day) were identified as being associated with morbidity and mortality (8). It was seen that exercising for more than one hour a day is associated with a longer duration of sleep and that low-intensity exercises had a positive influence on sleep (8). The sleep disorders in the older adults are related to an inactive lifestyle.…”

Section: Introductionmentioning

confidence: 99%

The effect of physical activity on sleep quality in the older adults in nursing homes

Ilkhan

Çelikhisar²,

Kılavuz

2021

Ege Tıp Dergisi

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Aim:The aim of this study was to determine the relationship between physical activity and sleep quality in older adults living in nursing homes. Materials and Methods:The study involved 456 elderly participants who were living in the nursing homes. Their demographics were noted with the face-to-face interview method. The levels of daytime sleepiness (Epworth Sleepiness Scale), physical activity (International Physical Activity Questionnaire) and sleep quality (Pittsburgh Sleep Quality Index) of the older adults were evaluated. Results: The individuals were scored and grouped based on their levels of physical activity. No significant differences were observed between the groups in terms of sleep quality (p = 0.41). However, a statistically significant difference was observed between the groups in terms of daytime sleepiness (p <0.001). A statistically significant, poor relationship was identified in the negative direction between the level of physical activity and daytime sleepiness (r = -0.16, p = 0.03). A statistically significant, poor relationship was observed in the negative direction between the level of sleep quality and daytime sleepiness (r = 0.20, p < 0,001). Conclusion:In the older adults, daytime sleepiness is associated with the levels of physical activity. Additionally, there are no relations between the sleep quality and level of physical activity. Daytime sleepiness is listed as one of the reasons of low physical activity levels in the older adults. Daytime sleepiness should also be inquired for the assessment of physical activities.

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SMART DOCS: A New Patient-Centered Outcomes and Coordinated-Care Management Approach for the Future Practice of Sleep Medicine

Abstract: http://www.clinicaltrials.gov, NCT02037438.

Cited by 12 publications

References 67 publications

Patient-centered care in obstructive sleep apnea: A vision for the future

Patient-centered care in obstructive sleep apnea: A vision for the future

Implementation of Sleep and Circadian Science: Recommendations from the Sleep Research Society and National Institutes of Health Workshop

The effect of physical activity on sleep quality in the older adults in nursing homes

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