作者
Dennis Hwang, Jeremiah W Chang, Adam V Benjafield, Maureen E Crocker, Colleen Kelly, Kendra A Becker, Joseph B Kim, Rosa R Woodrum, Joanne Liang, Stephen F Derose
发表日期
2018/1/1
期刊
American journal of respiratory and critical care medicine
卷号
197
期号
1
页码范围
117-126
出版商
American Thoracic Society
简介
Rationale: Automated telemedicine interventions could potentially improve adherence to continuous positive airway pressure (CPAP) therapy.
Objectives: Examining the effects of telemedicine-delivered obstructive sleep apnea (OSA) education and CPAP telemonitoring with automated patient feedback messaging on CPAP adherence.
Methods: This four-arm, randomized, factorial design clinical trial enrolled 1,455 patients (51.0% women; age, 49.1 ± 12.5 yr [mean ± SD]) referred for suspected OSA. Nine hundred and fifty-six underwent home sleep apnea testing, and 556 were prescribed CPAP. Two telemedicine interventions were implemented: 1) web-based OSA education (Tel-Ed) and 2) CPAP telemonitoring with automated patient feedback (Tel-TM). Patients were randomized to 1) usual care, 2) Tel-Ed added, 3) Tel-TM added, or 4) Tel-Ed and Tel-TM added (Tel-both).
Measurements and Main Results …
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D Hwang, JW Chang, AV Benjafield, ME Crocker… - American journal of respiratory and critical care …, 2018