Using Telemedicine to Improve Veteran Sleep Apnea Care
| Status: | Completed |
|---|---|
| Conditions: | Insomnia Sleep Studies, Pulmonary |
| Therapuetic Areas: | Psychiatry / Psychology, Pulmonary / Respiratory Diseases |
| Healthy: | No |
| Age Range: | 18 - Any |
| Updated: | 4/21/2016 |
| Start Date: | August 2011 |
| End Date: | May 2012 |
Obstructive sleep apnea (OSA) is highly prevalent in the Veteran population given the risk
factors of male gender, being overweight, and increasing age. OSA is caused by upper airway
obstruction, resulting in arousals from sleep and hypoxia. While continuous positive airway
pressure (CPAP) is a highly efficacious treatment for OSA, compliance with treatment is
suboptimal. Because research shows that adherence patterns are established early in
treatment, we seek to use a technology that enables early and frequent productive
interactions between patient and provider.
factors of male gender, being overweight, and increasing age. OSA is caused by upper airway
obstruction, resulting in arousals from sleep and hypoxia. While continuous positive airway
pressure (CPAP) is a highly efficacious treatment for OSA, compliance with treatment is
suboptimal. Because research shows that adherence patterns are established early in
treatment, we seek to use a technology that enables early and frequent productive
interactions between patient and provider.
Background:
Obstructive sleep apnea (OSA) is highly prevalent in the Veteran population given the risk
factors of male gender, being overweight, and increasing age. OSA is caused by upper airway
obstruction, resulting in arousals from sleep and hypoxia. While continuous positive airway
pressure (CPAP) is a highly efficacious treatment for OSA, compliance with treatment is
suboptimal. Because research shows that adherence patterns are established early in
treatment, we seek to use a technology that enables early and frequent productive
interactions between patient and provider
Objectives:
The objective of this proposal is to explore the feasibility and initially evaluate the
potential efficacy of a video teleconferencing system for patients with Obstructive Sleep
Apnea syndrome (OSA) that facilitates patient- centered, collaborative management for
patients who are prescribed the gold-standard treatment, continuous positive airway pressure
(CPAP).
Methods:
The evaluative aspect of this proposal was designed as a pilot randomized, controlled
clinical trial of Video Teleconferencing (VTC) compared to Usual Care (UC). The key feature
of the Video Teleconferencing intervention was the use of a telemedicine system that allows
for audio/visual conferencing with the patient in their home environment from the start of
treatment initialization. The provider is able provide more direct feedback to the patient
based on the telemedicine interaction, and the patient benefits from increased contact with
the provider. Specific inclusion and exclusion criteria included: age > 18 years; confirmed
diagnosis of moderate-severe OSA; being newly prescribed CPAP therapy; having chronic
symptoms as noted on screening symptom checklist; and fluency in English. Patients were
recruited from the VA San Diego Healthcare System Pulmonary Sleep Clinic. Patients were
enrolled for a 2-month time period. Groups were compared on quantitative and qualitative
measures.
Status:
Study Complete
Obstructive sleep apnea (OSA) is highly prevalent in the Veteran population given the risk
factors of male gender, being overweight, and increasing age. OSA is caused by upper airway
obstruction, resulting in arousals from sleep and hypoxia. While continuous positive airway
pressure (CPAP) is a highly efficacious treatment for OSA, compliance with treatment is
suboptimal. Because research shows that adherence patterns are established early in
treatment, we seek to use a technology that enables early and frequent productive
interactions between patient and provider
Objectives:
The objective of this proposal is to explore the feasibility and initially evaluate the
potential efficacy of a video teleconferencing system for patients with Obstructive Sleep
Apnea syndrome (OSA) that facilitates patient- centered, collaborative management for
patients who are prescribed the gold-standard treatment, continuous positive airway pressure
(CPAP).
Methods:
The evaluative aspect of this proposal was designed as a pilot randomized, controlled
clinical trial of Video Teleconferencing (VTC) compared to Usual Care (UC). The key feature
of the Video Teleconferencing intervention was the use of a telemedicine system that allows
for audio/visual conferencing with the patient in their home environment from the start of
treatment initialization. The provider is able provide more direct feedback to the patient
based on the telemedicine interaction, and the patient benefits from increased contact with
the provider. Specific inclusion and exclusion criteria included: age > 18 years; confirmed
diagnosis of moderate-severe OSA; being newly prescribed CPAP therapy; having chronic
symptoms as noted on screening symptom checklist; and fluency in English. Patients were
recruited from the VA San Diego Healthcare System Pulmonary Sleep Clinic. Patients were
enrolled for a 2-month time period. Groups were compared on quantitative and qualitative
measures.
Status:
Study Complete
Inclusion Criteria:
- Diagnosed with Moderate to Severe Sleep Apnea
- Live in San Diego County
- Veteran
Exclusion Criteria:
- Previous use of positive pressure airway therapy
- Residence outside of San Diego county
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1
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VA San Diego Healthcare System The VA San Diego Healthcare System (VASDHS) provides high quality...
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