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Published on: October 3, 2020
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User Compliance and Behavioral Adaptation Associated With Supine Avoidance Therapy.
Daniel Levendowski1, David Cunnington2, John Swieca2
1a Advanced Brain Monitoring, Inc ., Carlsbad , California , USA.
Behavioral Sleep Medicine
|May 10, 2016
Summary
This study on obstructive sleep apnea (OSA) found that early adherence to vibrotactile therapy predicts long-term success. Patients did not habituate to the sleep therapy stimulus over time.
Area of Science:
- Sleep Medicine
- Behavioral Therapy
- Medical Devices
Background:
- Obstructive sleep apnea (OSA) affects millions globally.
- Current treatments for OSA have varying adherence rates.
- Vibrotactile position-avoidance therapy offers a novel approach to managing OSA during sleep.
Purpose of the Study:
- To investigate patient behavioral adaptation and compliance with vibrotactile position-avoidance therapy for OSA.
- To assess the relationship between early and long-term adherence to this sleep therapy.
Main Methods:
- A cohort of 135 patients with OSA were monitored for 15 to 52 weeks.
- Compliance was defined as using the device for at least 4 hours per night.
- Regular use was defined as using the device for ≥ 4 hours/night over 70% of nights.
Main Results:
- Overall compliance was 71%, with 88% demonstrating regular use.
- Poor compliance within the first 12 weeks strongly predicted poor long-term adherence (92%).
- A significant minority (21%) of initially compliant patients became noncompliant over time.
Conclusions:
- Early adherence is a critical predictor of long-term success in vibrotactile therapy for OSA.
- Patients do not appear to habituate to the vibrotactile stimulus during sleep.
- No significant training effect was observed with prolonged use of the therapy.
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