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A mobile, web-based system can improve positive airway pressure adherence
Jordanna M Hostler1, Karen L Sheikh2, Teotimo F Andrada1
1Department of Pulmonary, Critical Care, and Sleep Medicine, Walter Reed National Military Medical Center (WRNMMC), Bethesda, MD, USA.
Journal of Sleep Research
|December 10, 2016
Summary
SleepMapper, a digital tool, significantly improved positive airway pressure (PAP) therapy adherence in new users. Patients using SleepMapper showed greater nightly PAP use compared to controls, demonstrating its effectiveness in enhancing treatment compliance.
Area of Science:
- Sleep Medicine
- Digital Health Technologies
- Respiratory Therapy
Background:
- Positive airway pressure (PAP) therapy is crucial for managing sleep apnea.
- Adherence to PAP therapy can be challenging for new users.
- Mobile and web-based systems offer potential solutions for remote patient monitoring and support.
Purpose of the Study:
- To evaluate the impact of the SleepMapper system on adherence to positive airway pressure therapy in new users.
- To compare adherence rates between patients using SleepMapper and those receiving standard care.
- To determine if SleepMapper is independently associated with improved PAP usage metrics.
Main Methods:
- A prospective study comparing 30 new PAP users with SleepMapper to 31 controls receiving standard care.
- Data collection included polysomnography and adherence metrics over 11 weeks.
- Multivariate linear regression analysis was used to assess the independent effect of SleepMapper.
Main Results:
- The SleepMapper group demonstrated a significantly higher percentage of nights with any PAP use (78.0% vs. 55.5%, P < 0.001).
- Patients using SleepMapper also showed a greater percentage of nights with >4 hours of PAP use (78.0% vs. 55.5%, P = 0.02).
- SleepMapper use was independently associated with an 18% increase in nights with >4 hours of PAP use (P = 0.02).
Conclusions:
- The SleepMapper system is an effective tool for enhancing positive airway pressure therapy adherence in new users.
- Integrating digital health tools like SleepMapper into standard care can improve patient outcomes.
- SleepMapper provides real-time feedback and education, contributing to increased patient engagement and compliance.
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