Adherence to prescribed overnight sleep study in patients suspected of sleep apnea: problem size and influential factors

Aalaei, Shokoufeh; Amini, Mahnaz; Taghipour, Ali; Afsharisaleh, Lahya; Rezaeitalab, Fariborz; Asadpour, Hadi; Eslami, Saeid

doi:10.1007/s11325-020-02216-9

Cited by 4 publications

(7 citation statements)

References 29 publications

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“…As some centers were located within hospitals, the relevant staff might be overloaded with work and, thus, not much responsive to patients' enquiries and expectations. This point was also mentioned in the related literature as a barrier to sleep test administration [12,26].…”

Section: Plos Onementioning

confidence: 81%

“…However, a body of research has shown that awareness and knowledge of OSA in public are still at a low level. Thus, many cases of OSA are left undiagnosed [25,26]. The analysis of reasons for patients' not adhering to physician's prescription in the intervention group showed time limitation as one of the most recurrent reasons, which was basically due to work loads.…”

Section: Plos Onementioning

confidence: 99%

“…It seems that inadequate knowledge has made some patients neglectful of the disease. For different reasons such as work load and overlaps with other tasks, they refrained from having the polysomnography [11,12,26].…”

Section: Plos Onementioning

confidence: 99%

“…Moreover, for patients who were afflicted with other diseases, the priority would go for other diseases than the sleep test. This could, in turn, originate from patients' lacking awareness [26].…”

Section: Plos Onementioning

confidence: 99%

“…Thus, the geographical distance from the test administration center could be far [15]. Other related literature also raised this issue as a barrier to sleep test administration [26,27].…”

Section: Plos Onementioning

confidence: 99%

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Evaluating the effect of an educational intervention on the adherence rate to sleep study: A multi-centered stratified randomized controlled trial

et al. 2021

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An appropriate diagnosis and effective treatment of sleep apnea can improve the associated quality of care and reduce morbidities. The study aims to develop and evaluate an educational intervention tailored to patients’ needs in order to increase the rate of patients’ adherence to physician's prescription for a sleep test. A multi-center, stratified, 2 parallel-arm, randomized controlled trial was conducted. The patients in the intervention group received the educational booklets on sleep apnea and sleep test which was designed based on the extracted factors through an in-depth interview with patients. All participants were contacted after two months to ask whether they completed an assessment for OSA. A total number of 1,650 individuals were screened. Finally, 104 participants were randomized to the control group (n = 50) or intervention group (n = 45) that did not differ significantly in baseline characteristics. The results of the intention to treat analysis indicate that patients in the intervention group were significantly more adherent to attend a sleep assessment for their OSA risk (30%; n = 15/50) than the patients in the control group (11.1%; n = 5/45, P <0.05). Age, history of diabetes, and the educational intervention were effective in performing the sleep test. Time limitations, Condition improvement, and high cost of diagnostic test were the most barriers, respectively. The intervention was successful in improving the adherence rate of patients to prescribed sleep test. However, the adherence rate to sleep study testing is still far from desirable and requires more complex interventions.

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Section: Plos Onementioning

confidence: 81%

Section: Plos Onementioning

confidence: 99%

Section: Plos Onementioning

confidence: 99%

Section: Plos Onementioning

confidence: 99%

“…Thus, the geographical distance from the test administration center could be far [15]. Other related literature also raised this issue as a barrier to sleep test administration [26,27].…”

Section: Plos Onementioning

confidence: 99%

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Evaluating the effect of an educational intervention on the adherence rate to sleep study: A multi-centered stratified randomized controlled trial

et al. 2021

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Stated patient preferences for overnight at-home diagnostic assessment of sleep disorders

Braun,

Dietz-Terjung,

Sommer

et al. 2024

Sleep Breath

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Purpose The diagnostic workup for assessment of sleep disorders commonly involves overnight testing to assess sleep patterns and pathological events. So far, little is known about preferences for provision of home sleep tests to patients with sleep disorders. This study aims to close this gap by eliciting preferences for home sleep testing using a discrete choice experiment (DCE). Methods A DCE with seven attributes of at-home sleep testing and three levels per attribute was developed using a fractional factorial design. Patients with and without previous sleep testing experience were recruited from two large sleep centers in Germany. Coefficients for attribute levels were calculated using a conditional logit model to estimate their influence on choice decisions and calculate the relative importance of each attribute. Results 305 patients (54.5 ± 13,1 years, 65.3% male) were enrolled, and 288 surveys with complete data included for analysis. Attributes with greatest relevance were Waiting time to discuss sleep study results; Waiting time to conduct sleep study, and Sleep quality during measurement. Of lowest importance was Diagnostic accuracy of sleep study, followed by Effort to apply sleep study device. Significant heterogeneity in choice behavior was found, including differences by gender, willingness-to-pay for sleep studies, and previous experience with sleep studies. Preferred location for conducting sleep testing was at-home in 50.7% and in-lab in 46.9%. Conclusions Preferences and relative importance of home sleep test attributes vary among different subgroups. Considering those preferences can be important for clinicians and policymakers when designing care pathways and planning of testing policies for sleep disorders.

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Remote monitoring system to support positive airway pressure therapy in patients with obstructive sleep apnea: a multi-center randomized controlled trial

Aalaei,

Tabesh,

Shahraki

et al. 2024

Sleep Breath

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Adherence to prescribed overnight sleep study in patients suspected of sleep apnea: problem size and influential factors

Cited by 4 publications

References 29 publications

Evaluating the effect of an educational intervention on the adherence rate to sleep study: A multi-centered stratified randomized controlled trial

Evaluating the effect of an educational intervention on the adherence rate to sleep study: A multi-centered stratified randomized controlled trial

Stated patient preferences for overnight at-home diagnostic assessment of sleep disorders

Remote monitoring system to support positive airway pressure therapy in patients with obstructive sleep apnea: a multi-center randomized controlled trial

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