The role of telemedicine and mobile health in the monitoring of sleep-breathing disorders: improving patient outcomes

Villanueva, Jair A.; Suárez, Monique; Garmendia, Onintza; Lugo, Vera; Ruı́z, Concepción; Montserrat, Josep M.

doi:10.2147/shtt.s108048

Cited by 17 publications

(9 citation statements)

References 48 publications

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“…Although supportive interventions are reported to increase usage in CPAP-naive patients, there is little evidence in people who have struggled with CPAP [35]. We must keep in mind that if telemedicine delivery to OSA patients' follow-up is efficacious it could have a potential impact on healthcare utilisation and a subsequent reduction in costs [36]. As these new telemedicine strategies are explored, it is of paramount importance that physicians see them as a manageable, reliable and safe asset to their practice.…”

Section: Discussionmentioning

confidence: 99%

Mobile health application to support CPAP therapy in obstructive sleep apnoea: design, feasibility and perspectives

et al. 2020

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BackgroundCurrent continuous positive airway pressure (CPAP) devices can be monitored remotely; however, in-person visits are kept for clinical follow-up in order to promote CPAP use and resolve potential side-effects. Mobile health is a promising way to provide remote and easy clinical control for CPAP follow-up and support. We aimed to evaluate the feasibility and acceptance by obstructive sleep apnoea (OSA) patients and healthcare professionals of a newly designed mobile app (Appnea-Q) to promote clinical control through a self-monitoring tool for patients with CPAP supervised by sleep professionals.MethodsAppnea-Q incorporates a simple follow-up questionnaire with automated responses, together with frequent problems and lifestyle recommendations sections. Feasibility, acceptance and usefulness were assessed. First, an internal validation was performed during outpatient CPAP follow-up visits with sleep professionals from various sleep units. Second, an external validation was performed in a subgroup of 15 patients at home.ResultsMost patients (n=75) considered the app useful and were willing to use it and recommend it (72–88%). Up to 64.87% agreed on its capacity to reduce hospital visits. Appnea-Q was rated as acceptable (79.37±19.29) by the system usability score. Sleep professionals (n=30) concurred on its usefulness for OSA patient follow-up, particularly during the first month of CPAP therapy. The external validation showed its feasibility among 11 out of 15 patients and their data were received accordingly on the professionals' web platform.ConclusionsAccording to our validation process, and the viewpoints of the patients and professionals, our new mobile app is a feasible and well-received tool for personal OSA management. Future clinical trials should substantiate its performance and cost-effectiveness in the clinical arena.

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Section: Discussionmentioning

confidence: 99%

Mobile health application to support CPAP therapy in obstructive sleep apnoea: design, feasibility and perspectives

et al. 2020

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“…La TM puede aportar otras muchas opciones en la gestión clínica de pacientes con apneas durante el sueño ( fig. 2), desde la primera entrevista clínica hasta el seguimiento del tratamiento 38 , y todo ello en relación con los conceptos actuales de medicina de precisión y 4P 39,40 . En la tabla 3 se comparan, desde un punto de vista tecnológico global, los procedimientos actuales con el potencial uso Cómo citar este artículo: Montserrat Canal JM, et al Posicionamiento de la Sociedad Española de Neumología y Cirugía Torácica en el uso del la telemedicina en los trastornos respiratorios del sueño y ventilación mecánica.…”

Section: Aspectos Prácticos Y Tecnológicosunclassified

“…En relación con los estudios telemáticos y simplificados, la AASM indica que el profesional médico debe utilizar los mismos parámetros de responsabilidad que en los estudios clásicos 53 . Con respecto a la educación y titulación, en la actualidad existen diversas opciones telemáticas que permiten educar y titular en remoto 38,54,55 . Por último, hay que hacer hincapié en 2 aspectos.…”

Section: Diagnósticounclassified

Posicionamiento de la Sociedad Española de Neumología y Cirugía Torácica en el uso de la telemedicina en los trastornos respiratorios del sueño y ventilación mecánica

Canal

Suárez-Girón

Egea

et al. 2021

Archivos de Bronconeumología

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Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre-including this research content-immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active.

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“…The potential benefits and challenges of using modem technology in domiciliary NIV services have yet to be established. Possible benefits may include; more appropriate timing of (and potentially reduced) outpatient appointment attendance, monitoring for exacerbations of underlying chronic diseases, reducing acute emergency hospital admission, targeted admissions to hospital, more personalised and timely interventions by healthcare providers and earlier identification of problems with NIV 9–13. Challenges to using modems in domiciliary NIV may include an increased workload for healthcare professionals (HCPs) and a possible sense of an invasion of privacy for the patients 14.…”

Section: Introductionmentioning

confidence: 99%

Experiences and views of patients, carers and healthcare professionals on using modems in domiciliary non-invasive ventilation (NIV): a qualitative study

Mansell

Kilbride

Wood³

et al. 2020

BMJ Open Resp Res

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BackgroundAdvances in technology means that domiciliary non-invasive ventilation (NIV) devices can be remotely monitored via modems in patients’ homes. Possible benefits and challenges of modem technology have yet to be established. This study explored the perspectives and experiences of patients, their carers and healthcare professionals (HCPs) on the addition of modem technology in managing home NIV.MethodsA qualitative study using a combination of focus groups for HCPs and interviews for carers/patients was undertaken. 12 HCPs and 22 patients/carers participated. These focus groups and interviews were audio-recorded, transcribed verbatim and analysed thematically.ResultsFive main themes were identified. ‘Surveillance: a paradox of findings’: HCPs were concerned about unduly scrutinising patients’ lives, potentially impacting on HCP patient relationships. Conversely, patients welcomed modem monitoring and did not express concerns regarding invasion of privacy. ‘Sanctions’: HCPs reported the modem increased access to care and allowed appropriate assessment of ongoing treatment. ‘Complacency and ethics’: HCPs expressed concerns patients may become complacent in seeking help due to expectations of modem monitoring, as well as being concerned regarding the ethics of modems. There was a suggestion patients and carers' expectations of monitoring were different to that of clinical practice, resulting in complacency in some cases. ‘Increased time for patient focused care’: HCPs in the focus groups described a number of ways in which using modems was more efficient. ‘Confidence: can be improved with technology’: patients and carers were positive about the impact of the modems on their health and well-being, particularly their confidence.ConclusionHCPs expressed concerns about surveillance were not corroborated by patients, suggesting acceptability of remote monitoring. Data suggests a need for increased clarity to patients/carers regarding clinical practice relating to responsiveness to modem data. The issue of complacency requires further consideration. Modem technology was acceptable and considered a useful addition by HCPs, patients and carers.Trial registration numberNCT03905382

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The role of telemedicine and mobile health in the monitoring of sleep-breathing disorders: improving patient outcomes

Cited by 17 publications

References 48 publications

Mobile health application to support CPAP therapy in obstructive sleep apnoea: design, feasibility and perspectives

Mobile health application to support CPAP therapy in obstructive sleep apnoea: design, feasibility and perspectives

Posicionamiento de la Sociedad Española de Neumología y Cirugía Torácica en el uso de la telemedicina en los trastornos respiratorios del sueño y ventilación mecánica

Experiences and views of patients, carers and healthcare professionals on using modems in domiciliary non-invasive ventilation (NIV): a qualitative study

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