Veteran Preferences Regarding Wireless Management of Positive Airway Pressure for Obstructive Sleep Apnea at a Tertiary Health-Care System

He, Ken; Palen, Brian; Mattox, Elizabeth Andersson; Parsons, Elizabeth C.

doi:10.4187/respcare.05002

Cited by 3 publications

(1 citation statement)

References 40 publications

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“…7,44,76 For those patients who are doing well with their positive airway pressure therapy (or other treatments), a simple tele-health visit or Internet-based communication could suffice, leaving more time for patients with more complex problems to be evaluated in an office setting. 158 Also, self-monitoring of blood pressure and weight is gaining interest. Mendelson and colleagues 159 showed the feasibility of patient entry of blood pressure, CPAP use, sleepiness and quality of life data for clinician review, and McManus and colleagues 160 reported that patient self-monitoring of blood pressure, with or without telemonitoring, decreased blood pressure values after 1 year.…”

Section: Management Outside the Officementioning

confidence: 99%

Telemedicine in Sleep-Disordered Breathing

Verbraecken

2021

Sleep Medicine Clinics

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Telemedicine has applications in all stages of the diagnosis, treatment, and follow-up of patients with sleep-disordered breathing. Diagnostic applications include telemonitored polysomnography, communication of test results and therapeutic options, and remote continuous positive airway pressure titration. Online compliance monitoring results in similar and in some cases improved compliance when compared with traditional face-to-face evaluations. The impact of telemedicine on compliance depends on the preexisting organization of standard care in the routine setting. Combining theory-driven behavioral approaches with telemedicine technology could hold the answer to increasing real-world adherence rates. Targeted troubleshooting and support based on individual patient data, web-, and/or app-based teaching, and combinations via a smartphone app or coaching website is feasible. Telemedicine is likely cost-effective but requires better evidence.

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Section: Management Outside the Officementioning

confidence: 99%

Telemedicine in Sleep-Disordered Breathing

Verbraecken

2021

Sleep Medicine Clinics

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Doing It Better for Less

Freedman

2019

Chest

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Leveraging Telehealth to improve access to care: a qualitative evaluation of Veterans’ experience with the VA TeleSleep program

Nicosia

Kaul

Totten

et al. 2021

BMC Health Serv Res

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Background Obstructive sleep apnea is common among rural Veterans, however, access to diagnostic sleep testing, sleep specialists, and treatment devices is limited. To improve access to sleep care, the Veterans Health Administration (VA) implemented a national sleep telemedicine program. The TeleSleep program components included: 1) virtual clinical encounters; 2) home sleep apnea testing; and 3) web application for Veterans and providers to remotely monitor symptoms, sleep quality and use of positive airway pressure (PAP) therapy. This study aimed to identify factors impacting Veteran’s participation, satisfaction and experience with the TeleSleep program as part of a quality improvement initiative. Methods Semi-structured interview questions elicited patient perspectives and preferences regarding accessing and engaging with TeleSleep care. Rapid qualitative and matrix analysis methods for health services research were used to organize and describe the qualitative data. Results Thirty Veterans with obstructive sleep apnea (OSA) recruited from 6 VA telehealth “hubs” participated in interviews. Veterans reported positive experiences with sleep telemedicine, including improvements in sleep quality, other health conditions, and quality of life. Access to care improved as a result of decreased travel burden and ability of both clinicians and Veterans to remotely monitor and track personal sleep data. Overall experiences with telehealth technology were positive. Veterans indicated a strong preference for VA over non-VA community-based sleep care. Patient recommendations for change included improving scheduling, continuity and timeliness of communication, and the equipment refill process. Conclusions The VA TeleSleep program improved patient experiences across multiple aspects of care including a reduction in travel burden, increased access to clinicians and remote monitoring, and patient-reported health and quality of life outcomes, though some communication and continuity challenges remain. Implementing telehealth services may also improve the experiences of patients served by other subspecialties or healthcare systems.

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Veteran Preferences Regarding Wireless Management of Positive Airway Pressure for Obstructive Sleep Apnea at a Tertiary Health-Care System

Cited by 3 publications

References 40 publications

Telemedicine in Sleep-Disordered Breathing

Telemedicine in Sleep-Disordered Breathing

Doing It Better for Less

Leveraging Telehealth to improve access to care: a qualitative evaluation of Veterans’ experience with the VA TeleSleep program

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