Journal article
Web-Based Access to Positive Airway Pressure Usage with or without an Initial Financial Incentive Improves Treatment Use in Patients with Obstructive Sleep Apnea
Sleep (New York, N.Y.), v 38(8), pp 1229-1236
01 Aug 2015
PMID: 25581921
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
We tested whether providing adults with obstructive sleep apnea (OSA) with daily Web-based access to their positive airway pressure (PAP) usage over 3 mo with or without a financial incentive in the first week improves adherence and functional outcomes.
Academic- and community-based sleep centers.
One hundred thirty-eight adults with newly diagnosed OSA starting PAP treatment.
Participants were randomized to: usual care, usual care with access to PAP usage, or usual care with access to PAP usage and a financial incentive. PAP data were transmitted daily by wireless modem from the participants' PAP unit to a website where hours of usage were displayed. Participants in the financial incentive group could earn up to $30/day in the first week for objective PAP use ≥ 4 h/day.
Mean hours of daily PAP use in the two groups with access to PAP usage data did not differ from each other but was significantly greater than that in the usual care group in the first week and over 3 mo (P < 0.0001). Average daily use (mean ± standard deviation) during the first week of PAP intervention was 4.7 ± 3.3 h in the usual care group, and 5.9 ± 2.5 h and 6.3 ± 2.5 h in the Web access groups with and without financial incentive respectively. Adherence over the 3-mo intervention decreased at a relatively constant rate in all three groups. Functional Outcomes of Sleep Questionnaire change scores at 3 mo improved within each group (P < 0.0001) but change scores of the two groups with Web access to PAP data were not different than those in the control group (P > 0.124).
Positive airway pressure adherence is significantly improved by giving patients Web access to information about their use of the treatment. Inclusion of a financial incentive in the first week had no additive effect in improving adherence.
Metrics
Details
- Title
- Web-Based Access to Positive Airway Pressure Usage with or without an Initial Financial Incentive Improves Treatment Use in Patients with Obstructive Sleep Apnea
- Creators
- Samuel T Kuna - Center for Health Equity Research and Promotion and Department of Medicine, Corporal Michael J. Crescenz Veterans Affairs Medical Center, Philadelphia, PA.David Shuttleworth - University of PennsylvaniaLuqi Chi - Lankenau Medical CenterSharon Schutte-Rodin - University of PennsylvaniaEliot Friedman - Paoli HospitalHengyi Guo - University of PennsylvaniaSandeep Dhand - Holy RedeemerLin Yang - Leonard Davis Institute of Health EconomicsJingsan Zhu - Leonard Davis Institute of Health EconomicsScarlett L Bellamy - University of PennsylvaniaKevin G Volpp - Center for Health Equity Research and Promotion and Department of Medicine, Corporal Michael J. Crescenz Veterans Affairs Medical Center, Philadelphia, PADavid A Asch - Center for Health Equity Research and Promotion and Department of Medicine, Corporal Michael J. Crescenz Veterans Affairs Medical Center, Philadelphia, PA
- Publication Details
- Sleep (New York, N.Y.), v 38(8), pp 1229-1236
- Grant note
- 1P01-1HL094307 / NHLBI NIH HHS RC2-AG036592-01 / NIA NIH HHS P30 AG034546 / NIA NIH HHS RC2 AG036592 / NIA NIH HHS
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Epidemiology and Biostatistics
- Web of Science ID
- WOS:000358838100012
- Scopus ID
- 2-s2.0-84938576852
- Other Identifier
- 991019298806204721
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Clinical Neurology
- Neurosciences