Using Telemedicine to Improve Veteran Sleep Apnea Care

使用远程医疗改善退伍军人睡眠呼吸暂停护理

• 批准号: 8088340
• 负责人: Carl J. Stepnowsky
• 金额: --
• 依托单位: VA SAN DIEGO HEALTHCARE SYSTEM
• 依托单位国家: 美国
• 财政年份: 2011
• 资助国家: 美国
• 起止时间: 2011-06-01 至 2012-05-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8088340
• 关键词: 18 year old; Address; Adherence; Age; Arousal; Caring; Chronic; Clinic; Clinical; Clinical Trials; Communication; Consultations; Continuous Positive Airway Pressure; Diagnosis; Education; Enrollment; Exclusion Criteria; Feedback; Gender; Goals; Gold; Healthcare; Home environment; Hypoxia; Intervention; Learning; Measures; Methods; Obstructive Sleep Apnea; Outcome; Overweight; Patient Self-Report; Patients; Pattern; Pilot Projects; Population; Privacy; Process; Provider; Quality of Care; Randomized Controlled Clinical Trials; Randomized Controlled Trials; Recruitment Activity; Relative (related person); Research; Risk Factors; Screening procedure; Sleep; Sleep Apnea Syndromes; Symptoms; System; Technology; Telemedicine; Time; Treatment Efficacy; Veterans; Visual; Work; airway obstruction; base; clinical care; collaborative care; cost; design; effective intervention; experience; improved; inclusion criteria; male; novel; patient oriented; standard care; treatment adherence; treatment as usual; willingness

DESCRIPTION (provided by applicant): Anticipated Impact on Veteran's Healthcare: The findings of this study have the potential to improve the quality of clinical care provided to Veteran patients with obstructive sleep apnea who are prescribed CPAP. Project Background: Obstructive sleep apnea (OSA) is highly prevalent in the Veteran population given the risk factors of male gender, being overweight, and increasing age. OSA is caused by upper airway obstruction, resulting in arousals from sleep and hypoxia. While continuous positive airway pressure (CPAP) is a highly efficacious treatment for OSA, compliance with treatment is suboptimal. Because research shows that adherence patterns are established early in treatment, we seek to use a technology that enables early and frequent productive interactions between patient and provider Project Objectives: The objective of this proposal is to explore the feasibility and initially evaluate the potential efficacy of a video teleconferencing system for patients with Obstructive Sleep Apnea syndrome (OSA) that facilitates patient- centered, collaborative management for patients who are prescribed the gold-standard treatment, continuous positive airway pressure (CPAP). Project Methods: The evaluative aspect of this proposal is designed as a pilot randomized, controlled clinical trial-Video Teleconferencing compared to Usual Care. The key feature of the Video Teleconferencing intervention is the use of a telemedicine system that allows for audio/visual conferencing with the patient in their home environment from the start of treatment initialization. The provider is able provide more directed feedback to the patient based on the telemedicine interaction, and the patient benefits from increased contact with the provider. Specific inclusion and exclusion criteria will be used, including, age > 18 years; confirmed diagnosis of moderate-severe OSA; being newly prescribed CPAP therapy; having chronic symptoms as noted on screening symptom checklist; and fluency in English. Patients will be recruited from local Sleep Clinics. Patients will be enrolled for a 2-month time period. Groups will be compared on quantitative and qualitative measures.

描述（由申请人提供）： 对退伍军人的医疗保健的预期影响：这项研究的结果有可能提高为处方CPAP的阻塞性睡眠呼吸暂停的退伍军人提供的临床护理质量。项目背景：鉴于男性性别的危险因素，超重和年龄增长，阻塞性睡眠呼吸暂停（OSA）在退伍军人人口中非常普遍。 OSA是由上气道阻塞引起的，导致睡眠和缺氧引起唤醒。虽然连续的正气道压力（CPAP）是OSA的高效治疗方法，但遵守治疗是次优的。 Because research shows that adherence patterns are established early in treatment, we seek to use a technology that enables early and frequent productive interactions between patient and provider Project Objectives: The objective of this proposal is to explore the feasibility and initially evaluate the potential efficacy of a video teleconferencing system for patients with Obstructive Sleep Apnea syndrome (OSA) that facilitates patient- centered, collaborative management for patients who are prescribed the gold-standard处理，连续的正气道压力（CPAP）。项目方法：与通常的护理相比，该提案的评估方面被设计为试验随机，受控的临床试验电视连接。视频电信干预的主要特征是使用远程医疗系统，该系统从治疗初始化开始时就可以在家庭环境中与患者进行音频/视觉会议。提供者能够根据远程医疗的相互作用向患者提供更多的定向反馈，并且患者受益于与提供者的接触增加。将使用特定的包含和排除标准，包括年龄> 18岁；确认诊断为中期OSA；是新处方的CPAP疗法；如筛查症状清单所述，具有慢性症状；和流利的英语。将从当地睡眠诊所招募患者。患者将招收2个月的时间。将根据定量和定性措施进行比较。