A Lifestyle Program for Comorbid Obstructive Sleep Apnea with Severy Obesity

针对患有严重肥胖的阻塞性睡眠呼吸暂停共病的生活方式计划

• 批准号: 10382179
• 负责人: Roberto Pablo Benzo
• 金额: $ 29.93万
• 依托单位: MINNESOTA HEALTHSOLUTIONS CORPORATION
• 依托单位国家: 美国
• 财政年份: 2022
• 资助国家: 美国
• 起止时间: 2022-04-01 至 2025-03-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10382179
• 关键词: Accelerometer; Address; Adherence; Adult; Android; Awareness; Behavior; Behavioral; Biological Monitoring; Body Weight; Breathing; Cardiovascular Diseases; Caring; Chronic; Chronic Disease; Chronic Obstructive Pulmonary Disease; Clinic; Collaborations; Communication; Data; Development; Diabetes Mellitus; Disease Management; Effectiveness; Engineering; Feedback; Female; Funding; Health; Heart failure; Home; Home environment; Hypertension; Hypoxemia; Intervention; Life Style; Measures; Medical Technology; Medicine; Minnesota; Monitor; Morbidity - disease rate; Motivation; Non-Insulin-Dependent Diabetes Mellitus; Obesity; Obstructive Sleep Apnea; Patient Self-Report; Patients; Persons; Phase; Pilot Projects; Planning Theory; Prevalence; Process; Quality of life; Research; Resources; Risk Factors; Self Efficacy; Sleep; Sleep Apnea Syndromes; Sleep Fragmentations; Software Engineering; Stroke; Study Subject; System; Tablets; Techniques; Technology; United States National Institutes of Health; Update; Weight; acceptability and feasibility; base; behavior change; clinically significant; comorbidity; digital intervention; experience; feasibility testing; health data; human subject; improved; improved outcome; male; monitoring device; mortality; positive airway pressure; programs; pulmonary rehabilitation; remote delivery; remote monitoring; sensor; sleep quality; smartphone Application; telehealth; therapy adherence; tool; user centered design; web site

Project Summary/Abstract Minnesota HealthSolutions Corporation in collaboration with the Mayo Clinic proposes to develop a data driven system for persons with obesity sleep apnea that utilizes remote monitoring together with health coaching to create behavior change aimed at improving health and quality of life. Obstructive sleep apnea prevalence has been estimated at 7% for adult males and 5% for adult females. It is estimated that more than half of the prevalence of OSA is due to excess body weight. Obstructive sleep apnea has been found in multiple studies to be independently associated with hypertension, stroke, type 2 diabetes, cardiovascular disease, and reduced quality of life. However, separating obstructive sleep apnea related contribution to morbidity from that of obesity and other comorbidities can be difficult. There are multiple relationships between a wide range of comorbidities and obstructive sleep apnea. It is therefore important to address OSA, obesity and behavior together. Health coaching has demonstrated effectiveness in addressing many chronic conditions. The use of remote monitoring devices to collect health data offers an additional opportunity to enhance health coaching as supported by preliminary research. Critically, the health data must be properly collected, analyzed, and communication to be both valid and useful. Minnesota HealthSolutions and the Mayo Clinic have previously collaborated to develop a successful home-monitoring system for another chronic disease and have demonstrated their ability to overcome the many challenges of developing and deploying this type of system.

项目概要/摘要 明尼苏达健康解决方案公司与梅奥诊所合作提议开发一个数据驱动的 针对肥胖睡眠呼吸暂停患者的系统，利用远程监控和健康指导来 创造旨在改善健康和生活质量的行为改变。阻塞性睡眠呼吸暂停患病率 据估计，成年男性的这一比例为 7%，成年女性的比例为 5%。据估计，一半以上 OSA 的患病率是由于体重过重所致。多项研究发现阻塞性睡眠呼吸暂停 与高血压、中风、2 型糖尿病、心血管疾病和 生活质量下降。然而，将阻塞性睡眠呼吸暂停相关的发病率与 肥胖和其他合并症的治疗可能很困难。多种关系之间存在多种关系 合并症和阻塞性睡眠呼吸暂停。因此，解决 OSA、肥胖和行为问题非常重要 一起。健康指导在解决许多慢性病方面已被证明是有效的。使用 收集健康数据的远程监控设备为加强健康指导提供了额外的机会 得到初步研究的支持。至关重要的是，必须正确收集、分析和分析健康数据 沟通既有效又有用。明尼苏达健康解决方案公司和梅奥诊所此前曾 合作开发了一种成功的家庭监测系统来治疗另一种慢性疾病，并已 展示了他们克服开发和部署此类系统的许多挑战的能力。