Patient Perspective on Use of an Interactive Website for Sleep Apnea

Incomplete patient adherence with nasal continuous positive airway pressure (CPAP) limits the effectiveness of treatment and results in suboptimal obstructive sleep apnea (OSA) outcomes. An interactive website specifically designed for patients with OSA was designed and utilized in a randomized clin...

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Main Authors: Carl Stepnowsky, Christine Edwards, Tania Zamora, Robert Barker, Zia Agha
Format: Article
Language:English
Published: Wiley 2013-01-01
Series:International Journal of Telemedicine and Applications
Online Access:http://dx.doi.org/10.1155/2013/239382
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author Carl Stepnowsky
Christine Edwards
Tania Zamora
Robert Barker
Zia Agha
author_facet Carl Stepnowsky
Christine Edwards
Tania Zamora
Robert Barker
Zia Agha
author_sort Carl Stepnowsky
collection DOAJ
description Incomplete patient adherence with nasal continuous positive airway pressure (CPAP) limits the effectiveness of treatment and results in suboptimal obstructive sleep apnea (OSA) outcomes. An interactive website specifically designed for patients with OSA was designed and utilized in a randomized clinical trial to test its effect on increasing CPAP adherence. The goal of this paper is to report on CPAP adherence, internet use, privacy concerns and user satisfaction in using the website. The original project was designed as a randomized, controlled clinical trial of Usual Care (UC, control) versus MyCPAP group (intervention). Questionnaires were administered to evaluate the patient perspective of using the MyCPAP website. Participation in the MyCPAP intervention resulted in higher CPAP adherence at the two-month time point relative to participation in the UC group (3.4  ±  2.4 and 4.1  ±  2.3 hrs/nt; P=0.02; mean  ±  SD). Participants randomized to the MyCPAP website increased their use of the internet to obtain OSA related information, but did not increase their use of the internet to get information on general health or medical conditions. Users had very little concern about their CPAP data being viewed daily or being sent over the internet. Future studies should consider the use of newer evaluation criteria for collaborative adaptive interactive technologies.
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spelling doaj-art-1ffdf57b7f234f8cbeeb166a6de653322025-08-20T03:54:43ZengWileyInternational Journal of Telemedicine and Applications1687-64151687-64232013-01-01201310.1155/2013/239382239382Patient Perspective on Use of an Interactive Website for Sleep ApneaCarl Stepnowsky0Christine Edwards1Tania Zamora2Robert Barker3Zia Agha4Health Services Research and Development Unit, Veteran Affairs San Diego Healthcare System, 3350 La Jolla Village Drive 111N-1, San Diego, CA 92161, USAHealth Services Research and Development Unit, Veteran Affairs San Diego Healthcare System, 3350 La Jolla Village Drive 111N-1, San Diego, CA 92161, USAHealth Services Research and Development Unit, Veteran Affairs San Diego Healthcare System, 3350 La Jolla Village Drive 111N-1, San Diego, CA 92161, USAHealth Services Research and Development Unit, Veteran Affairs San Diego Healthcare System, 3350 La Jolla Village Drive 111N-1, San Diego, CA 92161, USAHealth Services Research and Development Unit, Veteran Affairs San Diego Healthcare System, 3350 La Jolla Village Drive 111N-1, San Diego, CA 92161, USAIncomplete patient adherence with nasal continuous positive airway pressure (CPAP) limits the effectiveness of treatment and results in suboptimal obstructive sleep apnea (OSA) outcomes. An interactive website specifically designed for patients with OSA was designed and utilized in a randomized clinical trial to test its effect on increasing CPAP adherence. The goal of this paper is to report on CPAP adherence, internet use, privacy concerns and user satisfaction in using the website. The original project was designed as a randomized, controlled clinical trial of Usual Care (UC, control) versus MyCPAP group (intervention). Questionnaires were administered to evaluate the patient perspective of using the MyCPAP website. Participation in the MyCPAP intervention resulted in higher CPAP adherence at the two-month time point relative to participation in the UC group (3.4  ±  2.4 and 4.1  ±  2.3 hrs/nt; P=0.02; mean  ±  SD). Participants randomized to the MyCPAP website increased their use of the internet to obtain OSA related information, but did not increase their use of the internet to get information on general health or medical conditions. Users had very little concern about their CPAP data being viewed daily or being sent over the internet. Future studies should consider the use of newer evaluation criteria for collaborative adaptive interactive technologies.http://dx.doi.org/10.1155/2013/239382
spellingShingle Carl Stepnowsky
Christine Edwards
Tania Zamora
Robert Barker
Zia Agha
Patient Perspective on Use of an Interactive Website for Sleep Apnea
International Journal of Telemedicine and Applications
title Patient Perspective on Use of an Interactive Website for Sleep Apnea
title_full Patient Perspective on Use of an Interactive Website for Sleep Apnea
title_fullStr Patient Perspective on Use of an Interactive Website for Sleep Apnea
title_full_unstemmed Patient Perspective on Use of an Interactive Website for Sleep Apnea
title_short Patient Perspective on Use of an Interactive Website for Sleep Apnea
title_sort patient perspective on use of an interactive website for sleep apnea
url http://dx.doi.org/10.1155/2013/239382
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