Evidence map›Paper›PMID 33216916›Full record

ArticleSleep2021

Barriers and facilitators to the implementation of a novel web-based sleep apnea management platform.

Yoon Hee A Chang, Robert L Folmer, Becky Shasha, Judy A Shea, Kathleen Sarmiento, Carl J Stepnowsky, Diane Lim, Allan Pack, Samuel T Kuna

2 registry-linked trialsOpen access · bronzeAbstract read
In one paragraph

Article in Sleep, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.2field-weighted citation impact, top 43% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03007745 nacompletednot on this map

Remote Ambulatory Management of Veterans With Sleep Apnea

TypeinterventionalSponsorVA Office of Research and DevelopmentRan2017 to 2021Enrolled435ConditionsSleep Apnea - Obstructive, Cost Effectiveness, TelemedicineArmsautoadjusting continuous positive airway pressure
NCT05419323 completednot on this map

Improving Access to Sleep Apnea Care: A Pragmatic Study of New Consultation Models

TypeobservationalSponsorVA Office of Research and DevelopmentRan2020 to 2026Enrolled6,501ConditionsObstructive Sleep Apnea (OSA)
3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 3 citations in OpenAlex.

  1. Article
  2. Veterans Health Administration TeleSleep Enterprise-Wide Initiative 2017-2020: bringing sleep care to our nation's veterans.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2023
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 6 institutions in 1 country.

Yoon Hee A ChangEvergreenHealth Sleep Disorders Center, Kirkland, WA.
Robert L FolmerVA National Center for Rehabilitative Auditory Research, VA Portland Medical Center, Portland, OR.
Becky ShashaVeterans Integrated Service Network 4, Center for Evaluation of PACT (CEPACT), Philadelphia, PA.
Judy A SheaDepartment of Medicine, Division of General Internal Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA.
Kathleen SarmientoSan Francisco VA Health Care System, San Francisco, CA.
Carl J StepnowskyVA San Diego Healthcare System, San Diego, CA.
Diane LimDepartment of Medicine, Corporal Michael J. Crescenz Veterans Affairs Medical Center, Philadelphia, PA.
Allan PackDepartment of Medicine, Division of Sleep Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA.
Samuel T KunaDepartment of Medicine, Corporal Michael J. Crescenz Veterans Affairs Medical Center, Philadelphia, PA.
Philadelphia VA Medical Center · USUniversity of Pennsylvania · USEvergreenHealth · USOregon Health & Science University · USUniversity of California San Diego · USUniversity of California, San Francisco · US

Funding

Understanding the relationship between obesity and tongue fat in humans and ratsP01HL094307 · NHLBI · UNIVERSITY OF PENNSYLVANIA · PI PACK, ALLAN I · 2009 to 2020
$23.7M
TRAINING PROGRAM/RESPIRATORY NEUROBIOLOGY AND SLEEPT32HL007713 · NHLBI · UNIVERSITY OF PENNSYLVANIA · PI PACK, ALLAN I · 1992 to 2022
$11.9M
Remote Ambulatory Management of Veterans with Sleep ApneaI01HX001094 · VA · PHILADELPHIA VA MEDICAL CENTER · PI KUNA, SAMUEL T. · 2018 to 2021
–
HSRD VA I01 HX001094NHLBI NIH HHS P01 HL094307NHLBI NIH HHS T32 HL007713
6 · The paper itself

Abstract

STUDY

objectiveObstructive sleep apnea (OSA) is a highly prevalent yet underdiagnosed disorder affecting US military Veterans. The Remote Veterans Apnea Management Platform (REVAMP) is a web-based OSA management program created to improve access to care. REVAMP was launched within the Veterans Health Administration (VHA) in July 2017, with variable patient recruitment rates (from 0 to 573 patients per site) at the first 10 Veterans Affairs (VA) medical centers (Wave-1 sites). This study aimed to examine the contextual circumstances surrounding the implementation of REVAMP from the provider perspective to inform strategies to increase its uptake at future rollout sites.

methodsA purposive sample of REVAMP site leaders from the Wave-1 sites was recruited with additional staff members being solicited as well. Semi-structured interviews were conducted. Two independent coders reviewed individual transcripts using content analysis to identify emerging themes.

resultsFifteen individuals from Wave-1 sites were interviewed. Implementation of REVAMP was facilitated by the presence of leadership support, staff, and time dedicated to REVAMP, and perceived usefulness of REVAMP by staff as well as positive feedback from the Veterans using REVAMP. The difficulty of supporting Veteran creation of login credentials to the program and integrating REVAMP into the existing workflow were major barriers to its implementation.

conclusionImproving leadership engagement, simplifying the enrollment process, and enhancing the medical staff experience through shared best practice alerts were identified as actions needed to improve the penetration of REVAMP at future rollout sites.

Indexed as

Sleep Apnea SyndromesVeteransHumansInternetResearch DesignUnited StatesUnited States Department of Veterans AffairsbarriersfacilitatorsimplementationREVAMPsleep apneatelemedicineVeterans

Identifiers

PMID33216916
PMCPMC8033449
OpenAlexW3100239210

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.