Evidence map›Paper›PMID 35013898›Full record

Trial reportSleep & breathing = Schlaf & Atmung2022

A multifactorial intervention to increase adherence to oral appliance therapy with a titratable mandibular advancement device for obstructive sleep apnea: a randomized controlled trial.

Jie Liu, Victoria Sheets, Rachel Maerz, Ai Ni, Ulysses Magalang, Ching-Chang Ko, Allen Firestone

Abstract readRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in Sleep & breathing = Schlaf & Atmung, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
0.2field-weighted citation impact, top 50% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 1 synthesis or guideline pooled it, 2 citations in OpenAlex.

  1. Oral appliances for obstructive sleep apnoea in adults.The Cochrane database of systematic reviews · 2026
    Pooled it
  2. Article
  3. The role of oral appliance therapy in obstructive sleep apnoea.European respiratory review : an official journal of the European Respiratory Society · 2023
    Review
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

7 authors at 2 institutions in 1 country.

Jie LiuDivision of Orthodontics, The Ohio State University College of Dentistry, Room 4088, 305 W 12th Ave., Columbus, OH, 43210, USA.
Victoria SheetsFormer resident Division of Orthodontics, The Ohio State University College of Dentistry, Private practice, Lexington, KY, USA.
Rachel MaerzFormer resident Division of Orthodontics, The Ohio State University College of Dentistry, Private practice, Reynoldsburg, OH, USA.
Ai NiDivision of Biostatistics, College of Public Health, The Ohio State University, Columbus, OH, USA.
Ulysses MagalangDepartment of Internal Medicine, Division of Pulmonary, Allergy, Critical Care and Sleep Medicine, The Wexner Medical Center, The Ohio State University, Columbus, OH, USA.
Ching-Chang KoDivision of Orthodontics, The Ohio State University College of Dentistry, Room 4088, 305 W 12th Ave., Columbus, OH, 43210, USA.
Allen FirestoneDivision of Orthodontics, The Ohio State University College of Dentistry, Room 4088, 305 W 12th Ave., Columbus, OH, 43210, USA. firestone.17@osu.edu.ORCID 0000-0003-2029-4336
The Ohio State University · USThe Ohio State University Wexner Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeObstructive sleep apnea (OSA) is a common chronic condition, associated with several conditions that account for leading causes of mortality. Adherence to treatment of a chronic condition is, along with treatment efficacy, a major determinant of treatment outcome. The aim of this study was to test whether or not a multifactorial intervention in addition to standard care increases adherence rates in patients using a titratable oral appliance for OSA.

methodsAll subjects were 18 years old or older, had a diagnosis of OSA, and were treated with an oral appliance with an embedded sensor to measure appliance wear time objectively. The control group received routine care, while the experimental subjects received an additional multifactorial intervention. Comparison of adherence was at 30 days (Phase I) and 90 days (Phase II) after appliance delivery.

resultsData are reported for 82 subjects in Phase I (control 43; experimental 39) and 66 subjects in Phase II (control 36; experimental 30). There were no significant differences for age, sex, body mass index, and apnea-hypopnea index (p > 0.05) between groups. In both Phase I and Phase II, the mean number of nights the appliance was worn 4 or more hours and the mean time the appliance was worn nightly were significantly greater in the experimental than in the control group (p < 0.05).

conclusionsInterventions were well received by subjects and can be carried out by auxiliary personnel. The experimental interventions resulted in clinically important and statistically significant improvements in patient adherence to treatment.

Indexed as

Mandibular AdvancementSleep Apnea, ObstructiveAdolescentAdultHumansOcclusal SplintsPatient ComplianceTreatment OutcomeAdherenceMultifactorial interventionObstructive sleep apneaOral appliances

Identifiers

PMID35013898
OpenAlexW4206748869

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.