Evidence map›Paper›PMID 39207912›Full record

ArticleJMIR research protocols2024

Testing a Consumer Wearables Program to Promote the Use of Positive Airway Pressure Therapy in Patients With Obstructive Sleep Apnea: Protocol for a Pilot Randomized Controlled Trial.

Selene Mak, Garrett Ash, Li-Jung Liang, Erin Der-McLeod, Sara Ghadimi, Anjali Kewalramani, Saadia Naeem, Michelle Zeidler, Constance Fung

Registry-linked trialAbstract readClinical Trial Protocol
In one paragraph

Article in JMIR research protocols, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06039865 (Augmenting Obstructive Sleep Apnea Chronic Care Management With Consumer Wearable Devices in Patients Prescribed Positive Airway Pressure Therapy), which is 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
–field-weighted citation impact
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.

NCT06039865 nacompletednot on this map

Augmenting Obstructive Sleep Apnea Chronic Care Management With Consumer Wearable Devices in Patients Prescribed Positive Airway Pressure Therapy

TypeinterventionalSponsorVA Greater Los Angeles Healthcare SystemRan2023 to 2025Enrolled50ConditionsObstructive Sleep ApneaArmsImmediate Intervention, Waitlist control
3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Trial
  2. 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.

Selene MakCenter for the Study of Healthcare Innovation, Implementation and Policy (CSHIIP), VA Greater Los Angeles Healthcare System, Los Angeles, CA, United States.ORCID 0000-0002-3722-4361
Garrett AshSection of General Internal Medicine, Yale School of Medicine, New Haven, CT, United States.ORCID 0000-0002-8655-7525
Li-Jung LiangDepartment of Medicine, David Geffen School of Medicine at UCLA, Los Angeles, CA, United States.ORCID 0000-0003-2080-4359
Erin Der-McLeodCenter for the Study of Healthcare Innovation, Implementation and Policy (CSHIIP), VA Greater Los Angeles Healthcare System, Los Angeles, CA, United States.ORCID 0009-0006-8128-3496
Sara GhadimiDepartment of Medicine, David Geffen School of Medicine at UCLA, Los Angeles, CA, United States.ORCID 0009-0001-4676-1652
Anjali KewalramaniDepartment of Medicine, David Geffen School of Medicine at UCLA, Los Angeles, CA, United States.ORCID 0009-0000-1088-9585
Saadia NaeemSleep Center, VA Greater Los Angeles Healthcare System, Los Angeles, CA, United States.ORCID 0009-0000-0142-0451
Michelle ZeidlerDepartment of Medicine, David Geffen School of Medicine at UCLA, Los Angeles, CA, United States.ORCID 0000-0003-0997-9713
Constance FungCenter for the Study of Healthcare Innovation, Implementation and Policy (CSHIIP), VA Greater Los Angeles Healthcare System, Los Angeles, CA, United States.ORCID 0000-0002-0140-7932

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
Informatics-Based Digital Application to Promote Safe Exercise in Middle-Aged Adults with Type 1 DiabetesK01DK129441 · NIDDK · YALE UNIVERSITY · PI Garrett Igo Ash · 2022 to 2026
$950k
NCATS NIH HHS UL1 TR001863NIDDK NIH HHS K01 DK129441
6 · The paper itself

Abstract

backgroundAlthough positive airway pressure (PAP) therapy is considered first-line treatment for obstructive sleep apnea (OSA), nonadherence is common. Numerous factors influence PAP use, including a belief that the therapy is important and effective. In theory, providing information to patients about their blood oxygen levels during sleep (which may be low when PAP is not used), juxtaposed to information about their PAP use, may influence a patient's beliefs about therapy and increase PAP use. With the advent of consumer wearable smartwatches' blood oxygen saturation monitoring capability (and the existing routine availability of PAP use data transmitted via modem to clinical dashboards), there is an opportunity to provide this combination of information to patients.

objectiveThis study aims to test the feasibility, acceptability, and preliminary efficacy of the Chronic Care Management With Wearable Devices in Patients Prescribed Positive Airway Pressure Therapy (mPAP), a program that augments current PAP therapy data with consumer-grade wearable device to promote self-management of PAP therapy for OSA in a pilot randomized waitlist-controlled clinical trial.

methodsThis is a single-blinded randomized controlled trial. We will randomize 50 individuals with a history of OSA, who receive care from a Department of Veterans Affairs medical center in the Los Angeles area and are nonadherent to prescribed PAP therapy, into either an immediate intervention group or a waitlist control group. During a 28-day intervention, the participants will wear a study-provided consumer wearable device and complete a weekly survey about their OSA symptoms. A report that summarizes consumer wearable-provided oxygen saturation values, PAP use derived from modem data, and patient-reported OSA symptoms will be prepared weekly and shared with the patient. The immediate intervention group will begin intervention immediately after randomization (T1). Assessments will occur at week 5 (T3; 1 week after treatment for the immediate intervention group and repeat baseline for the waitlist control group) and week 11 (T5; follow-up for the immediate intervention group and 1 week after treatment for the waitlist control group). The primary outcome will be the change in 7-day PAP adherence (average minutes per night) from T1 to T3. The primary analysis will be a comparison of the primary outcome between the immediate intervention and the waitlist control groups (intention-to-treat design), using a 2-sample, 2-sided t test on change scores (unadjusted).

resultsRecruitment began in October 2023. Data analysis is expected to begin in October 2024 when all follow-ups are complete, and a manuscript summarizing trial results will be submitted following completion of data analysis.

conclusionsFindings from the study may provide additional insights on how patients with OSA might use patient-generated health data collected by consumer wearables to inform self-management of OSA and possibly increase their use of PAP therapy.

trial registrationClinicalTrials.gov NCT06039865; https://clinicaltrials.gov/study/NCT06039865. INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID): DERR1-10.2196/60769.

Indexed as

Continuous Positive Airway PressureSleep Apnea, ObstructiveWearable Electronic DevicesAdultFemaleHumansMaleMiddle AgedPatient CompliancePilot ProjectsRandomized Controlled Trials as TopicSingle-Blind Methodadherenceconsumer wearablesmobile phoneself-managementsleep apnea

Identifiers

PMID39207912
PMCPMC11450346

What OpenQuestion holds

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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.