Rationale, design, and development of SleepWell24: A smartphone application to promote adherence to positive airway pressure therapy among patients with obstructive sleep apnea

Megan E. Petrov; Kristina Hasanaj; Coles M. Hoffmann; Dana R. Epstein; Lois Krahn; John G. Park; Kevin Hollingshead; Tsung Yen Yu; Michael Todd; Erik K. St. Louis; Timothy I. Morgenthaler; Matthew P. Buman

doi:10.1016/j.cct.2019.105908

Rationale, design, and development of SleepWell24: A smartphone application to promote adherence to positive airway pressure therapy among patients with obstructive sleep apnea

Megan E. Petrov, Kristina Hasanaj, Coles M. Hoffmann, Dana R. Epstein, Lois Krahn, John G. Park, Kevin Hollingshead, Tsung Yen Yu, Michael Todd, Erik K. St. Louis, Timothy I. Morgenthaler, Matthew P. Buman

Research output: Contribution to journal › Article › peer-review

2 Scopus citations

Abstract

Background: Positive airway pressure (PAP) therapy is the gold standard treatment for obstructive sleep apnea (OSA), a chronic disorder that affects 6–13% of the adult population. However, adherence to PAP therapy is challenging, and current approaches to improve adherence have limited efficacy and scalability. Methods/design: To promote PAP adherence, we developed SleepWell24, a multicomponent, evidence-based smartphone application that delivers objective biofeedback concerning PAP use and sleep/physical activity patterns via cloud-based PAP machine and wearable sensor data, and behavior change strategies and troubleshooting of PAP therapy interface use. This randomized controlled trial will evaluate the feasibility, acceptability, and initial efficacy of SleepWell24 compared to a usual care control condition during the first 60 days of PAP therapy among patients newly diagnosed with OSA. Discussion: SleepWell24 is an innovative, multi-component behavior change intervention, designed as a self-management approach to addressing the psychosocial determinants of adherence to PAP therapy among new users. The results will guide lengthier future trials that assess numerous patient-centered and clinical outcomes.

Original language	English (US)
Article number	105908
Journal	Contemporary Clinical Trials
Volume	89
DOIs	https://doi.org/10.1016/j.cct.2019.105908
State	Published - Feb 2020

Keywords

Mobile health
Obstructive sleep apnea
Physical activity
Sleep
Wearable sensors

ASJC Scopus subject areas

Pharmacology (medical)

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10.1016/j.cct.2019.105908

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Petrov, M. E., Hasanaj, K., Hoffmann, C. M., Epstein, D. R., Krahn, L., Park, J. G., Hollingshead, K., Yu, T. Y., Todd, M., St. Louis, E. K., Morgenthaler, T. I., & Buman, M. P. (2020). Rationale, design, and development of SleepWell24: A smartphone application to promote adherence to positive airway pressure therapy among patients with obstructive sleep apnea. Contemporary Clinical Trials, 89, Article 105908. https://doi.org/10.1016/j.cct.2019.105908

Rationale, design, and development of SleepWell24: A smartphone application to promote adherence to positive airway pressure therapy among patients with obstructive sleep apnea. / Petrov, Megan E.; Hasanaj, Kristina; Hoffmann, Coles M. et al.
In: Contemporary Clinical Trials, Vol. 89, 105908, 02.2020.

Research output: Contribution to journal › Article › peer-review

Petrov, ME, Hasanaj, K, Hoffmann, CM, Epstein, DR, Krahn, L, Park, JG, Hollingshead, K, Yu, TY, Todd, M, St. Louis, EK , Morgenthaler, TI & Buman, MP 2020, 'Rationale, design, and development of SleepWell24: A smartphone application to promote adherence to positive airway pressure therapy among patients with obstructive sleep apnea', Contemporary Clinical Trials, vol. 89, 105908. https://doi.org/10.1016/j.cct.2019.105908

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title = "Rationale, design, and development of SleepWell24: A smartphone application to promote adherence to positive airway pressure therapy among patients with obstructive sleep apnea",

abstract = "Background: Positive airway pressure (PAP) therapy is the gold standard treatment for obstructive sleep apnea (OSA), a chronic disorder that affects 6–13% of the adult population. However, adherence to PAP therapy is challenging, and current approaches to improve adherence have limited efficacy and scalability. Methods/design: To promote PAP adherence, we developed SleepWell24, a multicomponent, evidence-based smartphone application that delivers objective biofeedback concerning PAP use and sleep/physical activity patterns via cloud-based PAP machine and wearable sensor data, and behavior change strategies and troubleshooting of PAP therapy interface use. This randomized controlled trial will evaluate the feasibility, acceptability, and initial efficacy of SleepWell24 compared to a usual care control condition during the first 60 days of PAP therapy among patients newly diagnosed with OSA. Discussion: SleepWell24 is an innovative, multi-component behavior change intervention, designed as a self-management approach to addressing the psychosocial determinants of adherence to PAP therapy among new users. The results will guide lengthier future trials that assess numerous patient-centered and clinical outcomes.",

keywords = "Mobile health, Obstructive sleep apnea, Physical activity, Sleep, Wearable sensors",

author = "Petrov, {Megan E.} and Kristina Hasanaj and Hoffmann, {Coles M.} and Epstein, {Dana R.} and Lois Krahn and Park, {John G.} and Kevin Hollingshead and Yu, {Tsung Yen} and Michael Todd and {St. Louis}, {Erik K.} and Morgenthaler, {Timothy I.} and Buman, {Matthew P.}",

note = "Funding Information: This work was supported by the National Institutes of Health [ R21NR016046 ]. Publisher Copyright: {\textcopyright} 2019 Elsevier Inc.",

year = "2020",

month = feb,

doi = "10.1016/j.cct.2019.105908",

language = "English (US)",

volume = "89",

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AU - Hoffmann, Coles M.

AU - Epstein, Dana R.

AU - Krahn, Lois

AU - Park, John G.

AU - Hollingshead, Kevin

AU - Yu, Tsung Yen

AU - Todd, Michael

AU - St. Louis, Erik K.

AU - Morgenthaler, Timothy I.

AU - Buman, Matthew P.

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AB - Background: Positive airway pressure (PAP) therapy is the gold standard treatment for obstructive sleep apnea (OSA), a chronic disorder that affects 6–13% of the adult population. However, adherence to PAP therapy is challenging, and current approaches to improve adherence have limited efficacy and scalability. Methods/design: To promote PAP adherence, we developed SleepWell24, a multicomponent, evidence-based smartphone application that delivers objective biofeedback concerning PAP use and sleep/physical activity patterns via cloud-based PAP machine and wearable sensor data, and behavior change strategies and troubleshooting of PAP therapy interface use. This randomized controlled trial will evaluate the feasibility, acceptability, and initial efficacy of SleepWell24 compared to a usual care control condition during the first 60 days of PAP therapy among patients newly diagnosed with OSA. Discussion: SleepWell24 is an innovative, multi-component behavior change intervention, designed as a self-management approach to addressing the psychosocial determinants of adherence to PAP therapy among new users. The results will guide lengthier future trials that assess numerous patient-centered and clinical outcomes.

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Rationale, design, and development of SleepWell24: A smartphone application to promote adherence to positive airway pressure therapy among patients with obstructive sleep apnea

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