Comparison With Clinical and eHealth Interventions
OSA
A review study investigating which intervention strategies are most effective in optimizing CPAP adherence in clinical settings concluded that the literature is inconclusive in this regard [In addition to education and support, some clinics have used other strategies, including the feeding back of personal sleep test data along with an explanation (eg, the patient viewing their own polysomnogram). Results from 3 studies using this strategy reported different average increases in nightly CPAP use: −0.2, 0.7, and 1.2 hours per night [Despite the inconclusiveness in terms of the exact effective strategies, there is increasing consensus about the best practice recommendations that educational interventions be given with the initiation of therapy, that behavioral and troubleshooting interventions be given during the initial period of therapy, and that telemonitoring-guided interventions be used during the initial period of therapy [In addition to clinical interventions that are often delivered by nurses or clinicians, health interventions are being increasingly delivered through digital means (ie, eHealth interventions). A recent meta-analytic review including 18 studies and 5429 adults with OSA investigating the effectiveness of a broad range of eHealth interventions aimed at improving CPAP treatment adherence concluded that eHealth interventions can improve adherence to CPAP in the initial months, increasing the average duration of use by 0.54 hours per night compared with 1.36 hours (81.3 minutes) per night in our study [