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P134 Sleep Laboratory contact in adults commencing CPAP: a post-hoc analysis of the AHEAD trial
BACKGROUND: CPAP used for >4hrs/night effectively treats obstructive sleep apnoea(OSA), however CPAP adherence is often poor. A randomised control trial from our department demonstrated improved CPAP adherence at 12 months in patients receiving video education (VE), compared with standard of care...
Autores principales: | , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Oxford University Press
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10109045/ http://dx.doi.org/10.1093/sleepadvances/zpac029.202 |
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author | Webster, K Ellender, C |
author_facet | Webster, K Ellender, C |
author_sort | Webster, K |
collection | PubMed |
description | BACKGROUND: CPAP used for >4hrs/night effectively treats obstructive sleep apnoea(OSA), however CPAP adherence is often poor. A randomised control trial from our department demonstrated improved CPAP adherence at 12 months in patients receiving video education (VE), compared with standard of care education (SOCE) at CPAP commencement. This follow-on study aimed to evaluate 12-month clinic utilisation of patients in the AHEAD trial, hypothesizing that increased unscheduled contact by patients in the intervention arm may contribute to improved CPAP adherence. METHODS: Post-hoc analysis of data from the AHEAD trial was performed. The AHEAD trial included 195 patients recruited from a large trial protocol and randomised to either SOCE or SOCE+VE. Demographics including age, gender, education level and socioeconomic indices were collected. CPAP usage was assessed at 2-, 6-, and 12-months post randomisation. Adequate adherence was defined as usage >4hours/night. Further data on number of scheduled and unscheduled visits at 12-months post randomisation was collected. The primary outcome was number of unscheduled visits in intervention vs control arm. PROGRESS TO DATE: Study groups were well-matched at baseline. The proportion with adequate CPAP usage at 12mths was higher in the VE group (33, 33% versus 48, 50% p=0.01). Preliminary analysis suggests there are no significant differences in number of unscheduled visits at 12-month follow up between SOCE vs SOCE+VE (mean0.29 vs 0.43 p=0.18). Further analysis will investigate predetermined subgroups – including low educational level / socioeconomic status. INTENDED OUTCOME AND IMPACT: This study will inform strategies to improve CPAP adherence in patients with OSA. |
format | Online Article Text |
id | pubmed-10109045 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Oxford University Press |
record_format | MEDLINE/PubMed |
spelling | pubmed-101090452023-05-15 P134 Sleep Laboratory contact in adults commencing CPAP: a post-hoc analysis of the AHEAD trial Webster, K Ellender, C Sleep Adv Poster Presentations BACKGROUND: CPAP used for >4hrs/night effectively treats obstructive sleep apnoea(OSA), however CPAP adherence is often poor. A randomised control trial from our department demonstrated improved CPAP adherence at 12 months in patients receiving video education (VE), compared with standard of care education (SOCE) at CPAP commencement. This follow-on study aimed to evaluate 12-month clinic utilisation of patients in the AHEAD trial, hypothesizing that increased unscheduled contact by patients in the intervention arm may contribute to improved CPAP adherence. METHODS: Post-hoc analysis of data from the AHEAD trial was performed. The AHEAD trial included 195 patients recruited from a large trial protocol and randomised to either SOCE or SOCE+VE. Demographics including age, gender, education level and socioeconomic indices were collected. CPAP usage was assessed at 2-, 6-, and 12-months post randomisation. Adequate adherence was defined as usage >4hours/night. Further data on number of scheduled and unscheduled visits at 12-months post randomisation was collected. The primary outcome was number of unscheduled visits in intervention vs control arm. PROGRESS TO DATE: Study groups were well-matched at baseline. The proportion with adequate CPAP usage at 12mths was higher in the VE group (33, 33% versus 48, 50% p=0.01). Preliminary analysis suggests there are no significant differences in number of unscheduled visits at 12-month follow up between SOCE vs SOCE+VE (mean0.29 vs 0.43 p=0.18). Further analysis will investigate predetermined subgroups – including low educational level / socioeconomic status. INTENDED OUTCOME AND IMPACT: This study will inform strategies to improve CPAP adherence in patients with OSA. Oxford University Press 2022-11-09 /pmc/articles/PMC10109045/ http://dx.doi.org/10.1093/sleepadvances/zpac029.202 Text en © The Author(s) 2022. Published by Oxford University Press on behalf of Sleep Research Society. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs licence (https://creativecommons.org/licenses/by-nc-nd/4.0/), which permits non-commercial reproduction and distribution of the work, in any medium, provided the original work is not altered or transformed in any way, and that the work is properly cited. For commercial re-use, please contact journals.permissions@oup.com |
spellingShingle | Poster Presentations Webster, K Ellender, C P134 Sleep Laboratory contact in adults commencing CPAP: a post-hoc analysis of the AHEAD trial |
title | P134 Sleep Laboratory contact in adults commencing CPAP: a post-hoc analysis of the AHEAD trial |
title_full | P134 Sleep Laboratory contact in adults commencing CPAP: a post-hoc analysis of the AHEAD trial |
title_fullStr | P134 Sleep Laboratory contact in adults commencing CPAP: a post-hoc analysis of the AHEAD trial |
title_full_unstemmed | P134 Sleep Laboratory contact in adults commencing CPAP: a post-hoc analysis of the AHEAD trial |
title_short | P134 Sleep Laboratory contact in adults commencing CPAP: a post-hoc analysis of the AHEAD trial |
title_sort | p134 sleep laboratory contact in adults commencing cpap: a post-hoc analysis of the ahead trial |
topic | Poster Presentations |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10109045/ http://dx.doi.org/10.1093/sleepadvances/zpac029.202 |
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