Cargando…

Mobile health application to support CPAP therapy in obstructive sleep apnoea: design, feasibility and perspectives

BACKGROUND: Current continuous positive airway pressure (CPAP) devices can be monitored remotely; however, in-person visits are kept for clinical follow-up in order to promote CPAP use and resolve potential side-effects. Mobile health is a promising way to provide remote and easy clinical control fo...

Descripción completa

Detalles Bibliográficos
Autores principales: Suarez-Giron, Monique, Garmendia, Onintza, Lugo, Vera, Ruiz, Concepción, Salord, Neus, Alsina, Xavier, Farré, Ramón, Montserrat, Josep M., Torres, Marta
Formato: Online Artículo Texto
Lenguaje:English
Publicado: European Respiratory Society 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7008136/
https://www.ncbi.nlm.nih.gov/pubmed/32055630
http://dx.doi.org/10.1183/23120541.00220-2019
_version_ 1783495423285002240
author Suarez-Giron, Monique
Garmendia, Onintza
Lugo, Vera
Ruiz, Concepción
Salord, Neus
Alsina, Xavier
Farré, Ramón
Montserrat, Josep M.
Torres, Marta
author_facet Suarez-Giron, Monique
Garmendia, Onintza
Lugo, Vera
Ruiz, Concepción
Salord, Neus
Alsina, Xavier
Farré, Ramón
Montserrat, Josep M.
Torres, Marta
author_sort Suarez-Giron, Monique
collection PubMed
description BACKGROUND: Current continuous positive airway pressure (CPAP) devices can be monitored remotely; however, in-person visits are kept for clinical follow-up in order to promote CPAP use and resolve potential side-effects. Mobile health is a promising way to provide remote and easy clinical control for CPAP follow-up and support. We aimed to evaluate the feasibility and acceptance by obstructive sleep apnoea (OSA) patients and healthcare professionals of a newly designed mobile app (Appnea-Q) to promote clinical control through a self-monitoring tool for patients with CPAP supervised by sleep professionals. METHODS: Appnea-Q incorporates a simple follow-up questionnaire with automated responses, together with frequent problems and lifestyle recommendations sections. Feasibility, acceptance and usefulness were assessed. First, an internal validation was performed during outpatient CPAP follow-up visits with sleep professionals from various sleep units. Second, an external validation was performed in a subgroup of 15 patients at home. RESULTS: Most patients (n=75) considered the app useful and were willing to use it and recommend it (72–88%). Up to 64.87% agreed on its capacity to reduce hospital visits. Appnea-Q was rated as acceptable (79.37±19.29) by the system usability score. Sleep professionals (n=30) concurred on its usefulness for OSA patient follow-up, particularly during the first month of CPAP therapy. The external validation showed its feasibility among 11 out of 15 patients and their data were received accordingly on the professionals' web platform. CONCLUSIONS: According to our validation process, and the viewpoints of the patients and professionals, our new mobile app is a feasible and well-received tool for personal OSA management. Future clinical trials should substantiate its performance and cost-effectiveness in the clinical arena.
format Online
Article
Text
id pubmed-7008136
institution National Center for Biotechnology Information
language English
publishDate 2020
publisher European Respiratory Society
record_format MEDLINE/PubMed
spelling pubmed-70081362020-02-13 Mobile health application to support CPAP therapy in obstructive sleep apnoea: design, feasibility and perspectives Suarez-Giron, Monique Garmendia, Onintza Lugo, Vera Ruiz, Concepción Salord, Neus Alsina, Xavier Farré, Ramón Montserrat, Josep M. Torres, Marta ERJ Open Res Original Articles BACKGROUND: Current continuous positive airway pressure (CPAP) devices can be monitored remotely; however, in-person visits are kept for clinical follow-up in order to promote CPAP use and resolve potential side-effects. Mobile health is a promising way to provide remote and easy clinical control for CPAP follow-up and support. We aimed to evaluate the feasibility and acceptance by obstructive sleep apnoea (OSA) patients and healthcare professionals of a newly designed mobile app (Appnea-Q) to promote clinical control through a self-monitoring tool for patients with CPAP supervised by sleep professionals. METHODS: Appnea-Q incorporates a simple follow-up questionnaire with automated responses, together with frequent problems and lifestyle recommendations sections. Feasibility, acceptance and usefulness were assessed. First, an internal validation was performed during outpatient CPAP follow-up visits with sleep professionals from various sleep units. Second, an external validation was performed in a subgroup of 15 patients at home. RESULTS: Most patients (n=75) considered the app useful and were willing to use it and recommend it (72–88%). Up to 64.87% agreed on its capacity to reduce hospital visits. Appnea-Q was rated as acceptable (79.37±19.29) by the system usability score. Sleep professionals (n=30) concurred on its usefulness for OSA patient follow-up, particularly during the first month of CPAP therapy. The external validation showed its feasibility among 11 out of 15 patients and their data were received accordingly on the professionals' web platform. CONCLUSIONS: According to our validation process, and the viewpoints of the patients and professionals, our new mobile app is a feasible and well-received tool for personal OSA management. Future clinical trials should substantiate its performance and cost-effectiveness in the clinical arena. European Respiratory Society 2020-02-10 /pmc/articles/PMC7008136/ /pubmed/32055630 http://dx.doi.org/10.1183/23120541.00220-2019 Text en Copyright ©ERS 2020 http://creativecommons.org/licenses/by-nc/4.0/This article is open access and distributed under the terms of the Creative Commons Attribution Non-Commercial Licence 4.0.
spellingShingle Original Articles
Suarez-Giron, Monique
Garmendia, Onintza
Lugo, Vera
Ruiz, Concepción
Salord, Neus
Alsina, Xavier
Farré, Ramón
Montserrat, Josep M.
Torres, Marta
Mobile health application to support CPAP therapy in obstructive sleep apnoea: design, feasibility and perspectives
title Mobile health application to support CPAP therapy in obstructive sleep apnoea: design, feasibility and perspectives
title_full Mobile health application to support CPAP therapy in obstructive sleep apnoea: design, feasibility and perspectives
title_fullStr Mobile health application to support CPAP therapy in obstructive sleep apnoea: design, feasibility and perspectives
title_full_unstemmed Mobile health application to support CPAP therapy in obstructive sleep apnoea: design, feasibility and perspectives
title_short Mobile health application to support CPAP therapy in obstructive sleep apnoea: design, feasibility and perspectives
title_sort mobile health application to support cpap therapy in obstructive sleep apnoea: design, feasibility and perspectives
topic Original Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7008136/
https://www.ncbi.nlm.nih.gov/pubmed/32055630
http://dx.doi.org/10.1183/23120541.00220-2019
work_keys_str_mv AT suarezgironmonique mobilehealthapplicationtosupportcpaptherapyinobstructivesleepapnoeadesignfeasibilityandperspectives
AT garmendiaonintza mobilehealthapplicationtosupportcpaptherapyinobstructivesleepapnoeadesignfeasibilityandperspectives
AT lugovera mobilehealthapplicationtosupportcpaptherapyinobstructivesleepapnoeadesignfeasibilityandperspectives
AT ruizconcepcion mobilehealthapplicationtosupportcpaptherapyinobstructivesleepapnoeadesignfeasibilityandperspectives
AT salordneus mobilehealthapplicationtosupportcpaptherapyinobstructivesleepapnoeadesignfeasibilityandperspectives
AT alsinaxavier mobilehealthapplicationtosupportcpaptherapyinobstructivesleepapnoeadesignfeasibilityandperspectives
AT farreramon mobilehealthapplicationtosupportcpaptherapyinobstructivesleepapnoeadesignfeasibilityandperspectives
AT montserratjosepm mobilehealthapplicationtosupportcpaptherapyinobstructivesleepapnoeadesignfeasibilityandperspectives
AT torresmarta mobilehealthapplicationtosupportcpaptherapyinobstructivesleepapnoeadesignfeasibilityandperspectives