Randomized, sham-controlled, cross-over trial for effects of web-based telemedicine and health-professional aid on PAP adherence in OSA patients
- Conditions
- Patients with obstructive sleep apnea
- Registration Number
- JPRN-UMIN000013644
- Lead Sponsor
- Comprehensive Medical Center of Sleep Disorders Tokyo Women's Medical University Aoyama Hospital
- Brief Summary
1) Web-based telemedicine significantly improved PAP adherence and apnea-related subjective symptoms. 2) Addition of active communication by the health professional does not improve PAP adherence and subjective symptoms further. 3) Withdrawal of active communication by the health professional from web-based telemedicine monitoring does not worsen PAP adherence. 4) The findings mentioned above suggest that web-based telemedicine plays an important role in improving PAP adherence but active communication by the health professional has little impact on improvement of PAP adherence.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- Complete: follow-up complete
- Sex
- All
- Target Recruitment
- 46
Not provided
1) Subjects who refused to participate in the study or those who were joining in other studies concurrently advanced in the Center. 2) Subjects who had no abnormal respiration during sleep. 3) Subjects with central sleep apneas. 4) Subjects with any pathological condition, including malignancy in any organ, severe heart failure, heart attack or stroke, renal failure requiring dialysis, or impaired cognitive function. 5) Subjects with mild-to-moderate OSA, to whom the PAP was not introduced. 6) Subjects who had the experience of previous treatment with either PAP or oral appliance. 7) Subjects who had much difficulty in optimal use of PAP device during the two months prior to entry into the study. 8) Subjects whose experience to use PAP was less than two months after initiating PAP therapy.
Study & Design
- Study Type
- Interventional
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method The additional effects of active interventions by health professionals appended to web-based telemedicine on PAP adherence during 6-months observation period
- Secondary Outcome Measures
Name Time Method The withdrawal (negative) effects of active interventions by health professionals from web-based telemedicine monitoring on PAP adherence during 6-months observation period