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Follow-up of Apneic Patients by Visio-consultation

Not Applicable
Recruiting
Conditions
Obstructive Sleep Apnea
Interventions
Other: Videoconsultation
Registration Number
NCT04547543
Lead Sponsor
University Hospital, Grenoble
Brief Summary

Prospective multicenter open-label randomized clinical trial comparing videoconsultation to a face-to-face consultation during the follow-up of apneic patients treated by continuous positive pressure (CPAP) .

Detailed Description

The annual management of Obstructive Sleep Apnea (OSA) patients treated by continuous positive air pressure (CPAP) aims to maintain an optimal level of care while offering to the patients a combined management of their pathology. This management aims to reduce the risk of cardio-metabolic pathologies.

However, the high prevalence of OSA in the general population reduces the ability to explore undiagnosed patients. The contribution of videoconsultation is now available and allows the management of OSA patients treated by CPAP.

The objective of this study is to compare the videoconsultation to a face-to-face consultation during the follow-up of apneic patients treated by continuous positive pressure (CPAP) .

The results of this study could provide very important new data on the impact of videoconsultation on the monitoring a chronic respiratory pathology such as sleep apnea.

Recruitment & Eligibility

Status
RECRUITING
Sex
All
Target Recruitment
250
Inclusion Criteria
  • Apneic patient treated with CPAP for more than 12 months and having an annual scheduled follow-up visit.
  • Adult patient who can give an informed consent.
  • Patient with access to a media (Smartphone, tablet or computer) and an Internet connection at home.
Exclusion Criteria
  • Patient unable to use or understand the digital system.
  • Patient under guardianship or deprived of liberty
  • Pregnant woman
  • Patient in a period of exclusion from another clinical trial

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Video consultationVideoconsultationPatients in this group will have a continuous positive pressure follow-up visit by videoconsultation
Primary Outcome Measures
NameTimeMethod
Consultation cost3 months after consultation

Non inferiority of visioconsultation compared to face-to-face consultation in terms of consultation cost evaluated by the difference in cost between the 2 types of consultation

Therapeutic adherence to CPAP3 months after consultation

Non inferiority of visioconsultation compared to face-to-face consultation in terms of therapeutic adherence to CPAP evaluated by the difference in compliance 3 months before and 3 months after the consultation

Patient satisfaction: questionnaire3 months after consultation

Non inferiority of visioconsultation compared to face-to-face consultation in terms of patient satisfaction evaluated by the VSQ-VF questionnaire

Secondary Outcome Measures
NameTimeMethod
Tiredness related to CPAP3 and 12 months after consultation

Pichot's fatigue scale

Sleepiness related to CPAP3 and 12 after consultation

Epworth Sleepiness Scale

Evaluate the quality of CPAP treatment (Residual AHI)3 and 12 months after consultation

Evaluate the quality of CPAP treatment by the residual Apnea-Hypopnea Index(AHI) (event/hour)

Evaluate the quality of CPAP treatment (adverse events)3 and 12 months after consultation

Evaluate the quality of CPAP treatment by the adverse event reporting

Evaluate the quality of CPAP treatment (mask leaks level)3 and 12 months after consultation

Evaluate the quality of CPAP treatment by the CPAP mask leaks level (litre/min)

Evaluate the quality of CPAP treatment (visits by the health care provider): number of visits by the health care provider and the reasons for these visits3 and 12 months after consultation

Evaluate the quality of CPAP treatment by collecting the number of visits by the health care provider and the reasons for these visits

Assess the risk factors associated with OSA in patients treated with CPAP (weight)12 months after consultation

Body weight (kg)

Assess the risk factors associated with OSA in patients treated with CPAP (blood pressure)12 months after consultation

Blood pressure by blood pressure monitoring at home

Assess the risk factors associated with OSA in patients treated with CPAP (level of physical activity)12 months after consultation

Evaluation of the level of physical activity by actimetry

Trial Locations

Locations (1)

CHU Grenoble-Alpes

🇫🇷

Grenoble, France

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