Obstructive Sleep Apnea
Conditions
Keywords
Video consultation, E-Health, CPAP, Randomized Controlled Trial
Brief summary
The objective of this study is to evaluate the effects of video consultation versus face-to-face consultation for patients with obstructive sleep apnea on patients' CPAP use (minutes/per night), self-efficacy, risk outcomes, outcome expectancies, experiences with technology and, patients' and nurses' satisfaction.
Detailed description
The objective of this study is to evaluate the effects of video consultation versus face-to-face consultation for patients with obstructive sleep apnea on patients' CPAP use (minutes/per night), self-efficacy, risk outcomes, outcome expectancies, experiences with technology and, patients' and nurses' satisfaction. This study is a non-blinded randomized controlled trial with an intervention group (video consultations) and a usual care group (face-to-face consultations), with assessements after 1, 2, 3, 4, 12 and 24 weeks. Patients were recruited from a large teaching hospital (Rijnstate, hospital), and included from January 2, 2019 until June 26, 2019.In total, 140 patients were randomized, (1:1 allocation).
Interventions
OTHERVideo consultation
The first video consultation with a nurse was planned one week after start with CPAP. Three focus points were discussed during the consultations: 1) adherence (\>6 hours per night); 2) rest AHI \< 5 (or \<10 if age \>70), and 3) (improvements in) complaints. If these objectives were achieved after one week, a new consultation was planned three weeks later (four weeks after start). As long as these objectives were not achieved, video consultations were planned weekly (until after four weeks).
Sponsors
Rijnstate Hospital
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
OTHER
Masking
NONE
Intervention model description
Randomized Controlled Trial
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Older than 18 years * Diagnosed with obstructive sleep apnea * AHI \> 15 * Requiring CPAP treatment * No history of CPAP treatment * Having access to a tablet or smartphone * Proficiency of the Dutch language
Exclusion criteria
* Psychiatric or cognitive disorder
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| CPAP use | Week 1 through week 4 | Continuous Airway Pressure use (minutes/night), extracted from Encore Anywhere. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Self-efficacy | Baseline | Self-Efficacy Measure for Sleep Apnea questionnaire. Items were rated with a 4 point scale, varying from 1 (not at all true) to 4 (very true). |
| Outcome expectancies | Baseline | Assessed with Self-Efficacy Measure for Sleep Apnea questionnaire. Items were rated on a 4 point scale, varying from 1 (not at all true) to 4 (very true). |
| Risk perception | Baseline | Self-Efficacy Measure for Sleep Apnea questionnaire. Items were rated on a 4 point scale, varying from 1 (very low) to 4 (very high). |
| Expectations with video consultation | Baseline | Questions based on constructs of the Unified Theory of Acceptance and Use of Technology. Items were rated on a 7 point scale, varying from 1 (totally disagree) to 7 (totally agree). |
| Experiences video consultation | Week 4 | Questions based on constructs of the Unified Theory of Acceptance and Use of Technology (intervention group only). Items were rated on a 7 point scale, varying from 1 (totally disagree) to 7 (totally agree). |
| Satisfaction patients | Week 4 | Questionnaires were used to assess satisfaction about consultations, number of consultations, received information, satisfaction with video consultation (intervention group only) and suggestions for improvement of the use of video consultation (open ended question). Items were rated on a 5 point scale, varying from 1 (totally disagree) to 5 (totally agree). Overall satisfaction was rated on a scale varying from 1 (not satisfied) to 10 (very satisfied). |
| CPAP adherence | Week 1 through week 4 | CPAP use for at least 5 nights per week for at least 4 hours per night. Extracted from Encore Anywhere. |
Other
| Measure | Time frame | Description |
|---|---|---|
| Education | Baseline | Education |
| Living together with a partner | Baseline | Living together wit a partner (yes/no). |
| Internet use | Baseline | Internet use (duration) varying from less than six months until more than 3 years. |
| Age | Baseline | Age (years) |
| Sex | Baseline | Female/male |
Countries
Netherlands
Outcome results
None listed