obstructive sleep apnea Sleep apnea
Conditions
Interventions
Patients are informed about the video consult study by their physician during
their first face-to-face consult in the hospital. After this consult the
researcher will provide patients with additiona
(2) rest AHI 70)
and (3) improvements or
complaints. As long as these objectives are not achieved a video consult will
be planned weekly for the intervention group and face-to-face consults in the
control group. If
Sponsors
Rijnstate Ziekenhuis
Eligibility
Age
18 Years to 99 Years
Inclusion criteria
Inclusion criteria: • diagnosed with moderate or severe sleep apnea AHI > 15 • patients will be treated with CPAP • no history of CPAP treatment • having (access to) a functional tablet or smartphone o with a (integrated) webcam, speakers, microphone o working internet connection o access to the browsers Chrome, Firefox, Internet Explorer or Safari. • able to use a tablet or smartphone (including a web-cam) • ability to read and understand the Dutch language • signed informed consent
Exclusion criteria
Exclusion criteria: having a severe cognitive or psychiatric disorder
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The primary study parameter is treatment self-efficacy, which is a subscale of the Self-Efficacy Measure for Sleep Apnea (SEMSA).The SEMSA is a 26-item scale and indicated good psychometric properties with reported internal consistency (Cronbach*s alpha = 0.92) and test-retest reliability (0.68). The subscale self-efficacy consists of 9 questions including *I would use CPAP*if have to wear a tight mask* and *I would use CPA*if it disturbed my partner*. These items will be rated on a 4-point scale ranging from not at all try - very true. A sum score for this subscale will be calculated by taking the mean score of the nine items. (See protocol - methods - main study parameter) | — |
Secondary
| Measure | Time frame |
|---|---|
| - Risk perception (SEMSA subscale) Risk perception is a subscale of the Self-Efficacy Measure for Sleep Apnea [22], and consists of 8 questions, for example *having OSA, my chances of falling asleep driving* and *having OSA my chances of difficulty concentrating*. These items will be rated on a 4-point scale ranging from *very low to very high*. A sum score for this subscale will be calculated by taking the mean score of the eight items. - Outcome expectancies (SEMSA subscale) Outcome expectancies will be measured, which is a subscale of the Self-Efficacy Measure for Sleep Apnea [22], and consists of 9 items for example *If I use CPAP*I will be more active*. These items will be rated by a 4-point scale ranging from *not at all true - very true.* A sum score for this subscale will be calculated by taking the mean score of the eight items. - Adherence Adherence will be measured with Encore anywhere (Philips) and information will be obtained from the Electronic Medical Record. Adherence for CPAP use is defined as using CPAP at least seven nights a week for at least six hours a night, according to the protocol in Rijnstate hospital. - Expectations and experiences - according to constructs of the UTAUT model Questions covering constructs of the Unified Theory of Acceptance and Use of Technology (UTAUT) model will be used to measure expectations and experiences of use of the video consult system. The UTAUT consist of four constructs that influence behavioral intention and behavior: (1) performance expectancy, (2) effort expectancy, (3) social influence, (4) facilitating conditions [23]. Eight items will be rated on a seven point scale. Results will be presented as mean and standard deviation (SD). - Satisfaction All patients will be asked to fill in a questionnaire assessing effects on satisfaction with the video consultation system (for the intervention group only) and patient-professional communication. Healthcare professionals will also be | — |
Countries
Netherlands
Outcome results
None listed