Nicholas A Gage, Debra A Prykanowski, Alvin Larson
School climate and bullying victimization: a latent class growth model analysis
School psychology quarterly : the official journal of the Division of School Psychology, American Psychological Association
sleep apnea significant public health disorder finland prevalence 37 continuous positive airway pressure cpap therapy firstline treatment moderate severe sleep apnea november 18 2019 patients started cpap therapy oulu university hospital attached sleep apnea digital care pathway sadcp instructed use patients still use sadcp although started cpap therapy aimed study health care professionals hcps perspectives sadcp usefulness work whether main targets sadcp reached shortening initial guiding sessions cpap therapy reducing patient calls contact hcps improving patients adherence cpap therapy patients perspectives sadcp usefulness overall 6 hcps interviewed may june 2021 survey sadcp users 5891 64 sadcp nonusers 3391 36 conducted 2 phases may august 2021 january june 2022 cpap device remote monitoring data collected sadcp users 80170 471 sadcp nonusers 90170 529 may 2021 registered phone call data collected 2019 2020 2021 feedback sadcp collected 446 patients february march 2022 according hcps introducing sadcp yet significantly improved workload work practices brought flexibility communication situations larger proportion sadcp users familiarized prior information cpap therapy initial guiding session nonusers 4358 74 vs 1633 49 p02 patients still received prior information cpap therapy therefore sessions carried according needs according patient survey remote monitoring data cpap devices adherence cpap therapy high sadcp users nonusers number patients phone calls hcps decrease study sadcp users perceived abilities use information communications technology better nonusers mean 42 sd 08 vs mean 32 sd 12 p001 according study goals set introduction sadcp achieved despite using sadcp patients still wanted communicate hcps phone significant factors explaining nonuse sadcp lower digital literacy older age patients future attention paid user groups designing introducing upcoming digital care pathways