Samuel T. Kuna|D. Shuttleworth|Luqi Chi|Sharon Schutte-Rodin|Eliot Friedman|Hengyi Guo|Sandeep Dhand|Lin Yang|Jingsan Zhu|Scarlett L. Bellamy|Kevin G. Volpp|David A. Asch
Web-Based Access to Positive Airway Pressure Usage with or without an Initial Financial Incentive Improves Treatment Use in Patients with Obstructive Sleep Apnea
University of Pennsylvania|University of Pennsylvania|Lankenau Medical Center|University of Pennsylvania|Paoli Hospital|University of Pennsylvania|Holy Redeemer|University of Pennsylvania|University of Pennsylvania|University of Pennsylvania
tested whether providing adults obstructive sleep apnea osa daily webbased access positive airway pressure pap usage 3 mo without financial incentive first week improves adherence functional outcomesacademic communitybased sleep centersone hundred thirtyeight adults newly diagnosed osa starting pap treatmentparticipants randomized usual care usual care access pap usage usual care access pap usage financial incentive pap data transmitted daily wireless modem participants pap unit website hours usage displayed participants financial incentive group could earn 30day first week objective pap use 4 hdaymean hours daily pap use two groups access pap usage data differ significantly greater usual care group first week 3 mo p 00001 average daily use mean standard deviation first week pap intervention 47 33 h usual care group 59 25 h 63 25 h web access groups without financial incentive respectively adherence 3mo intervention decreased relatively constant rate three groups functional outcomes sleep questionnaire change scores 3 mo improved within group p 00001 change scores two groups web access pap data different control group p 0124positive airway pressure adherence significantly improved giving patients web access information use treatment inclusion financial incentive first week additive effect improving adherence