Monitoring Progress and Adherence with Positive Airway Pressure Therapy for Obstructive Sleep Apnea

The Roles of Telemedicine and Mobile Health Applications
Published:March 26, 2016DOI:


      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'


      Subscribe to Sleep Medicine Clinics
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect


        • Topol E.J.
        The future of medicine is in your smartphone.
        Wall Street Journal. 2015; (Available at:) (Accessed October 15, 2015)
        • Kribbs N.B.
        • Pack A.I.
        • Kline L.R.
        • et al.
        Objective measurement of patterns of nasal CPAP use by patients with obstructive sleep apnea.
        Am Rev Respir Dis. 1993; 147: 887-895
        • Singh J.
        • Badr S.M.
        • Hwang D.
        • et al.
        American Academy of Sleep Medicine (AASM) position paper for the use of telemedicine for the diagnosis and treatment of sleep disorders.
        J Clin Sleep Med. 2015; 11: 1187-1198
      1. What is Telemedicine? Available at: Accessed October 15, 2015.

        • Chow C.K.
        • Redfern J.
        • Hillis G.S.
        • et al.
        Effect of lifestyle-focused text messaging on risk factor modification in patients with coronary heart disease.
        JAMA. 2015; 314: 1255-1263
        • Wald D.S.
        • Bestwick J.P.
        • Raiman L.
        • et al.
        Randomised trial of text messaging on adherence to cardiovascular preventive treatment (INTERACT trial).
        PLoS One. 2014; 9: e114268
        • Rifkin D.E.
        • Abdelmalek J.A.
        • Miracle C.M.
        • et al.
        Linking clinic and home: a randomized, controlled clinical effectiveness trial of real-time, wireless blood pressure monitoring for older patients with kidney disease and hypertension.
        Blood Press Monit. 2013; 18: 8-15
        • Aungst T.
        Apple app store still leads Android in total number of medical apps.
        MedPage Today. 2013; (Available at:) (Accessed December 13, 2015)
        • Ritterband L.M.
        • Thorndike F.P.
        • Gonder-Frederick L.A.
        • et al.
        Efficacy of an Internet-based behavioral intervention for adults with insomnia.
        Arch Gen Psychiatry. 2009; 66: 692-698
        • Golay A.
        • Girard A.
        • Grandin S.
        • et al.
        A new educational program for patients suffering from sleep apnea syndrome.
        Patient Educ Couns. 2006; 60: 220-227
        • Jean Wiese H.
        • Boethel C.
        • Phillips B.
        • et al.
        CPAP compliance: video education may help!.
        Sleep Med. 2005; 6: 171-174
        • Hoy C.J.
        • Vennelle M.
        • Kingshott R.N.
        • et al.
        Can intensive support improve continuous positive airway pressure use in patients with the sleep apnea/hypopnea syndrome?.
        Am J Respir Crit Care Med. 1999; 159: 1096-1100
        • DeMolles D.A.
        • Sparrow D.
        • Gottlieb D.J.
        • et al.
        A pilot trial of a telecommunications system in sleep apnea management.
        Med Care. 2004; 42: 764-769
        • Stepnowsky C.J.
        • Palau J.J.
        • Marler M.R.
        • et al.
        Pilot randomized trial of the effect of wireless telemonitoring on compliance and treatment efficacy in obstructive sleep apnea.
        J Med Internet Res. 2007; 9: e14
        • Fox N.
        • Hirsch-Allen A.J.
        • Goodfellow E.
        • et al.
        The impact of a telemedicine monitoring system on positive airway pressure adherence in patients with obstructive sleep apnea: a randomized controlled trial.
        Sleep. 2012; 35: 477-481
        • Kuna S.T.
        • Shuttleworth D.
        • Chi L.
        • et al.
        Web-based access to positive airway pressure usage with or without an initial financial incentive improves treatment use in patients with obstructive sleep apnea.
        Sleep. 2015; 38: 1229-1236
        • Stepnowsky C.
        • Edwards C.
        • Zamora T.
        • et al.
        Patient perspective on use of an interactive website for sleep apnea.
        Int J Telemed Appl. 2013; 2013: 239382
      2. Hardy W, Powers J, Jasko JG, et al. SleepMapper. A mobile application and website to engage sleep apnea patients in PAP therapy and improve adherence to treatment. Philips White Paper. Available at: Accessed January 17, 2016.

        • Munafo D.
        • Hevener W.
        • Crocker M.
        • et al.
        A telehealth program for CPAP adherence reduces labor and yields similar adherence and efficacy when compared to standard of care.
        Sleep Breath. 2016; ([Epub ahead of print])
      3. Chang J, Liang J, Hwang D, et al. Impact of interactive web-based education and automated feedback program on CPAP adherence for the treatment of obstructive sleep apnea (Abstract). SLEEP 2016; Denver, CA, 2016.

      4. Comstock J. Price Waterhouse: 1 in 5 Americans owns a wearable, 1 in 10 wears them daily. Available at: Accessed September 11, 2015.

      5. Fitness tracker buying guide. Consumer Reports. Available at: Accessed December 17, 2015.

      6. Kell J. These new wearables aren't for your wrist. Fortunate. Available at: Accessed January 17, 2016.

        • Bhat S.
        • Ferraris A.
        • Gupta D.
        • et al.
        Is there a clinical role for smartphone sleep apps? Comparison of sleep cycle detection by a smartphone application to polysomnography.
        J Clin Sleep Med. 2015; 11: 709-715
      7. Prindle D. These sensor-studded headphones can sense when you’re in deep sleep, trigger lucid dreams. Yahoo. Available at: Accessed January 17, 2016.

        • Evenson K.R.
        • Goto M.M.
        • Furberg R.D.
        • et al.
        Systematic review of the validity and reliability of consumer-wearable activity trackers.
        Int J Behav Nutr Phys Act. 2015; 12: 159
        • Meltzer L.J.
        • Hiruma L.S.
        • Avis K.
        • et al.
        Comparison of a commercial accelerometer with polysomnography and actigraphy in children and adolescents.
        Sleep. 2015; 38: 1323-1330
        • Lorig K.
        • Ritter P.L.
        • Villa F.J.
        • et al.
        Community-based peer-led diabetes self-management: a randomized trial.
        Diabetes Educ. 2009; 35: 641-651
        • Parthasarathy S.
        • Wendel C.
        • Haynes P.L.
        • et al.
        A pilot study of CPAP adherence promotion by peer buddies with sleep apnea.
        J Clin Sleep Med. 2013; 9: 543-550
      8. What is population health management? Wellcentive. Available at: Accessed October 1, 2015.