title: Patient perspective on use of an interactive website for sleep apnea.
abstract: Incomplete patient adherence with nasal continuous positive airway pressure (CPAP) limits the effectiveness of treatment and results in suboptimal obstructive sleep apnea (OSA) outcomes. An interactive website specifically designed for patients with OSA was designed and utilized in a randomized clinical trial to test its effect on increasing CPAP adherence. The goal of this paper is to report on CPAP adherence, internet use, privacy concerns and user satisfaction in using the website. The original project was designed as a randomized, controlled clinical trial of Usual Care (UC, control) versus MyCPAP group (intervention). Questionnaires were administered to evaluate the patient perspective of using the MyCPAP website. Participation in the MyCPAP intervention resulted in higher CPAP adherence at the two-month time point relative to participation in the UC group (3.4  ±  2.4 and 4.1  ±  2.3 hrs/nt; P = 0.02; mean  ±  SD). Participants randomized to the MyCPAP website increased their use of the internet to obtain OSA related information, but did not increase their use of the internet to get information on general health or medical conditions. Users had very little concern about their CPAP data being viewed daily or being sent over the internet. Future studies should consider the use of newer evaluation criteria for collaborative adaptive interactive technologies.
authors.affiliation: Health Services Research and Development Unit, Veteran Affairs San Diego Healthcare System, 3350 La Jolla Village Drive 111N-1, San Diego, CA 92161, USA ; Department of Medicine, University of California, San Diego, CA 92037, USA.
authors.forename: Carl
authors.initials: C
authors.lastname: Stepnowsky
authors.forename: Christine
authors.initials: C
authors.lastname: Edwards
authors.forename: Tania
authors.initials: T
authors.lastname: Zamora
authors.forename: Robert
authors.initials: R
authors.lastname: Barker
authors.forename: Zia
authors.initials: Z
authors.lastname: Agha