title: Monitoring Progress and Adherence with Positive Airway Pressure Therapy for Obstructive Sleep Apnea: The Roles of Telemedicine and Mobile Health Applications.
abstract: Technology is changing the way health care is delivered and how patients are approaching their own health. Given the challenge within sleep medicine of optimizing adherence to continuous positive airway pressure (CPAP) therapy in patients with obstructive sleep apnea (OSA), implementation of telemedicine-based mechanisms is a critical component toward developing a comprehensive and cost-effective solution for OSA management. Key elements include the use of electronic messaging, remote monitoring, automated care mechanisms, and patient self-management platforms. Current practical sleep-related telemedicine platforms include Web-based educational programs, automated CPAP follow-up platforms that promote self-management, and peer-based patient-driven Internet support forums.
authors.affiliation: Sleep Medicine, Southern California Permanente Medical Group, Kaiser Permanente Fontana Sleep Disorders Center, 9961 Sierra Avenue, Fontana, CA 92335, USA. Electronic address: Dennis.x.hwang@kp.org.
authors.forename: Dennis
authors.initials: D
authors.lastname: Hwang
mesh_terms: D045422:Continuous Positive Airway Pressure / Q000379:methods*; D006801:Humans; D010043:Outcome and Process Assessment, Health Care / Q000379:methods*; D020181:Sleep Apnea, Obstructive / Q000628:therapy*; D017216:Telemedicine / Q000379:methods*
keywords: CPAP adherence; CPAP follow-up; Electronic health records; Mobile health applications; Patient engagement; Self-management; Telemedicine; Wearable sensors