Date of Award

Spring 2023

Document Type

DNP Project

Degree Name

Doctor of Nursing Practice (DNP)

Department

Nursing

Committee Chairperson

Marguerite Ambrose, Ph.D.

Committee Member

Cheryl Schlamb, DNP

Committee Member

Jacquelin Owens, DNP

Committee Member

Veronica Wilbur, Ph.D.

Abstract

Obstructive sleep apnea (OSA) is an increasingly recognized condition affecting patient health and public welfare. While positive airway pressure (PAP) therapy has remained the preferred treatment for OSA since 1981, PAP therapy adherence rates have also remained stubbornly suboptimal. Measures for improving PAP therapy adherence have been under constant study, and current literature demonstrates telemonitoring interventions to be promising. Furthermore, the American Academy of Sleep Medicine (AASM) suggests that telemonitoring interventions be integrated into standard practice to support patients as they initiate and acclimate to PAP therapy. This quality improvement project examined the effect of interval PAP data telemonitoring and as needed (data triggered) patient support via telephone consultation(s) at two- and/or four-weeks post therapy initiation in patients with moderate to severe OSA. Compared to standard practice, this intervention resulted in significantly higher mean PAP adherence and a greater percentage of participants demonstrating continued PAP usage at 90 days post therapy initiation. The project’s results reflected those reported in the literature but did not result in a statistically significant increase in what is considered and defined as “good PAP adherence.”

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