Telehealth Technology Application in Enhancing Continuous Positive Airway Pressure Adherence in Obstructive Sleep Apnea Patients: A Review of Current Evidence

Benjamin Ka Seng Thong; Grace Xin Yun Loh; Jia Jan Lim; Christina Jia Liang Lee; Shu Ning Ting; Hong Peng Li; Qing Yun Li

doi:10.3389/fmed.2022.877765

Telehealth Technology Application in Enhancing Continuous Positive Airway Pressure Adherence in Obstructive Sleep Apnea Patients: A Review of Current Evidence

Front Med (Lausanne). 2022 May 3:9:877765. doi: 10.3389/fmed.2022.877765. eCollection 2022.

Authors

Benjamin Ka Seng Thong^{1

2}, Grace Xin Yun Loh^{1

2}, Jia Jan Lim^{1

2}, Christina Jia Liang Lee^{1

2}, Shu Ning Ting^{1

2}, Hong Peng Li¹, Qing Yun Li¹

Affiliations

¹ Department of Respiratory and Critical Care Medicine, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
² Shanghai Jiao Tong University School of Medicine, Shanghai, China.

Abstract

Obstructive sleep apnea (OSA) is a common type of sleep-disordered breathing associated with multiple comorbidities. Continuous positive airway pressure (CPAP) is the first choice for moderate-severe OSA but poor compliance brings a great challenge to its effectiveness. Telehealth interventions ease the follow-up process and allow healthcare facilities to provide consistent care. Fifth-generation wireless transmission technology has also greatly rationalized the wide use of telemedicine. Herein, we review the efficacy of the telehealth system in enhancing CPAP adherence. We recommend applying telemonitoring in clinical practice and advocate the development of a biopsychosocial telemedicine model with the integration of several interventions. Big databases and promising artificial intelligent technologies make clinical decision support systems and predictive models based on these databases possible.

Keywords: CPAP; compliance; eHealth; sleep apnea syndromes; telemedicine; telemonitoring.

Publication types

Review