Public engagement with consumer sleep technology for obstructive sleep apnea screening: implications for equity, access, and practice.

IF 3.5 3区 医学 Q1 CLINICAL NEUROLOGY Journal of Clinical Sleep Medicine Pub Date : 2024-10-10 DOI:10.5664/jcsm.11418
Nicholas R Lenze, Ruby J Kazemi, Allison K Ikeda, Punithavathy Vijayakumar, Cathy A Goldstein, Jeffrey J Stanley, Michael J Brenner, Paul T Hoff
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Abstract

Study objectives: To characterize public practices and perspectives on the use of consumer sleep technology (CST) and evaluate perspectives on using CST as a screening tool for obstructive sleep apnea (OSA).

Methods: We designed a survey instrument incorporating content from validated instruments (STOP-BANG and the Epworth Sleepiness Scale) and hypothesis-generated questions. Survey development involved multidisciplinary collaboration among three board-certified sleep medicine experts, researchers, and consumers. The survey was disseminated across a national sample of adults living in the United States via an online platform.

Results: Among 897 respondents, the mean (SD) age was 47.5 (16.9) years; 73.1% were female, 81.8% were White, and 505 respondents (56.3%) reported having tracked sleep using CS. Factors associated with decreased odds of CST use included household income <$30,000 (OR 0.47, 95% CI 0.28-0.79; p=0.004), Medicaid insurance (OR 0.43, 95% CI 0.26-0.69; p=0.001), Medicare insurance (OR 0.59, 95% CI 0.41-0.84; p=0.004), and lack of a primary care physician (OR 0.55, 95% CI 0.33-0.91; p=0.021). Most respondents (91.1%) agreed or strongly agreed that screening for OSA would be a useful feature of CST, but respondents reporting an education of high school diploma or less (OR 0.48, 95% CI 0.29-0.79; p=0.004) were less likely to agree with this statement.

Conclusions: Attitudes toward and use of CST differed based on demographic and socioeconomic factors. Further study is needed to understand and address barriers to CST adoption and to characterize implications for equitable access to care for sleep disorders.

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公众参与消费者睡眠技术的阻塞性睡眠呼吸暂停筛查:对公平、获取和实践的影响。
研究目的了解公众使用消费者睡眠技术(CST)的做法和观点,并评估使用消费者睡眠技术作为阻塞性睡眠呼吸暂停(OSA)筛查工具的观点:我们设计了一种调查工具,其中包含了经过验证的工具(STOP-BANG 和埃普沃思嗜睡量表)的内容和假设产生的问题。调查问卷的编制工作由三位经委员会认证的睡眠医学专家、研究人员和消费者多学科合作完成。调查通过一个在线平台向居住在美国的全国成人样本进行传播:在 897 名受访者中,平均(标清)年龄为 47.5(16.9)岁;73.1% 为女性,81.8% 为白人,505 名受访者(56.3%)表示曾使用过 CS 跟踪睡眠。与使用 CST 的几率下降相关的因素包括家庭收入 结论对 CST 的态度和使用情况因人口和社会经济因素而异。需要进一步研究以了解和解决采用 CST 的障碍,并确定其对公平获得睡眠障碍护理的影响。
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来源期刊
CiteScore
6.20
自引率
7.00%
发文量
321
审稿时长
1 months
期刊介绍: Journal of Clinical Sleep Medicine focuses on clinical sleep medicine. Its emphasis is publication of papers with direct applicability and/or relevance to the clinical practice of sleep medicine. This includes clinical trials, clinical reviews, clinical commentary and debate, medical economic/practice perspectives, case series and novel/interesting case reports. In addition, the journal will publish proceedings from conferences, workshops and symposia sponsored by the American Academy of Sleep Medicine or other organizations related to improving the practice of sleep medicine.
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