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

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          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.

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          Most cited references80

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          Estimation of the global prevalence and burden of obstructive sleep apnoea: a literature-based analysis

          There is a scarcity of published data on the global prevalence of obstructive sleep apnoea, a disorder associated with major neurocognitive and cardiovascular sequelae. We used publicly available data and contacted key opinion leaders to estimate the global prevalence of obstructive sleep apnoea.
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            Social Learning Theory and the Health Belief Model

            The Health Belief Model, social learning theory (recently relabelled social cognitive theory), self-efficacy, and locus of control have all been applied with varying success to problems of explaining, predicting, and influencing behavior. Yet, there is conceptual confusion among researchers and practitioners about the interrelationships of these theories and variables. This article attempts to show how these explanatory factors may be related, and in so doing, posits a revised explanatory model which incorporates self-efficacy into the Health Belief Model. Specifically, self-efficacy is proposed as a separate independent variable along with the traditional health belief variables of perceived susceptibility, severity, benefits, and barriers. Incentive to behave (health motivation) is also a component of the model. Locus of control is not included explicitly because it is believed to be incorporated within other elements of the model. It is predicted that the new formulation will more fully account for health-related behavior than did earlier formulations, and will suggest more effective behavioral interventions than have hitherto been available to health educators.
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              Mobile devices and apps for health care professionals: uses and benefits.

              Health care professionals' use of mobile devices is transforming clinical practice. Numerous medical software applications can now help with tasks ranging from information and time management to clinical decision-making at the point of care.
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                Author and article information

                Contributors
                Journal
                Front Med (Lausanne)
                Front Med (Lausanne)
                Front. Med.
                Frontiers in Medicine
                Frontiers Media S.A.
                2296-858X
                03 May 2022
                2022
                : 9
                : 877765
                Affiliations
                [1] 1Department of Respiratory and Critical Care Medicine, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine , Shanghai, China
                [2] 2Shanghai Jiao Tong University School of Medicine , Shanghai, China
                Author notes

                Edited by: Zhongxing Zhang, Clinic and Care Center Barmelweid, Switzerland

                Reviewed by: Corrado Pelaia, Magna Graecia University, Italy; Tarja Saaresranta, University of Turku, Finland

                *Correspondence: Qing Yun Li, liqingyun68@ 123456hotmail.com

                This article was submitted to Pulmonary Medicine, a section of the journal Frontiers in Medicine

                Article
                10.3389/fmed.2022.877765
                9110793
                3ab20aa7-0800-4aaf-bc59-5d7c5df73ceb
                Copyright © 2022 Thong, Loh, Lim, Lee, Ting, Li and Li.

                This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

                History
                : 17 February 2022
                : 05 April 2022
                Page count
                Figures: 2, Tables: 3, Equations: 0, References: 82, Pages: 13, Words: 9247
                Funding
                Funded by: National Natural Science Foundation of China, doi 10.13039/501100001809;
                Award ID: 82070089
                Award ID: 8770084
                Funded by: Science and Technology Commission of Shanghai Municipality, doi 10.13039/501100003399;
                Award ID: 18140903600
                Funded by: National Key Research and Development Program of China, doi 10.13039/501100012166;
                Award ID: 2018YFC1311900
                Categories
                Medicine
                Review

                sleep apnea syndromes,ehealth,telemedicine,compliance,cpap,telemonitoring

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