Effect of Post-Discharge Telemedicine Motivational Enhancement Intervention in Heart Failure and Obstructive Sleep Apnea on Adherence and Health Outcomes

2020 American Board of Sleep Medicine Junior Faculty Grant

Cinthya Pena Orbea, MD
Cleveland Clinic

Key Project Outcome

Adherence to Positive Airway Pressure in patients with Acute Decompensated Heart Failure (ADHF) and Obstructive Sleep Apnea (OSA) is linked with better outcomes. Nonetheless, long-term PAP adherence poses substantial challenges. Our study examined the impact of telemedicine intensive motivational enhancement (TIME) approach on PAP adherence in patients discharged from the hospital with an admission diagnosis of ADHF and a new diagnosis of OSA while hospitalized. Our results showed that at 3 months after discharge from the hospital, PAP usage among those who received the intervention (TIME) was higher compared to the group that did not receive the intervention. However, there was not a significant difference when compared to the control group. Similar findings were observed at 6 months. Importantly patients who received the intervention reported significant improvement in their heart failure quality of life subscale questionnaire at 3 months. This suggests that while TIME may not significantly impact PAP adherence, it may improve patients’ perception of their heart failure related quality of life and overall well-being.

Meeting Abstracts

SLEEP

Telemedicine Motivational Enhancement in Heart Failure and Sleep Apnea Randomized Clinical Trial