Key Project Outcomes
Insomnia is a highly prevalent condition that is associated with increased risk for hospitalization and mortality. Telemedicine approaches for delivering the standard of care therapy (cognitive behavioral therapy for insomnia [CBTi]) are burgeoning, and comparisons against in-person delivery of care have been performed previously. However, none of these studies compared telemedicine CBTi against in-person CBTi in recently hospitalized patients with insomnia.
Our study used the American Academy of Sleep Medicine (AASM) telemedicine platform to study the following aims: Aim #1: To perform comparative effectiveness research of CBT-I administered by telemedicine versus conventional office-based CBT-I on insomnia severity in recently hospitalized patients. Aim #2: To perform comparative effectiveness research of CBT-I administered by telemedicine versus conventional office-based CBT-I on patient satisfaction. Our study found that telemedicine CBTi is non-inferior compared to in-person CBTi with regards to the treatment of insomnia in recently hospitalized patients. Interestingly, our study found that patients receiving telemedicine CBTi reported greater satisfaction with healthcare delivery than recently hospitalized patients receiving care for their insomnia. Considering the significant increase in healthcare delivered through telemedicine, and the uncertain future of telemedicine parity laws, the finding of greater patient-centered care through telemedicine is a very important finding that will have significant favorable impact on healthcare delivery in sleep medicine.
Cloud-Based Evaluation of Wearable-Derived Sleep Data in Insomnia Trials
JOURNAL OF CLINICAL SLEEP MEDICINE
Too little, but still great?
Sleep apnea 20/20: a 20-year cohort that continues to inform the next 20 years
Incidence of hypertension in obstructive sleep apnea using hypopneas defined by 3 percent oxygen desaturation or arousal but not by only 4 percent
Differences in sleep timing and related effects between African Americans and non-Hispanic Whites
Matrix metalloproteinase-9 as a messenger in the cross talk between obstructive sleep apnea and comorbid systemic hypertension, cardiac remodeling, and ischemic stroke: a literature review
Which older adults receive sleep medicine specialty care? Predictors of being seen by a board-certified sleep medicine provider
Delayed Sleep Time in African Americans and Depression in a Community-Based Population
Mother Knows Best? Comparing Child Report and Parent Report of Sleep Parameters With Polysomnography
Sleep-Disordered Breathing is Associated With Increased Mortality in Hospitalized Infants With Congenital Heart Disease
SOUTHWEST JOURNAL OF PULMONARY AND CRITICAL CARE
The Association Between Obstructive Sleep Apnea Defined by 3 Percent Oxygen Desaturation or Arousal Definition and Self-Reported Cardiovascular Disease in the Sleep Heart Health Study
JOURNAL OF AMERICAN MEDICAL ASSOCIATION
Nocturnal Oxygen for High Altitude Travel in Patients With Chronic Obstructive Pulmonary Disease