This month's issue of SLEEP includes an article of interest for centers having trouble increasing patient adherence to treatment. It turns out that when patients are given access to their own PAP usage data, adherence to treatment increased on average by more than 1½ hours per night. Adding a financial incentive did not result in a further increase. The study was short term and included only the first month of use, but as we know this is a critical period for patient adherence to treatment. The study was the result of a multi-center collaboration led by Dr. Sam Kuna of the University of Pennsylvania.
Reference: Kuna ST, Shuttleworth D, Chi L, Schutte-Rodin S, Friedman E, Guo H, Dhand S, Yang L, Zhu J, Bellamy SL, Volpp KG, Asch DA. Web based access to positive airway pressure usage with or without an initial financial incentive improves treatment use in patients with obstructive sleep apnea. SLEEP 2015;38(8):1229-1236.