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0817 Intervention by a Sleep Medicine Physician in the PAP Adherence Program at Arkansas Children’s

Sleep (New York, N.Y.), 2018-04, Vol.41 (suppl_1), p.A303-A303 [Peer Reviewed Journal]

Sleep Research Society 2018. Published by Oxford University Press [on behalf of the Sleep Research Society]. All rights reserved. For permissions, please email: journals.permissions@oup.com 2018 ;Copyright © 2018 Sleep Research Society ;ISSN: 0161-8105 ;EISSN: 1550-9109 ;DOI: 10.1093/sleep/zsy061.816

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  • Title:
    0817 Intervention by a Sleep Medicine Physician in the PAP Adherence Program at Arkansas Children’s
  • Author: Pruss, K
  • Subjects: Children & youth
  • Is Part Of: Sleep (New York, N.Y.), 2018-04, Vol.41 (suppl_1), p.A303-A303
  • Description: Abstract Introduction The Adherence Program at Arkansas Children’s consisting of pediatric psychologist & respiratory therapist visits was initiated in 2010 to improve adherence to CPAP among children with OSA. In 2014, we introduced a standardized educational intervention by Sleep physician at visit 1. This study was done to identify the outcome of this multidisciplinary program and evaluate if adding a physician visit improved outcome of the program. Methods This is a retrospective chart review of our PAP database & patient’s medical records. This extensive database includes demographic data, and adherence information at each visit. We plan to compare outcome between the 2 groups. Results 326 patients in AD program were identified. Of these, 89 (52%) graduated. 170 patients were from 2010–2013. Of these 57 (33%) graduated. 156 were after 2014. Of these 32 (20%) graduated. However, many of these patients are still working with the program. In period 2010-2013 33.7% of patients graduated compared to 21.5% in period 2014–2017. In priod 2010- 2013 18.3 % of patients wer Lost to follow up compared to 16.8% in period 2014–2017. n period 2010-2013 48.0% of patients did not graduate but coninue attending compared to 61.7% in period 2014–2017. An overall comparison of these percentages by period shows a significant diference (p=0.0282, chi-square, df=2). There is no significant difference between in sex distribution and BMI between the two groups. Conclusion More than half the patients successfully completed the program. There was no obvious improvement after addition of physician visit. We plan to further evaluate the data to compare adherence between patients that participated in the program with those that did not & to further analyze data regarding adherence at 3 rd visit & last visit between the 2 groups. This will be done as many patients did not officially graduate from this intense program, but continued in clinic with good adherence. We anticipate getting important information regarding a multidisciplinary program to improve adherence with PAP use in children. Support (If Any) n/a
  • Publisher: US: Oxford University Press
  • Language: English
  • Identifier: ISSN: 0161-8105
    EISSN: 1550-9109
    DOI: 10.1093/sleep/zsy061.816
  • Source: ProQuest One Psychology
    AUTh Library subscriptions: ProQuest Central
    Alma/SFX Local Collection
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