{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T22:27:32Z","timestamp":1791239252643,"version":"4.1.0"},"reference-count":18,"publisher":"Oxford University Press (OUP)","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,4,16]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Study Objectives<\/jats:title>\n                    <jats:p>This pilot randomized trial measured the effects of a consumer-grade wearable-augmented program, which provides nightly pulse oximetry data to patients in a weekly report, on positive airway pressure (PAP) use in adults with obstructive sleep apnea (OSA) recruited from an outpatient sleep center.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This single-blind, parallel, two-group waitlist-controlled, single-site randomized trial recruited individuals with OSA with insufficient PAP use from a Department of Veterans Affairs medical center and randomized them to immediate participation in the consumer wearable-augmented self-monitoring program versus waitlist. The primary outcome was the change in modem-measured PAP use (mean hours or minutes per night over a 7-day period) from baseline (T1) to T3 assessment, which was 35\u00a0days following randomization (7\u00a0days post-intervention for the immediate group and prior to intervention for the waitlist group).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>We randomized 50 participants (mean age 47.9\u00a0years [SD 11.4]; 88% male). The change in PAP use was +1.33\u00a0hours (+79.8\u00a0minutes) for the immediate group and \u22120.17\u00a0hours (\u221210.2\u00a0minutes) for the waitlist control group, with a between-group difference of 1.50\u00a0hours (90\u00a0minutes) (p = .0097). The change in the number of days PAP was used for 4\u00a0hours or more over a 7-day period was +1.32\u00a0days for the immediate and 0.12\u00a0days for the waitlist control group, with a between-group difference of 1.20 (p = .0401).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>This pilot trial demonstrated that the consumer-grade wearable-augmented program is a promising intervention for increasing PAP use. A future full-scale trial that follows participants for a longer period is needed.<\/jats:p>\n                    <jats:p>Statement of Significance This pilot trial tested a novel use of the pulse oximetry feature available on some consumer-grade wearable devices to increase use of positive airway pressure (PAP) devices among adults with obstructive sleep apnea (OSA) and insufficient PAP use. The widespread and growing use of consumer-grade wearable devices offers an opportunity to leverage the features on these devices to tackle a common, problematic issue among individuals with OSA\u2014insufficient use of PAP therapy. The randomized controlled design provides support for future research involving these devices.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/sleep\/zsaf342","type":"journal-article","created":{"date-parts":[[2025,10,29]],"date-time":"2025-10-29T12:49:56Z","timestamp":1761742196000},"source":"Crossref","is-referenced-by-count":5,"title":["Augmenting management of obstructive sleep apnea with consumer wearable devices to increase use of positive airway pressure therapy: a pilot randomized trial"],"prefix":"10.1093","volume":"49","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0140-7932","authenticated-orcid":false,"given":"Constance H","family":"Fung","sequence":"first","affiliation":[{"name":"Geriatric Research, Education and Clinical Center, VA Greater Los Angeles Healthcare System , Los Angeles, CA ,","place":["United States"]},{"name":"Department of Medicine, David Geffen School of Medicine at the University of California, Los Angeles , Los Angeles, CA 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