{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,19]],"date-time":"2026-06-19T11:47:55Z","timestamp":1781869675047,"version":"3.54.5"},"reference-count":51,"publisher":"Oxford University Press (OUP)","issue":"4","license":[{"start":{"date-parts":[[2025,11,25]],"date-time":"2025-11-25T00:00:00Z","timestamp":1764028800000},"content-version":"vor","delay-in-days":328,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,10,2]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Integrated alongside home-based passive sleep monitoring, high-frequency assessment of patient reported outcomes (PROs) could enhance both research and clinical care surrounding obstructive sleep apnea (OSA). However, traditional approaches to capturing OSA-related PROs are poorly suited for this purpose. Hence, we investigated the feasibility of a smartphone-based check-in approach to monitor daily PROs (e.g. mental, emotional, and physical) over a 6-month period in people referred for suspected OSA. We quantified and assessed change in the proportion of participants (n\u00a0=\u200968; 54% female) who, on average, achieved an \u201cadequate\u201d self-report rate of \u22654 self-reports per week (out of a possible seven). Generalized additive models (GAMs) were used to investigate if OSA severity (apnea-hypopnea index; AHI) was associated with the probability of adequate initial uptake within the first two\u00a0weeks, sustained engagement over time, and the probability of a self-report on any given day. Self-reports were made on 52.1% of all possible days, equating to (M\u00a0\u00b1\u00a0SD) 3.6\u2009\u00b1\u20093.0 per week. Within the first week, 63.2% of participants achieved \u201cadequate\u201d self-report compliance; during weeks 4 and 12, these rates were 70.6% and 54.4% , respectively. Greater baseline AHI was associated with slower time-dependent decline in the probability of adequate self-report compliance in an exposure-response manner. Within-subjects, daily self-reports were more probable following nights of elevated AHI (absolute and mean-referenced). All GAM smooth terms: p\u00a0&amp;lt;\u2009.00001. Findings demonstrate the feasibility of bi-daily PRO assessment via app-based check-ins for approximately 1\u00a0month in the context of clinical OSA and suggest that greater disease burden enhances sustained engagement with this monitoring approach.<\/jats:p>\n                  <jats:p>This paper is part of the Consumer Sleep Technology Collection.<\/jats:p>\n                  <jats:p>Statement of Significance This study investigates the feasibility of using a brief, app-based questionnaire to capture daily patient-reported outcomes in people with obstructive sleep apnea (OSA), over a 6-month period. Findings are promising, with a large proportion of people achieving more than four self-reports per week, on average, for approximately 1\u00a0month. Notably, higher OSA severity at baseline was associated with more sustained self-report engagement across the monitoring period. Furthermore, participants were more likely to make a self-report if their OSA severity was poorer than usual on the previous night. These results support the feasibility of app-based check-ins for the high-frequency monitoring of OSA\u2019s daytime consequences as part of a home-based symptom monitoring approach.<\/jats:p>","DOI":"10.1093\/sleepadvances\/zpaf086","type":"journal-article","created":{"date-parts":[[2025,11,21]],"date-time":"2025-11-21T13:26:24Z","timestamp":1763731584000},"source":"Crossref","is-referenced-by-count":2,"title":["A mobile-based daily check-in approach to monitor patient reported outcomes in obstructive sleep apnea: results from a 6-month home-based observation study"],"prefix":"10.1093","volume":"6","author":[{"given":"Josh","family":"Fitton","sequence":"first","affiliation":[{"name":"Flinders Health and Medical Research Institute: Sleep Health, Flinders University , Bedford Park 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University , Bedford Park ,","place":["Australia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sutapa","family":"Mukherjee","sequence":"additional","affiliation":[{"name":"Flinders Health and Medical Research Institute: Sleep Health, Flinders University , Bedford Park ,","place":["Australia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Simon","family":"Proctor","sequence":"additional","affiliation":[{"name":"Flinders Health and Medical Research Institute: Sleep Health, Flinders University , Bedford Park ,","place":["Australia"]},{"name":"Southern Adelaide Local Health Network, Department of Respiratory, Sleep and Ventilation , Bedford Park ,","place":["Australia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3302-5995","authenticated-orcid":false,"given":"Kelly A","family":"Loffler","sequence":"additional","affiliation":[{"name":"Flinders Health and Medical Research Institute: Sleep Health, Flinders University , Bedford Park ,","place":["Australia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Barbara","family":"Toson","sequence":"additional","affiliation":[{"name":"Flinders Health and Medical Research Institute: Sleep Health, Flinders University , Bedford Park ,","place":["Australia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3919-1313","authenticated-orcid":false,"given":"Andrew","family":"Vakulin","sequence":"additional","affiliation":[{"name":"Flinders Health and Medical Research Institute: Sleep Health, Flinders University , Bedford Park ,","place":["Australia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3503-2363","authenticated-orcid":false,"given":"Danny J","family":"Eckert","sequence":"additional","affiliation":[{"name":"Flinders Health and Medical Research Institute: Sleep Health, Flinders University , Bedford Park 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