{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,12]],"date-time":"2026-07-12T23:05:49Z","timestamp":1783897549020,"version":"3.55.0"},"reference-count":16,"publisher":"Oxford University Press (OUP)","issue":"3","funder":[{"name":"Sleep Medicine Section of the VA San Diego Healthcare System","award":["SWIFT-IVI FY23-05-12"],"award-info":[{"award-number":["SWIFT-IVI FY23-05-12"]}]},{"name":"Sleep Medicine Section of the VA San Diego Healthcare System","award":["VA RR&D D2651-R"],"award-info":[{"award-number":["VA RR&D D2651-R"]}]},{"DOI":"10.13039\/100000738","name":"Department of Veterans Affairs","doi-asserted-by":"publisher","award":["IK2CX002524-01A2"],"award-info":[{"award-number":["IK2CX002524-01A2"]}],"id":[{"id":"10.13039\/100000738","id-type":"DOI","asserted-by":"publisher"}]},{"name":"National Institutes of Health Loan Repayment Program"},{"DOI":"10.13039\/100000968","name":"American Heart Association","doi-asserted-by":"publisher","award":["CDA#940501"],"award-info":[{"award-number":["CDA#940501"]}],"id":[{"id":"10.13039\/100000968","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","award":["K23HL161336"],"award-info":[{"award-number":["K23HL161336"]}],"id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100013981","name":"American Academy of Sleep Medicine Foundation","doi-asserted-by":"publisher","award":["#277-JF-22"],"award-info":[{"award-number":["#277-JF-22"]}],"id":[{"id":"10.13039\/100013981","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,7,8]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Study Objectives<\/jats:title>\n                    <jats:p>To describe the use of transoral neuromuscular stimulation therapy in Veterans with mild obstructive sleep apnea (OSA) by looking at session-level data for both adherence and stimulation intensity.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A retrospective review of session-level data of the 82 patients prescribed the eXciteOSA device at the VA San Diego Healthcare System was analyzed. The device is prescribed for use over two phases: (1) Phase 1: one daily 20-min session daily for 42\u00a0days, and (2) Phase 2: one daily 20-min session on 2\u00a0days per week.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Forty-one out of 76 patients (54\u00a0per cent) completed Phase 1 (42 sessions) within the first 60\u00a0days of using eXciteOSA therapy. Three (4\u00a0per cent) completed Phase 1 after the first 60\u00a0days, and 32 (42\u00a0per cent) patients never completed Phase 1. Initial Phase 1 graduates had a cumulative usage of 866\u00a0min, while those that did not complete Phase 1 had 578\u00a0min. Average stimulation intensity levels (SIL) in the initial Phase 1 graduates increased from week 1 to week 6 (from 3.2 to 11.2).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Based on the prescription-based adherence definition, adherence is modest but is contingent on how adherence is defined. Notably however, median positive airway pressure adherence is 40\u00a0per cent for those with a recent prescription within our facility for comparison. Future research should focus on interventions to help improve both adherence and SIL of this novel daytime OSA therapy.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/sleepadvances\/zpag061","type":"journal-article","created":{"date-parts":[[2026,6,11]],"date-time":"2026-06-11T11:52:59Z","timestamp":1781178779000},"source":"Crossref","is-referenced-by-count":0,"title":["Transoral neuromuscular electrical stimulation therapy adherence and intensity levels in veterans with mild OSA"],"prefix":"10.1093","volume":"7","author":[{"given":"Carl","family":"Stepnowsky","sequence":"first","affiliation":[{"name":"Health Services Research & Development, VA San Diego Healthcare System , San Diego, CA ,","place":["United States"]},{"name":"Department of Medicine, Division of General Internal Medicine, University of California San Diego , La Jolla, CA ,","place":["United 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Medicine Section, VA San Diego Healthcare System , San Diego, CA ,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert L","family":"Owens","sequence":"additional","affiliation":[{"name":"Sleep Medicine Section, VA San Diego Healthcare System , San Diego, CA ,","place":["United States"]},{"name":"Department of Medicine, Division of Pulmonary, Critical Care, and Sleep Medicine, University of California at San Diego , La Jolla, CA ,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9771-1332","authenticated-orcid":false,"given":"Brian S","family":"Wojeck","sequence":"additional","affiliation":[{"name":"Department of Endocrinology, Yale University , New Haven, CT ,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peter","family":"Colvonen","sequence":"additional","affiliation":[{"name":"VA Center of Excellence for Stress and Mental 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assessment","volume":"15","author":"Patil","year":"2019","journal-title":"J Clin Sleep Med"},{"issue":"8","key":"2026071215113859200_ref2","doi-asserted-by":"publisher","first-page":"1249","DOI":"10.5664\/jcsm.8476","article-title":"Racial disparities in positive airway pressure therapy adherence among veterans with obstructive sleep apnea","volume":"16","author":"Hsu","year":"2020","journal-title":"J Clin Sleep Med"},{"issue":"8","key":"2026071215113859200_ref3","doi-asserted-by":"publisher","first-page":"887","DOI":"10.1164\/rccm.202107-1666ED","article-title":"Philips Respironics recall of positive airway pressure and noninvasive ventilation devices: a Brief statement to inform response efforts and identify key steps forward","volume":"204","author":"Owens","year":"2021","journal-title":"Am J Respir Crit Care Med"},{"issue":"2","key":"2026071215113859200_ref4","doi-asserted-by":"publisher","first-page":"527","DOI":"10.1007\/s11325-022-02644-9","article-title":"Transoral awake state 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