{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,20]],"date-time":"2026-06-20T03:10:34Z","timestamp":1781925034786,"version":"3.54.5"},"reference-count":39,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2025,6,25]],"date-time":"2025-06-25T00:00:00Z","timestamp":1750809600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2025,6,25]],"date-time":"2025-06-25T00:00:00Z","timestamp":1750809600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/100009520","name":"Praxis Spinal Cord Institute","doi-asserted-by":"publisher","award":["G2021\u201040"],"award-info":[{"award-number":["G2021\u201040"]}],"id":[{"id":"10.13039\/100009520","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Sleep Research"],"published-print":{"date-parts":[[2026,2]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>\n                    This prospective multi\u2010method study was performed to assess the feasibility and validity of an unattended home\u2010based sleep screening test (HBSST) in the detection of sleep\u2010related breathing disorders (SRBDs) among individuals with spinal cord injury (SCI). Further, the economic impact of the HBSST was compared with polysomnography using cost\u2010minimisation analysis. Adults with subacute\/chronic (&gt;\u20091\u2009month) SCI were recruited for the multi\u2010method study. Feasibility analysis included quantitative and qualitative data. A pilot validity analysis compared the apnea\u2010hypopnea index (AHI) from the HBSST and from polysomnography in nine individuals with mild\u2010to\u2010severe SRBD. Notably, HBSST and polysomnography tests were separately performed. Of the 28 participants (11 females, 17 males; mean age: 54.9\u2009years) with subacute\/chronic, complete (\n                    <jats:italic>n<\/jats:italic>\n                    \u2009=\u20097) or incomplete SCI at cervical (\n                    <jats:italic>n<\/jats:italic>\n                    \u2009=\u200918), thoracic (\n                    <jats:italic>n<\/jats:italic>\n                    = 8) or lumbosacral levels, nine individuals were diagnosed with a moderate\u2010to\u2010severe SRBD. All participants successfully completed the HBSST. Most of the participants (60.71%) set up the device for the HBSST without any assistance. The AHI from the HBSST was significantly correlated with the AHI from the polysomnography (\n                    <jats:italic>r<\/jats:italic>\n                    \u2009=\u20090.717;\n                    <jats:italic>p<\/jats:italic>\n                    \u2009=\u20090.0248;\n                    <jats:italic>n<\/jats:italic>\n                    \u2009=\u20099). Finally, our results indicated that the use of HBSST was a cost\u2010saving approach when compared with polysomnography. In conclusion, the results of our prospective multi\u2010method study provided novel and clinically important data to support the feasibility and suggest criterion validity of a HBSST when compared with the findings from polysomnography completed during different nights. The results of our cost\u2010minimisation analysis indicated that the HBSST is a more cost\u2010effective strategy for detection of SRBDs in the SCI population than polysomnography.\n                  <\/jats:p>","DOI":"10.1111\/jsr.70112","type":"journal-article","created":{"date-parts":[[2025,6,25]],"date-time":"2025-06-25T20:29:51Z","timestamp":1750883391000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Feasibility, Validity and Economic Impact of a Home\u2010Based Sleep Screening Test in the Detection of Sleep\u2010Related Breathing Disorders in Individuals Living With Spinal Cord Injury: A Multi\u2010Method Study and Cost\u2010Minimisation Analysis"],"prefix":"10.1111","volume":"35","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2038-0018","authenticated-orcid":false,"given":"Julio C.","family":"Furlan","sequence":"first","affiliation":[{"name":"KITE Research Institute University Health Network  Toronto Ontario Canada"},{"name":"Lyndhurst Centre, Toronto Rehabilitation Institute University Health Network  Toronto Ontario Canada"},{"name":"Department of Medicine, Division of Physical Medicine and Rehabilitation University of Toronto  Toronto Ontario Canada"},{"name":"Rehabilitation Sciences Institute University of Toronto  Toronto Ontario Canada"},{"name":"Institute of Medical Science, Temerty Faculty of Medicine University of Toronto  Toronto Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-3788-1218","authenticated-orcid":false,"given":"Julia I.","family":"Coschignano","sequence":"additional","affiliation":[{"name":"Rehabilitation Sciences Institute University of Toronto  Toronto Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sarah","family":"Berger","sequence":"additional","affiliation":[{"name":"Hurvitz Brain Sciences Program, Sunnybrook Research Institute Sunnybrook Health Sciences Centre  Toronto Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sander L.","family":"Hitzig","sequence":"additional","affiliation":[{"name":"Rehabilitation Sciences Institute University of Toronto  Toronto Ontario Canada"},{"name":"St. John's Rehab Research Program, Sunnybrook Research Institute Sunnybrook Health Sciences Centre  Toronto Ontario Canada"},{"name":"Department of Occupational Science and Occupational Therapy, Temerty Faculty of Medicine University of Toronto  Toronto Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"James","family":"Milligan","sequence":"additional","affiliation":[{"name":"Department of Family Medicine McMaster University  Hamilton Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peter","family":"Athanasopoulos","sequence":"additional","affiliation":[{"name":"SCI Ontario  Toronto Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mark I.","family":"Boulos","sequence":"additional","affiliation":[{"name":"Rehabilitation Sciences Institute University of Toronto  Toronto Ontario Canada"},{"name":"Institute of Medical Science, Temerty Faculty of Medicine University of Toronto  Toronto Ontario Canada"},{"name":"Hurvitz Brain Sciences Program, Sunnybrook Research Institute Sunnybrook Health Sciences Centre  Toronto Ontario Canada"},{"name":"Department of Medicine, Division of Neurology University of Toronto  Toronto Ontario 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