{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,4]],"date-time":"2026-11-04T22:14:48Z","timestamp":1793830488903,"version":"4.6.1"},"reference-count":23,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2016,7,8]],"date-time":"2016-07-08T00:00:00Z","timestamp":1467936000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Telemed Telecare"],"published-print":{"date-parts":[[2017,1]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Continuous positive airway pressure (CPAP) is the first-choice treatment for obstructive sleep apnoea (OSA), but adherence is frequently suboptimal. Innovative, patient-centred interventions are, therefore, needed to enhance compliance. Due to its low cost and ubiquity, mobile health (mHealth) technology seems particularly suited for this purpose. We endeavoured to develop an mHealth application called \u201cAPPnea,\u201d aimed at promoting patient self-monitoring of CPAP treatment. We then assessed the feasibility and acceptability of APPnea in a group of OSA patients.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Consecutive OSA patients used APPnea for six weeks. APPnea gave patients daily reminders to answer three questions about their OSA treatment (CPAP use, physical activity, and diet) and prompted them to upload their body weight weekly. Answers were saved to a secure server for further analysis. After completing the study, patients gave their anonymous opinions about APPnea.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>We enrolled 60 patients with OSA receiving CPAP treatment. The mean age was 56\u2009\u00b1\u200910 years and the apnoea\u2013hypopnea index was 47\u2009\u00b1\u200925 events\/hour. In total, 63% of participants completed the daily questionnaire for more than 66% of the study period. Objective CPAP compliance was generally high (5.3\u2009\u00b1\u20091.6 hours\/night). In a subset of 38 patients na\u00efve to CPAP, those who used APPnea regularly had significantly higher CPAP compliance. Satisfaction levels were high for the majority of users.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>This mHealth intervention is not only feasible but also satisfactory to patients. Although larger randomized trials and cost-effectiveness studies should be performed, this study shows that APPnea could promote participation and improve compliance among patients with OSA, thereby improving outcomes.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/1357633x15621848","type":"journal-article","created":{"date-parts":[[2015,12,16]],"date-time":"2015-12-16T20:48:57Z","timestamp":1450298937000},"page":"14-18","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":51,"title":["A New mHealth application to support treatment of sleep apnoea patients"],"prefix":"10.1177","volume":"23","author":[{"given":"Valentina","family":"Isetta","sequence":"first","affiliation":[{"name":"Unit of Biophysics and Bioengineering, Faculty of Medicine, University of Barcelona, Barcelona, Spain"},{"name":"CIBER de Enfermedades Respiratorias (CIBERES), Madrid, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marta","family":"Torres","sequence":"additional","affiliation":[{"name":"CIBER de Enfermedades Respiratorias (CIBERES), Madrid, Spain"},{"name":"Sleep Laboratory, Pneumology Department, Hospital Clinic of Barcelona, Barcelona, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kevin","family":"Gonz\u00e1lez","sequence":"additional","affiliation":[{"name":"Unit of Biophysics and Bioengineering, Faculty of Medicine, University of Barcelona, Barcelona, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Concepci\u00f3n","family":"Ruiz","sequence":"additional","affiliation":[{"name":"Sleep Laboratory, Pneumology Department, Hospital Clinic of Barcelona, Barcelona, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mireia","family":"Dalmases","sequence":"additional","affiliation":[{"name":"CIBER de Enfermedades Respiratorias (CIBERES), Madrid, Spain"},{"name":"Sleep Laboratory, Pneumology Department, Hospital Clinic of Barcelona, Barcelona, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cristina","family":"Embid","sequence":"additional","affiliation":[{"name":"CIBER de Enfermedades Respiratorias (CIBERES), Madrid, Spain"},{"name":"Sleep Laboratory, Pneumology Department, Hospital Clinic of Barcelona, Barcelona, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniel","family":"Navajas","sequence":"additional","affiliation":[{"name":"Unit of Biophysics and Bioengineering, Faculty of Medicine, University of Barcelona, Barcelona, Spain"},{"name":"CIBER de Enfermedades Respiratorias (CIBERES), Madrid, Spain"},{"name":"Institute for Bioengineering of Catalonia (IBEC), Barcelona, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ramon","family":"Farr\u00e9","sequence":"additional","affiliation":[{"name":"Unit of Biophysics and Bioengineering, Faculty of Medicine, University of Barcelona, Barcelona, Spain"},{"name":"CIBER de Enfermedades Respiratorias (CIBERES), Madrid, Spain"},{"name":"Institut d\u2019Investigacions Biomediques August Pi Sunyer (IDIBAPS), Barcelona, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Josep M","family":"Montserrat","sequence":"additional","affiliation":[{"name":"CIBER de Enfermedades Respiratorias (CIBERES), Madrid, Spain"},{"name":"Sleep Laboratory, Pneumology Department, Hospital Clinic of Barcelona, Barcelona, Spain"},{"name":"Institut d\u2019Investigacions Biomediques August Pi Sunyer (IDIBAPS), Barcelona, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2016,7,8]]},"reference":[{"key":"bibr1-1357633X15621848","doi-asserted-by":"publisher","DOI":"10.1164\/rccm.2109080"},{"key":"bibr2-1357633X15621848","doi-asserted-by":"publisher","DOI":"10.1093\/bmb\/ldh044"},{"key":"bibr3-1357633X15621848","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM199304293281704"},{"key":"bibr4-1357633X15621848","doi-asserted-by":"publisher","DOI":"10.1016\/j.smrv.2011.01.003"},{"issue":"12","key":"bibr5-1357633X15621848","first-page":"1613","volume":"34","author":"Strollo PJ","year":"2011","journal-title":"Sleep"},{"key":"bibr6-1357633X15621848","first-page":"112","volume":"3","author":"World Health Organization","year":"2011","journal-title":"Observatory"},{"key":"bibr7-1357633X15621848","doi-asserted-by":"publisher","DOI":"10.2196\/jmir.3951"},{"key":"bibr8-1357633X15621848","doi-asserted-by":"publisher","DOI":"10.1007\/s11325-014-1009-6"},{"key":"bibr9-1357633X15621848","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.c5991"},{"key":"bibr10-1357633X15621848","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2013.281250"},{"key":"bibr11-1357633X15621848","doi-asserted-by":"publisher","DOI":"10.1183\/20734735.006910"},{"key":"bibr12-1357633X15621848","doi-asserted-by":"publisher","DOI":"10.5665\/sleep.1728"},{"key":"bibr13-1357633X15621848","doi-asserted-by":"publisher","DOI":"10.1136\/thx.2009.133215"},{"key":"bibr14-1357633X15621848","doi-asserted-by":"publisher","DOI":"10.1089\/tmj.2006.12.289"},{"key":"bibr15-1357633X15621848","doi-asserted-by":"publisher","DOI":"10.1136\/thoraxjnl-2015-207032"},{"key":"bibr16-1357633X15621848","unstructured":"Research2Guidance. The App Market Specialist. mHealth App Developer Economics 2014. pp.1\u201343. http:\/\/www.research2guidance.com\/r2g\/research2guidance-mHealth-App-Developer-Economics-2014.pdf."},{"key":"bibr17-1357633X15621848","doi-asserted-by":"publisher","DOI":"10.1016\/j.pec.2012.07.016"},{"key":"bibr18-1357633X15621848","doi-asserted-by":"publisher","DOI":"10.2196\/jmir.3687"},{"key":"bibr19-1357633X15621848","doi-asserted-by":"publisher","DOI":"10.1353\/pbm.2013.0013"},{"key":"bibr20-1357633X15621848","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0101312"},{"key":"bibr21-1357633X15621848","doi-asserted-by":"publisher","DOI":"10.1111\/jocn.12918"},{"key":"bibr22-1357633X15621848","doi-asserted-by":"publisher","DOI":"10.2196\/jmir.2283"},{"key":"bibr23-1357633X15621848","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2015.10945"}],"container-title":["Journal of Telemedicine and Telecare"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1357633X15621848","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/1357633X15621848","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1357633X15621848","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,2]],"date-time":"2026-05-02T03:10:31Z","timestamp":1777691431000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/1357633X15621848"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2016,7,8]]},"references-count":23,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2017,1]]}},"alternative-id":["10.1177\/1357633X15621848"],"URL":"https:\/\/doi.org\/10.1177\/1357633x15621848","relation":{},"ISSN":["1357-633X","1758-1109"],"issn-type":[{"value":"1357-633X","type":"print"},{"value":"1758-1109","type":"electronic"}],"subject":[],"published":{"date-parts":[[2016,7,8]]}}}