{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T07:33:39Z","timestamp":1777880019967,"version":"3.51.4"},"reference-count":31,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2024,12,23]],"date-time":"2024-12-23T00:00:00Z","timestamp":1734912000000},"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":["Workplace Health Saf"],"published-print":{"date-parts":[[2025,3]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>This quality improvement project aimed to increase the screening rate for OSA in individuals aged 18 and above with obesity (body mass index [BMI] \u226530).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>This quality improvement study occurred from March 2023 to August 2023 using a two-independent pre-implementation post-implementation design. The STOP-Bang Questionnaire (SBQ) was implemented during annual exams, chronic disease management visits, and Department of Transportation (DOT) physicals.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Findings:<\/jats:title>\n                    <jats:p>There were 946 patients involved in the study, including 471 in the pre-implementation group and 475 in the post-implementation group. OSA screening increased from 14.1% to 71.6% after implementing the screening protocol in the general population and 26.7% to 90.4% in the commercial driver\u2019s license (CDL) holder population. Of the CDL holders screened in the pre-intervention group, 15 (65.2%) were at intermediate to high risk for OSA (SBQ \u22653), and in the post-intervention group, 33 (50%) had an SBQ score of \u22653.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions\/Application to Practice:<\/jats:title>\n                    <jats:p>Standardized OSA screening is crucial because it is common but underdiagnosed. Screening for OSA during DOT exams promotes community safety. Earlier identification of at-risk patients leads to earlier diagnosis and treatment of OSA to prevent long-term complications, reduce healthcare costs, improve patient outcomes, and improve community safety.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/21650799241301082","type":"journal-article","created":{"date-parts":[[2024,12,23]],"date-time":"2024-12-23T06:42:22Z","timestamp":1734936142000},"page":"131-138","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Enhancing Workplace Wellness: A Comprehensive Approach to Sleep Apnea Screening in Onsite Health"],"prefix":"10.1177","volume":"73","author":[{"ORCID":"https:\/\/orcid.org\/0009-0004-6119-538X","authenticated-orcid":false,"given":"Selina","family":"Kozan","sequence":"first","affiliation":[{"name":"Duke University"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kathryn Evans","family":"Kreider","sequence":"additional","affiliation":[{"name":"Duke University"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anne","family":"Derouin","sequence":"additional","affiliation":[{"name":"Duke University"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2024,12,23]]},"reference":[{"key":"bibr1-21650799241301082","doi-asserted-by":"publisher","DOI":"10.1007\/s11325-021-02414-z"},{"key":"bibr2-21650799241301082","unstructured":"American Academy of Sleep Medicine. (2019). A patient\u2019s guide to understanding diagnostic testing for obstructive sleep apnea in adults [Fact sheet]. https:\/\/aasm.org\/wp-content\/uploads\/2019\/11\/DTO-Patient-Guide.pdf"},{"key":"bibr3-21650799241301082","unstructured":"American Academy of Sleep Medicine. (2022). The link between obesity and obstructive sleep apnea [Fact sheet]. https:\/\/aasm.org\/wp-content\/uploads\/2022\/07\/ProviderFS-Obesity-and-Obstructive-Sleep-Apnea.pdf"},{"key":"bibr4-21650799241301082","unstructured":"American Thoracic Society. (2019). What is obstructive sleep apnea in adults? [Fact sheet]. https:\/\/www.thoracic.org\/patients\/patient-resources\/resources\/obstructive-sleep-apnea-in-adults.pdf"},{"key":"bibr5-21650799241301082","doi-asserted-by":"publisher","DOI":"10.3122\/jabfm.2022.02.210296"},{"key":"bibr6-21650799241301082","doi-asserted-by":"publisher","DOI":"10.1093\/sleep\/zsz262"},{"key":"bibr7-21650799241301082","doi-asserted-by":"publisher","DOI":"10.1007\/s11325-020-02084-3"},{"key":"bibr8-21650799241301082","doi-asserted-by":"publisher","DOI":"10.1007\/s11325-021-02299-y"},{"key":"bibr9-21650799241301082","doi-asserted-by":"publisher","DOI":"10.5664\/jcsm.9672"},{"key":"bibr10-21650799241301082","doi-asserted-by":"publisher","DOI":"10.1007\/s11325-020-02040-1"},{"key":"bibr11-21650799241301082","unstructured":"Faria A., Allen A. H., Fox N., Ayas N., Laher I. (2021). The public health burden of obstructive sleep apnea. 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(2023). Increase the proportion of adults with sleep apnea symptoms who get evaluated by a health care provider. Healthy People 2030. U.S. Department of Health and Human Services. https:\/\/odphp.health.gov\/healthypeople\/objectives-and-data\/browse-objectives\/sleep\/increase-proportion-adults-sleep-apnea-symptoms-who-get-evaluated-health-care-provider-sh-02"},{"key":"bibr23-21650799241301082","doi-asserted-by":"publisher","DOI":"10.1016\/j.sleh.2023.08.007"},{"key":"bibr24-21650799241301082","doi-asserted-by":"publisher","DOI":"10.5195\/jmla.2018.319"},{"key":"bibr25-21650799241301082","doi-asserted-by":"publisher","DOI":"10.5664\/jcsm.8814"},{"key":"bibr26-21650799241301082","doi-asserted-by":"publisher","DOI":"10.7759\/cureus.54047"},{"key":"bibr27-21650799241301082","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2021.1009"},{"key":"bibr28-21650799241301082","doi-asserted-by":"publisher","DOI":"10.1007\/s11886-020-1257-y"},{"key":"bibr29-21650799241301082","doi-asserted-by":"publisher","DOI":"10.4102\/hsag.v27i0.2118"},{"key":"bibr30-21650799241301082","doi-asserted-by":"publisher","DOI":"10.1097\/JOM.0000000000001937"},{"key":"bibr31-21650799241301082","doi-asserted-by":"publisher","DOI":"10.3389\/fpubh.2022.950585"}],"container-title":["Workplace Health &amp; Safety"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/21650799241301082","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/21650799241301082","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/21650799241301082","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T23:59:48Z","timestamp":1777593588000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/21650799241301082"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,12,23]]},"references-count":31,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2025,3]]}},"alternative-id":["10.1177\/21650799241301082"],"URL":"https:\/\/doi.org\/10.1177\/21650799241301082","relation":{},"ISSN":["2165-0799","2165-0969"],"issn-type":[{"value":"2165-0799","type":"print"},{"value":"2165-0969","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,12,23]]}}}